Evidence map›Paper›PMID 29893977›Full record

Trial reportPhysical therapy2018

Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes: A Randomized Controlled Trial.

Michael J Mueller, Christopher J Sorensen, Janet B McGill, B Ruth Clark, Catherine E Lang, Ling Chen, Kathryn L Bohnert, Mary K Hastings

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physical therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07784543 (Effects of Aerobic Exercise on Shoulder Pain, Disability, and Ultrasonographic Outcomes in Patients With Type 2 Diabetes Mellitus With Supraspinatus Tendinopathy), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07784543 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Aerobic Exercise on Shoulder Pain, Disability, and Ultrasonographic Outcomes in Patients With Type 2 Diabetes Mellitus With Supraspinatus Tendinopathy :A Randomized Controlled Trial

TypeinterventionalSponsorPamukkale UniversityRan2026 to 2027Enrolled24ConditionsSupraspinatus Tendinopathy, Type 2 Diabetes Mellitus (T2DM)ArmsConventional Shoulder Rehabilitation, Aerobic Exercise
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michael J MuellerProgram in Physical Therapy and Department of Radiology, Washington University School of Medicine, Campus Box 8502, 4444 Forest Park Blvd, St Louis, MO 63108 (USA).
Christopher J SorensenProgram in Physical Therapy, Washington University School of Medicine.
Janet B McGillDivision of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine.
B Ruth ClarkProgram in Physical Therapy and Department of Neurology, Washington University School of Medicine.
Catherine E LangProgram in Physical Therapy, Program in Occupational Therapy, and Department of Neurology, Washington University School of Medicine.
Ling ChenDivision of Biostatistics, Washington University School of Medicine.
Kathryn L BohnertProgram in Physical Therapy, Washington University School of Medicine.
Mary K HastingsProgram in Physical Therapy and Department of Orthopaedic Surgery, Washington University School of Medicine.

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
DIABETIC UPPER EXTREMITY PATHOPHYSIOLOGY, LIMITED JOINT MOBILITY AND DISABILITYR21DK100793 · NIDDK · WASHINGTON UNIVERSITY · PI MUELLER, MICHAEL J · 2014 to 2015
$419k
NIDDK NIH HHS P30 DK020579NIDDK NIH HHS R21 DK100793
6 · The paper itself

Abstract

Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis. Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later. Design: The design was a prospective, randomized, controlled clinical trial. Setting: The setting was a research center at an academic medical center. Participants: Fifty-two participants with type 2 diabetes and shoulder pain or limited motion were randomized to a group receiving ShoMo (N = 27; mean age = 59.3; SD = 7.0) or a group receiving wellness activities (N = 25; mean age = 57.9; SD = 7.7). Intervention: The ShoMo group received instruction in a progressive, active shoulder movement program. The wellness group received instruction in diabetes management. Measurements: Measurements were made at baseline, after 3 months of intervention, and at 6, 9, and 12 months after baseline. Results: After intervention, the ShoMo group had a 7.2-degree increase in active shoulder flexion compared with the wellness group (95% CI = 0.9-13.5°), but there was no difference at subsequent follow-ups. The ShoMo group showed a 12.7-point improvement in the SPADI score compared to the wellness group after intervention (95% CI = 1.1-24.3), which remained better than the wellness group 9 months later. Limitations: The number of participants and duration of follow-up were inadequate to determine if intervention can help to prevent future severe shoulder problems. Conclusions: A progressive shoulder movement program can have meaningful effects on active motion and symptoms in people with type 2 diabetes and mild-to-moderate shoulder symptoms, with symptom improvement lasting at least 9 months.

Indexed as

Exercise TherapyAgedBursitisDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRange of Motion, ArticularShoulder PainTreatment Outcome

Identifiers

PMID29893977
PMCPMC6692706

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.