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1

Bracamonte, Jesus (Jesse) D., Gretchen Anderson, and Molly Kresin. "Limited Joint Mobility Syndrome." Consultant 60, no. 3 (March 3, 2020): 91–93. http://dx.doi.org/10.25270/con.2020.03.00007.

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2

Aljahlan, Mohammad, Kwok-Choy Lee, and Ellen Toth. "Limited joint mobility in diabetes." Postgraduate Medicine 105, no. 2 (February 1999): 99–106. http://dx.doi.org/10.3810/pgm.1999.02.536.

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3

Gopinath, S., K. Manoj, and Rubiya. "Goniometry in limited joint mobility." Indian Journal of Endocrinology and Metabolism 16, no. 8 (2012): 443. http://dx.doi.org/10.4103/2230-8210.104125.

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4

Tasker, PRW. "Limited Joint Mobility - ?Prayer sign?" Practical Diabetes International 18, no. 1 (January 2001): 26. http://dx.doi.org/10.1002/pdi.154.

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5

Chang, Dillon E., Lois P. Buschbacher, and Richard F. Edlich. "Limited joint mobility in power lifters." American Journal of Sports Medicine 16, no. 3 (May 1988): 280–84. http://dx.doi.org/10.1177/036354658801600315.

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6

Campbell, R. R., S. J. Hawkins, P. J. Maddison, and J. P. Reckless. "Limited joint mobility in diabetes mellitus." Annals of the Rheumatic Diseases 44, no. 2 (February 1, 1985): 93–97. http://dx.doi.org/10.1136/ard.44.2.93.

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7

Dijs, HM, JM Roofthooft, MF Driessens, PG De Bock, C. Jacobs, and KL Van Acker. "Effect of physical therapy on limited joint mobility in the diabetic foot. A pilot study." Journal of the American Podiatric Medical Association 90, no. 3 (March 1, 2000): 126–32. http://dx.doi.org/10.7547/87507315-90-3-126.

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Eleven patients with limited joint mobility and neuropathy were enrolled in a physical therapy program of passive joint mobilization at a rate of two sessions per week. Treatment resulted in a significant improvement in joint mobility after 10 sessions. Further improvement after 20 sessions did not reach the level of statistical significance, although near-normal joint mobility was attained. After completion of therapy, there was a progressive deterioration in joint mobility. No serious adverse effects were noted during treatment. This study provides some evidence that use of physical therapy may result in significant, although temporary, improvement in the mobility of the ankle and foot joints in diabetic patients with limited joint mobility and neuropathy. As limited joint mobility has been associated with the development of abnormally high pressures under the feet, which in turn may contribute to plantar ulceration in the susceptible neuropathic foot, the results indicate that physical therapy may be useful in the prevention of plantar ulceration in diabetic patients with limited joint mobility and neuropathy, although this must be verified by additional research.
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8

Panevin, T. S., L. I. Alekseeva, and G. A. Melnichenko. "LIMITED JOINT MOBILITY SYNDROME IN DIABETES MELLITUS." Rheumatology Science and Practice 58, no. 3 (June 24, 2020): 330–35. http://dx.doi.org/10.14412/1995-4484-2020-330-335.

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Patients with diabetes mellitus (DM) often show changes in the locomotor apparatus (LMA), in particular cheiroarthropathy, a specific lesion of the connective tissue structures of the hand in the presence of persistent hyperglycemia, which leads to limited joint mobility (LJM) generally in the absence of pain syndrome. Some authors use the term «LJM syndrome» to describe LMA lesion in DM, since in the long course of the disease, the small and large joints of not only the upper, but also the lower limbs are involved in the pathological process. LJM is one of the little studied and poorly diagnosed conditions in comparison with traditional micro- and macro-vascular complications of DM, which, due to their direct correlation with life expectancy, receive more attention. The LJM syndrome is associated with other late complications of DM and can significantly impair functional activity, self-care, and quality of life. Damages to periarticular tissue and joints in DM are believed to be caused by the accumulation of glycation end products. A clinical examination plays a key role in the diagnosis of cheiroarthropathy.
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9

Frank, Robert N. "Sorbinil and Limited Joint Mobility in Diabetics." JAMA: The Journal of the American Medical Association 254, no. 11 (September 20, 1985): 1452. http://dx.doi.org/10.1001/jama.1985.03360110042017.

