scholarly journals Limited joint mobility

2020 ◽  
Author(s):  
Keyword(s):  
Joint Mobility ◽  
Limited Joint Mobility

scholarly journals Neutrophil-lymphocyte ratio correlates with limited joint mobility of hand in patients with type 2 diabetes

2018 ◽  
Vol 65 (10) ◽  
pp. 1011-1017
Author(s):  
Yusuke Mineoka ◽  
Michiyo Ishii ◽  
Yoshitaka Hashimoto ◽  
Naoto Nakamura ◽  
Yasukazu Katsumi ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Joint Mobility ◽  
Limited Joint Mobility ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio

Biochemical markers of types I and III collagen and limited joint mobility in type 1 diabetic patients

2003 ◽  
Vol 40 (4) ◽  
pp. 151-155 ◽  
Author(s):  
P. E. T. Arkkila ◽  
P. J. Koskinen ◽  
I. M. Kantola ◽  
T. R�nnemaa ◽  
E. Sepp�nen ◽  
...  
Keyword(s):  
Biochemical Markers ◽  
Diabetic Patients ◽  
Joint Mobility ◽  
Limited Joint Mobility ◽  
Type 1 Diabetic Patients

The Presence of Limited Joint Mobility Is Significantly Associated with Multiple Digit Involvement by Stenosing Flexor Tenosynovitis in Diabetics

2009 ◽  
Vol 36 (8) ◽  
pp. 1686-1690 ◽  
Author(s):  
MAKOTO KAMEYAMA ◽  
SHU MEGURO ◽  
OSAMU FUNAE ◽  
YOSHIHITO ATSUMI ◽  
HIROYASU IKEGAMI
Keyword(s):  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Multiple Regression ◽  
Diabetic Patients ◽  
Joint Mobility ◽  
Limited Joint Mobility ◽  
Chi Squared ◽  
Tunnel Syndrome ◽  
The Difference ◽  
Flexor Tenosynovitis

Objective.Diabetes is associated with several disorders of the hand, including stenosing flexor tenosynovitis (SFTS). The feature of SFTS in diabetics is a higher prevalence of multiple digit involvement. We examined the magnitude of the tendency for involvement of more digits by SFTS in diabetic patients than in nondiabetic patients, and attempted to clarify the factors influencing multiple digit involvement by SFTS in diabetics.Methods.The study comprised 302 diabetic patients with SFTS and 235 nondiabetic patients with SFTS. The total number of digits exhibiting SFTS within the 1-year period following the initial visit to the Department of Orthopaedic Surgery was investigated in a prospective manner. We compared the difference in the frequency of multiple digit involvement by SFTS between diabetic and nondiabetic patients using the chi-squared test. Multiple regression analysis was performed to examine the contribution of independent variables [defined as 12 factors including age, sex, type of diabetes, estimated duration of diabetes, HbA1c values, carpal tunnel syndrome, Dupuytren contracture, limited joint mobility (LJM), de Quervain's disease, diabetic retinopathy, diabetic nephropathy, and dyslipidemia] to the total number of digits affected by SFTS in diabetic patients.Results.Diabetic patients showed a significantly higher prevalence of multiple digit involvement than nondiabetic patients (p < 0.0001). Multiple regression analysis in diabetic patients revealed that the presence of LJM was positively associated with the prevalence of multiple digit involvement (r = 0.626, p < 0.0001).Conclusion.LJM in diabetics is closely associated with SFTS involving multiple digits.

Can non-invasive features including limited joint mobility be used to predict glucose control?

