Musculoskeletal characteristics among diabetic and non-diabetic patients attended at CRP

Abstract

Diabetes mellitus (DM) is a long-term metabolic condition which is going to be a huge burden on public health services and it is becoming more and more common worldwide in emerging nations. Purpose: A variety of musculoskeletal issues are associated with diabetes mellitus. Even people without diabetic mellitus in Bangladesh are experiencing numerous musculoskeletal problems. This study represents the musculoskeletal characteristics that affects the diabetic and non-diabetic individuals frequently. Objectives: This study was aimed to find out the musculoskeletal characteristics, behavioral risk factors and association of the musculoskeletal characteristics of diabetic and non-diabetic population. Methods: A descriptive type of cross sectional study of 230 participants was conducted where 68 participants were diabetic and 162 were non-diabetic. The sample was selected by using convenient sampling technique. Data was collected from the participants through face to face interview. Results: The study result shows that, among diabetic and non-diabetic participants 57.4% and 56.2% were female and highest number of participants, 26.5% diabetic and 27.2% non-diabetic participants correspondingly were in the age range of 31-40 and 41-50 years. Nearly half of the population 44.1% and 43.8% were housewife in occupation. The majority of diabetic and non-diabetic participants suffered musculoskeletal pain in shoulder 18.80% and 13.60%, lower back 46.40% and 54.60%, and knee 44.90% and 24.10%. Only few participants, 29.9% diabetic and 27.2% non-diabetic patient has experienced paresthesia or numbness. It was found that 38.85% diabetic and 28.50% non-diabetic patients had muscle weakness and the majority of participants, 83.60% and 78.50% patients were facing difficulties during movement. Only a few diabetic and non-diabetic participants experienced swelling 2.9% and 2.5%, joint stiffness 4.4% diabetic and also 2.5% and muscle wasting 1.5% and 1.2%. Conclusion: Musculoskeletal conditions affect both diabetes and non-diabetic people and cause pain, discomfort, and dysfunction. This effect also has an impact on the patient's quality of life. A multidisciplinary team strategy should be employed to treat the musculoskeletal issue of diabetic patients while also raising the standard of care for these patients. Key word: Diabetes, musculoskeletal characteristics.