DIAN WIDYAHANDAYANI

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DEPARTMENT OF NEUROLOGY KUDUS HOSPITAL GOVERNMENT
2014
IDENTITY OF JOURNAL
Title : Serum triglyceride level in type 2 diabetes
mellitus patients with or without Frozen
shoulder

Author : AKM Salek, MAA Mamun, MA Haque, M Mannan,
E Ali, S Islam, AN Rizvi, AZ Chowdhury, J Islam,
MH Rahman, C Ferdous

Years of issue : 2010

Published by : Bangladesh Insitute of Health Science,
Dhaka
BACKGROUND
Frozen Shoulder sixth decade
- insidious onset
- painful shoulder
- Stiffness
- difficulty of sleeping on the
affected side
DM
Frozen Shoulder 2-4x
higher than that in the
normal population
Early
Treatment
Late
Treatment
Good result Poorly result
demonstrate
accelerated loss of
skeletal muscle
mass and strength and
have considerable
functional
impairment associated
with reduced health
status.
MASALAH
Is there any differences of the serum
triglyceride level among diabetic patients
presented with, and without frozen
shoulder

to compare the serum triglyceride level
among diabetic patients presented with,
and without frozen shoulder
Exclusion : 2
nd

FS
Soft tissue trauma
Fracture
Arthritis
Hemiplegia
or any other known
causes
Januari 2008 - Desember
2009
Dept. of Physical
Medicine and
Rehabilitation,
(BSMMU)
POPULATION
30 diabetic patients with frozen
shoulder
30 diabetic patients without frozen
shoulder.
patients were fasted overnight for 12 hours
TG, blood sugar (fasting), HbA1c tested
2 hours after breakfast blood sugar (fasting)
Methodology



DATA ANALYSIS
Continuous variables are expressed as mean by
Students t test

Categorical variables are presented by the chi-square
test

The statistical tests were performed using SPSS version
12 (version 12.0; SPSS Inc,Chicago, IL, USA).





RESULTS
Continued.
DISCUSSION
Most of the patients with frozen shoulder are complaints of
stiffness and pain in their shoulder joint

Diabetes a known risk factor for frozen shoulder

In this study. both groups had fairly controlled diabetes
mellitus, but blood sugar levels, both fasting and 2 hours
after breakfast, were significantly higher in frozen shoulder
group.

Glycated haemoglobin (HbA1c) level was also significantly
higher in cases.
DISCUSSION cont...
Lequesne et al found an abnormal glucose tolerance
test in 28% patients with frozen shoulder compared
with 12% in control patients.

Bridgman found more patients of frozen shoulder in
diabetic group than non diabetic group

Pal et al reported incidences of 19% in diabetics and 5%
in non diabetics.
DISCUSSION cont...
In this study, positive correlation was observed
between incidence of frozen shoulder and blood sugar
levels (fasting) [r=0.322, p=0.012],
2 hours after breakfast [r=0.349, p=0.006]
and HbA1c [r=0.284, p=0.028])
CONCLUSION
Diabetic type 2 patients presented with
frozen shoulder had higher serum
triglyceride level compare to the diabetic
type 2 patients without frozen shoulder.
CRITICAL APPRAISAL
Title : Serum triglyceride level in type 2 diabetes
mellitus patients with or without Frozen
shoulder

Appropriate
Title < 20 words, not too long and not to0 short
There is no abbreviation sentences
All sentences has been represent the contents of
research
ABSTRAK
Abstract is < 250 words
and it has been
described the contents of
journal

Its consist of 4
paragraph, involve:
Background
Methods
Results
Conclusion

Its not include the
keyword

METHODOLOGY and SAMPLING
Sampling
30 diabetic patients with
frozen shoulder
30 diabetic patients
without frozen shoulder.
Methodology
Case control
RESULTS
This research has a
significant results
( P < 0,05)


It can be applied in
general medical practice
~~ THANK YOU ~~