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10

Rosenbloom, Arlan L. "Sorbinil and Limited Joint Mobility in Diabetics." JAMA: The Journal of the American Medical Association 254, no. 11 (September 20, 1985): 1453. http://dx.doi.org/10.1001/jama.1985.03360110042019.

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11

Labad, Javier, Antoni Rozadilla, Paula Garcia-Sancho, Joan M. Nolla, and Eduard Montanya. "Limited Joint Mobility Progression in Type 1 Diabetes: A 15-Year Follow-Up Study." International Journal of Endocrinology 2018 (2018): 1–5. http://dx.doi.org/10.1155/2018/1897058.

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Objective. To assess the evolution of joint mobility over a period of 15 years in type 1 diabetic patients and healthy controls and to determine whether microalbuminuria is associated with a different evolution of joint mobility. Methods. Joint mobility of hand and wrist was determined in 63 patients with type 1 diabetes and 63 healthy subjects. Fifteen years later, 37 (58.7%) diabetic patients and 16 (25.4%) healthy subjects were studied again. Joint mobility was assessed with the Prayer sign and by measuring the angle of maximal flexion of the fifth and third metacarpophalangeal (MCP) joints and wrist. Patients with diabetes were visited 2–4 times every year with regular assessment of glycated hemoglobin (HbA1c), urinary albumin excretion (UAE), and ophthalmoscopy. Results. Fifteen years after the initial exam, diabetic patients showed reduced flexion of the fifth MCP joint (82.6 ± 5.8 versus 76.0 ± 6.4 degrees, p<0.001) and wrist (75.9 ± 8.1 versus 73.2 ± 7.4 degrees, p=0.015) compared to baseline examination. Joint mobility did not change significantly in healthy subjects. Patients with microalbuminuria showed greater reduction in hand joint mobility than diabetic patients with normal UAE or than healthy subjects (p<0.001). Conclusions. In type 1 diabetic patients, the severity of LJM progresses with time, and the progression is enhanced in patients with microalbuminuria.
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12

Otto-Buczkowska, E., and P. Jarosz-Chobot. "Limited joint mobility syndrome in patients with diabetes." International Journal of Clinical Practice 66, no. 4 (March 15, 2012): 332–33. http://dx.doi.org/10.1111/j.1742-1241.2012.02891.x.

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13

Shinabarger, Nancy Ingersoll. "Limited Joint Mobility in Adults with Diabetes Mellitus." Physical Therapy 67, no. 2 (February 1, 1987): 215–18. http://dx.doi.org/10.1093/ptj/67.2.215.

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14

Rosenbloom, A. L. "Limited joint mobility in insulin dependent childhood diabetes." European Journal of Pediatrics 149, no. 6 (March 1990): 380–88. http://dx.doi.org/10.1007/bf02009653.

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15

Eaton, R. Phillip. "Sorbinil and Limited Joint Mobility in Diabetics-Reply." JAMA: The Journal of the American Medical Association 254, no. 11 (September 20, 1985): 1452. http://dx.doi.org/10.1001/jama.1985.03360110042018.

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16

Gerrits, Esther G. "Limited joint mobility syndrome in diabetes mellitus: A minireview." World Journal of Diabetes 6, no. 9 (2015): 1108. http://dx.doi.org/10.4239/wjd.v6.i9.1108.

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17

ERDTSIECK, R., M. VANDERLAAN, M. JACOBS, R. WEBER, and J. ELTE. "49. Limited joint mobility in patients with diabetes mellitus." Netherlands Journal of Medicine 50, no. 5 (May 1997): A19. http://dx.doi.org/10.1016/s0300-2977(97)87103-3.

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18

Haitas, B., D. Jones, A. Ting, and R. Turner. "Diabetic Retinopathy and its Association with Limited Joint Mobility." Hormone and Metabolic Research 18, no. 11 (November 1986): 765–67. http://dx.doi.org/10.1055/s-2007-1012430.

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19

Roverano, S., S. Paira, R. Panario, R. Cordini, A. Fabiano, and S. Garcia. "Syndrome of limited joint mobility (SLJM) in diabetic patients." Clinical Rheumatology 13, no. 3 (September 1994): 545–46. http://dx.doi.org/10.1007/bf02242962.

