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*Homod Saleh Al-Shammari and Dr. Vamsi Krishna


Background: Diabetes causes musculoskeletal changes that lead to symptoms such as joint pain and stiffness; swelling; nodules under the skin, particularly in the fingers; tight, thickened skin; trigger finger; carpal tunnel syndrome; painful shoulders; and severely affected feet. After having had diabetes for several years, joint damage called diabetic arthropathy can occur. Objective: The study aimed to present the effect of diabetes on arthritis pathology and tried to establish correlation with these diseases. Methodology: Fifteen participants were randomly assigned into 3 groups; control group G1 (receive exercises only) and 2 experimental groups; G2 (shock wave + exercise) and G3 (ultrasound + exercise). Each group received two sessions per a week for 4 weeks; each session includes 15 min. exposure (shock wave or Ultrasound) and 15 min. exercise (flexion, extension, abduction, external rotation and internal rotation). The outcome measures used in this study were the Visual Analogue Scale (VAS) that scored by all participants who completed the four-week course. Results: In control group G1, the average VAS was 6.2cm upon entry to the program and the average ODQ score was 43.4% before treatment. Four weeks later, average scores were 5.9 cm for the VAS and 40.7% for the ODQ. Age-related pre- and post-test differences were interesting. The 16-35-year-old age group was improved by 70% on VAS scores and by 23% on ODQ scores. The 36-50-year-olds scored an average of 24% improvement on the VAS and 9% on the ODQ while the 51-65-year-olds improved by 35% and 16% on the VAS and ODQ respectively. Conclusion: A treatment plan include sessions of shock waves and stretching and strengthening exercises for a month was more effective in the treatment of diabetes and rheumatoid arthritis.

Keywords: Diabetes, Rheumatoid arthritis, pain.

[Full Text Article]

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