2020 ◽  
Vol 7 (1) ◽  
pp. 26-32
Author(s):  
Sterling Ramroach ◽  
Andrew Dhanoo ◽  
Brian Cockburn ◽  
Ajay Joshi
Keyword(s):  
Glycaemic Control ◽  
Glucose Control ◽  
Glycated Haemoglobin ◽  
Diabetes Research ◽  
Joint Mobility ◽  
Limited Joint Mobility ◽  
Non Invasive ◽  
Full Dataset ◽  
Machine Learning Model

IntroductionLimited joint mobility (LJM) has been linked to deficient glycaemic control but is an understudied area of type 2 diabetes research. We set out to investigate the correlation between glycated haemoglobin (HbA1c) and the quantification of LJM of finger joints and non-invasive anthropometrics.MethodsBlood samples were taken from 170 participants at diabetes awareness drives in Trinidad. These participants were aged 59.61 ± 15.46, with a body mass index (BMI) of 29.73 ± 7.65 and HbA1c levels of 8.42 ± 2.22. There were 110 women and 60 men. Finger joint angles were recorded using a goniometer.ResultsThe K-Nearest Neighbour machine learning model was tested via 10-fold cross validation to differentiate good from poor glycaemic control (HbA1c ≤ 6.5%) using non-invasive features. There is some correlation between LJM and HbA1c. Our model scored a mean accuracy of 74.71% ± 1.81 (p=0.01) classifying the full dataset, 82.14% ± 2.20 (p=0.01) and 72.76% ± 1.41 (p=0.059) on the male/female subsets, respectively.DiscussionThe time since diagnosis, age and BMI were important features linked to glucose control. Our results support the notion that the first signs of LJM in the fingers occur in the first and fifth fingers as these particular angles were ranked highly in the list of most important features.ConclusionOur results show that LJM has some role to play in monitoring HbA1c, although not as important as more conventional anthropometrics. Our results support the idea that there should be a separate test for each sex.

scholarly journals Healing ulcers and preventing their recurrences in the diabetic foot

2016 ◽  
Vol 49 (03) ◽  
pp. 302-313 ◽  
Author(s):  
S. Raja Sabapathy ◽  
Madhu Periasamy
Keyword(s):  
Cost Of Care ◽  
Joint Mobility ◽  
Foot Care ◽  
Limited Joint Mobility ◽  
Reconstructive Procedures ◽  
Risk Class ◽  
Class 1 ◽  
Life Threatening ◽  
The Individual ◽  
The Cost

ABSTRACTFifteen percent of people with diabetes develop an ulcer in the course of their lifetime. Eighty-five percent of the major amputations in diabetes mellitus are preceded by an ulcer. Management of ulcers and preventing their recurrence is important for the quality of life of the individual and reducing the cost of care of treatment. The main causative factors of ulceration are neuropathy, vasculopathy and limited joint mobility. Altered bio-mechanics due to the deformities secondary to neuropathy and limited joint mobility leads to focal points of increased pressure, which compromises circulation leading to ulcers. Ulcer management must not only address the healing of ulcers but also should correct the altered bio-mechanics to reduce the focal pressure points and prevent recurrence. An analysis of 700 patients presenting with foot problems to the Diabetic Clinic of Ganga Hospital led to the stratification of these patients into four classes of incremental severity. Class 1 – the foot at risk, Class 2 – superficial ulcers without infection, Class 3 – the crippled foot and Class 4 – the critical foot. Almost 77.5% presented in either Class 3 or 4 with complicated foot ulcers requiring major reconstruction or amputation. Class 1 foot can be managed conservatively with foot care and appropriate foot wear. Class 2 in addition to measures for ulcer healing would need surgery to correct the altered bio-mechanics to prevent the recurrence. The procedures called surgical offloading would depend on the site of the ulcer and would need an in-depth clinical study of the foot. Class 3 would need major reconstructive procedures and Class 4 would need amputation since it may be life-threatening. As clinicians, our main efforts must be focused towards identifying patients in Class 1 and offer advice on foot care and Class 2 where appropriate surgical offloading procedure would help preserve the foot.

Insensitivity, Limited Joint Mobility, and Plantar Ulcers in Patients with Diabetes Mellitus

1989 ◽  
Vol 69 (6) ◽  
pp. 453-459 ◽  
Author(s):  
Michael J Mueller ◽  
Jay E Diamond ◽  
Anthony Delitto ◽  
David R Sinacore
Keyword(s):  
Diabetes Mellitus ◽  
Joint Mobility ◽  
Limited Joint Mobility ◽  
Patients With Diabetes ◽  
Plantar Ulcers
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