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20

Shah, Kshamata M., B. Ruth Clark, Janet B. McGill, Catherine E. Lang, and Michael J. Mueller. "Shoulder limited joint mobility in people with diabetes mellitus." Clinical Biomechanics 30, no. 3 (March 2015): 308–13. http://dx.doi.org/10.1016/j.clinbiomech.2014.12.013.

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21

Platonova, Yana V., and Valentina I. Syutina. "Methodological approaches to improving hip joint mobility among female students of higher educational institutions." Medicine and Physical Education: Science and Practice, no. 12 (2021): 75–81. http://dx.doi.org/10.20310/2658-7688-2021-3-4(12)-75-81.

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Introduction. The statistics revealed during the literature analysis indicates the wide-spread of joint diseases worldwide, including hip diseases, and all human motor activity depends on the hip functioning. Limited mobility in the joint is caused by a sedentary lifestyle and the absence of movements with involved hip joint. The practice of conducting recreational aerobics classes with female students has shown the lack of girls’ proper attention to the mobility problem in the hip joints. Methods. 200 female students of 1–4 courses of Derzhavin Tambov State University, engaged in recreational aerobics, took part in the study of hip joint mobility. The study used tests to assess the degree of hip joint opening and to identify the presence of asymmetry when the legs are pulled to the sides. Results. There is a unidirectional tendency in the ability to perform motor action with the maximum amplitude of movement in the hip joints of female students of 1–4 courses. The thighs of the students open in the same way; there is no asymmetry between the right and left legs when opening. Conclusions. The study helped to draw up an overall balance and identify trends in the development of hip joint mobility in girls, to understand the causes leading to pelvic displacement and limited hip flexion amplitude, to expand the understanding of methods for assessing hip joint mobility and tests for detecting asymmetry when the legs are pulled to the sides.
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22

Panevin, Taras S., Lyudmila I. Alekseeva, Elena A. Taskina, and Natalia G. Kashevarova. "Limited joint mobility syndrome as a predictor of the diabetic foot syndrome." Osteoporosis and Bone Diseases 22, no. 3 (June 1, 2020): 19–26. http://dx.doi.org/10.14341/osteo12280.

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Diabetes mellitus (DM) can lead to the development of late complications. In addition to the traditional late complications, a high prevalence of damage to the musculoskeletal system in diabetes was noted. The most appropriate term that reflects the defeat of the musculoskeletal system in diabetes is limited joints mobility syndrome (LJM). Damage to the hands in the presence of open painless stiffness of the joints, fixed flexion contractures, impaired fine motor skills of the hands and grip forces. Subsequently, it became clear that, over time, the restriction of joint mobility develops not only in the small joints of the hands, but also in other large and small joints of the limbs. Traditionally, LJM syndrome pays low attention on the part of practitioners in comparison with other micro- and macrovascular complications of diabetes, even though LJM can significantly impair functional activity, self-care, and impair the quality of life. It is assumed that damage to the periarticular tissues and joints in DM is caused by the accumulation of end glycation products. A decisive place in the diagnosis of LJM is the clinical examination. In the presence of LJM syndrome, the osteoarticular structures of the feet can be affected, timely diagnosis can lead to the development of diabetic foot syndrome.
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23

Slama, G., M. Letanoux, N. Thibult, C. Goldgewicht, E. Eschwege, and G. Tchobroutsky. "Quantification of Early Subclinical Limited Joint Mobility in Diabetes Mellitus." Diabetes Care 8, no. 4 (July 1, 1985): 329–32. http://dx.doi.org/10.2337/diacare.8.4.329.

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24

Chuter, V., and C. Payne. "Limited joint mobility and plantar fascia function in Charcot's neuroarthropathy." Diabetic Medicine 18, no. 7 (July 2001): 558–61. http://dx.doi.org/10.1046/j.1464-5491.2001.00527.x.

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25

Vera, M., E. Cabrera, and R. Guell. "Dermatoglyphics in insulin-dependent diabetic patients with limited joint mobility." Acta Diabetologica 32, no. 2 (1995): 78–81. http://dx.doi.org/10.1007/bf00569561.

