Title: RESPONSE OF STATIC LUNG VOLUMES To

DIFFERENT MANAGEMENT OF DIABETIC    

FROZEN SHOULDER

ABSTRACT

Objectives: Frozen Shoulder associated with Diabetes mellitus, thyroid, and immune disease of unknown etiology characterized by loss of Shoulder range of motion. Its Complication on Static Lung Volumes has not been previously reported. This study aimed to find out the response of Static Lung Volumes to different management of Diabetic Frozen Shoulders. Subjects: Forty Diabetic (20 men, 20 women) patients with Frozen shoulder were chosen from the Physical Medicine and Rehabilitation Centre Military forces, Helmyet  Elzayton,Egypt . Their age ranged from 55-65 years.Methods: They were assigned into two equal groups in number (10 men and 10 women) in each group; Group( A )used Traditional Multigem, and Group( B) used Milon circuit training. Intensity of exercise was 50-60% of 1 repetition max /3 times per week/3 months for both groups. Static lung volumes(Vital Capacity(VC), Inspiratory reserve volume(IRV), Expiratory reserve volume(ERV), Tidal volume(VT), Inspiratory capacity(IC) and Forced vital capacity at expiration(FVC ex) and Shoulder range of motion were assessed at baseline and after 3months.Results: It showed that there were no significant differences in VC, VT, ERV, IRV, IC, FVC ex, shoulder abduction and flexion between men in group)A )and group (B), also there were no significant differences between VC, VT, IRV, IC, FVC ex, all shoulder range of motion between women in group (A) and group( B).There was a significant difference in ERV for women in group (A) than in group (B)by 39,13% and 7.69% respectively. While for shoulder extension, internal and external rotation for men in the group(A)improved by (100%), (71.19%), (85.71%) respectively. For group(B) improved by (86.67%),(93.65)%and (82.19%) respectively

Conclusion: Both traditional Multigem and Milon circuit training have a positive effect on static lung volumes and Shoulder range of motion in Diabetic Frozen patients.

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