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26

Kapoor, Anil, and Wilmer L. Sibbitt. "Contractures in diabetes mellitus: The syndrome of limited joint mobility." Seminars in Arthritis and Rheumatism 18, no. 3 (February 1989): 168–80. http://dx.doi.org/10.1016/0049-0172(89)90059-0.

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27

Rosenbloom, Arlan L. "Limited Joint Mobility in Childhood Diabetes: Discovery, Description, and Decline." Journal of Clinical Endocrinology & Metabolism 98, no. 2 (February 2013): 466–73. http://dx.doi.org/10.1210/jc.2012-3776.

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28

Al-Qahtani, Mohammad H., and Fai A. AlQahtani. "LIMITED JOINT MOBILITY IN A CHILD WITH TYPE 1 DIABETES MELLITUS." Case Reports in Medicine 2021 (November 15, 2021): 1–4. http://dx.doi.org/10.1155/2021/6397338.

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Chronic uncontrolled type 1 diabetes mellitus (type 1DM) is a very major risk for chronic systemic complications; specifically, the microvascular and macrovascular ones. Limited joint mobility (LJM) is a rare disease that complicates all types of diabetes and might indicate the high-risk odd for the diabetic patients to develop microvascular complications. We are reporting a 13-year-old female child with chronic uncontrolled type 1DM presenting with full blown clinical picture of bilateral hand LJM associated with significant growth failure yet has no clinical or biochemical evidence of microvascular complications. Literature research studies have emphasized the rarity of this manifestation in pediatric type 1 diabetic patients; however, it is an important clue and warning sign for microvascular complication occurrence in these patients.
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29

Delbridge, L., P. Perry, S. Marr, N. Arnold, D. K. Yue, J. R. Turtle, and T. S. Reeve. "Limited Joint Mobility in the Diabetic Foot: Relationship to Neuropathic Ulceration." Diabetic Medicine 5, no. 4 (May 6, 1988): 333–37. http://dx.doi.org/10.1111/j.1464-5491.1988.tb01000.x.

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30

CHAUDHURI, K. RAY, A. R. DAVIDSON, and I. M. MORRIS. "LIMITED JOINT MOBILITY AND CARPAL TUNNEL SYNDROME IN INSULIN-DEPENDENT DIABETES." Rheumatology 28, no. 3 (1989): 191–94. http://dx.doi.org/10.1093/rheumatology/28.3.191.

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31

Schulte, L., M. S. Roberts, C. Zimmerman, J. Ketler, and L. S. Simon. "A quantitative assessment of limited joint mobility in patients with diabetes." Arthritis & Rheumatism 36, no. 10 (October 1993): 1429–43. http://dx.doi.org/10.1002/art.1780361016.

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32

Ramroach, Sterling, Andrew Dhanoo, Brian Cockburn, and Ajay Joshi. "Can non-invasive features including limited joint mobility be used to predict glucose control?" BMJ Innovations 7, no. 1 (November 2, 2020): 26–32. http://dx.doi.org/10.1136/bmjinnov-2019-000415.

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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.
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33

Clarke, C. F., A. T. Piesowicz, and G. S. Spathis. "Limited joint mobility in children and adolescents with insulin dependent diabetes mellitus." Annals of the Rheumatic Diseases 49, no. 4 (April 1, 1990): 236–37. http://dx.doi.org/10.1136/ard.49.4.236.

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34

Montana, E., A. Rozadilla, J. M. Nolla, N. Gomez, D. R. Escofet, and J. Soler. "Microalbuminuria is associated with limited joint mobility in type I diabetes mellitus." Annals of the Rheumatic Diseases 54, no. 7 (July 1, 1995): 582–86. http://dx.doi.org/10.1136/ard.54.7.582.

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35

Abate, Michele, Cosima Schiavone, Patrizia Pelotti, and Vincenzo Salini. "Limited joint mobility (LJM) in elderly subjects with type II diabetes mellitus." Archives of Gerontology and Geriatrics 53, no. 2 (September 2011): 135–40. http://dx.doi.org/10.1016/j.archger.2010.09.011.

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36

Larkin, J. G., and B. M. Frier. "Limited joint mobility and Dupuytren's contracture in diabetic, hypertensive, and normal populations." BMJ 292, no. 6534 (June 7, 1986): 1494. http://dx.doi.org/10.1136/bmj.292.6534.1494.

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37

Mueller, Michael J., Jay E. Diamond, Anthony Delitto, and David R. Sinacore. "Insensitivity, Limited Joint Mobility, and Plantar Ulcers in Patients with Diabetes Mellitus." Physical Therapy 69, no. 6 (June 1, 1989): 453–59. http://dx.doi.org/10.1093/ptj/69.6.453.

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38

MITCHELL, W. S., P. H. WINOCOUR, R. J. GUSH, L. J. TAYLOR, R. D. BAKER, D. C. ANDERSON, and M. I. V. JAYSON. "SKIN BLOOD FLOW AND LIMITED JOINT MOBILITY IN INSULIN-DEPENDENT DIABETES MELLITUS." Rheumatology 28, no. 3 (1989): 195–200. http://dx.doi.org/10.1093/rheumatology/28.3.195.

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39

Fernando, D. "Limited joint mobility in Sri Lankan patients with non-insulin- dependent diabetes." Rheumatology 36, no. 3 (March 1, 1997): 374–76. http://dx.doi.org/10.1093/rheumatology/36.3.374.

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40

Wada, Takuro, Yasuhiko Minagi, Takashi Kirita, and Seiichi Ishii. "Hand Abnormalities Associated with Non-Insulin-Dependent Diabetes Mellitus in Japan." Hand Surgery 02, no. 02 (December 1997): 117–22. http://dx.doi.org/10.1142/s0218810497000197.

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We carried out a survey of hand abnormalities in 65 Japanese adult diabetics (non-insulin-dependent diabetes mellitus) and compared the result with that of 65 non-diabetic adults as controls. A significantly higher incidence of Dupuytren's contracture, limited joint mobility, carpal tunnel syndrome, and flexor tenosynovitis was found in the diabetic group. In the diabetic group, Dupuytren's contracture was noted in 10 patients (15%), limited joint mobility in 34 patients (52%), carpal tunnel syndrome in 21 patients (32%), and flexor tenosynovitis in 10 patients (15%). Dupuytren's contracture in the diabetic patients involved the fourth and fifth rays. In diabetic carpal tunnel syndrome, as compared to the idiopathic form, men were more frequently affected than women. Carpal tunnel syndrome showed a positive correlation with duration of the diabetes and use of insulin during the last twelve months prior to the examination. All of 10 diabetic patients with flexor tenosynovitis also had limited joint mobility. Six of these 10 patients also had carpal tunnel syndrome.
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41

Tanaka, Kazunari, Ryuichi Saura, Noriyo Takahashi, Yuko Hiura, and Remi Hashimoto. "Joint mobilization versus self-exercises for limited glenohumeral joint mobility: randomized controlled study of management of rehabilitation." Clinical Rheumatology 29, no. 12 (June 29, 2010): 1439–44. http://dx.doi.org/10.1007/s10067-010-1525-0.

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42

Fernando, D. J., E. A. Masson, A. Veves, and A. J. Boulton. "Relationship of Limited Joint Mobility to Abnormal Foot Pressures and Diabetic Foot Ulceration." Diabetes Care 14, no. 1 (January 1, 1991): 8–11. http://dx.doi.org/10.2337/diacare.14.1.8.

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43

Rosenbloom, A. L., M. Buithieu, K. A. Jelliffe, A. Roger D, and J. A. Truglia. "Effect of an Aldose Reductase Inhibiting Agent on Limited Joint Mobility in IDDM." Diabetes Care 15, no. 4 (April 1, 1992): 588–89. http://dx.doi.org/10.2337/diacare.15.4.588.

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44

Abate, M., C. Schiavone, P. Pelotti, and V. Salini. "Limited Joint Mobility in Diabetes and Ageing: Recent Advances in Pathogenesis and Therapy." International Journal of Immunopathology and Pharmacology 23, no. 4 (October 2010): 997–1003. http://dx.doi.org/10.1177/039463201002300404.

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45

Larkin, JG, BM Frier, JJF Belch, P. Flannigan, and CD Forbes. "Haemorrheology of Diabetic Patients with and without Limited Joint Mobility-Comparison with PSS." Clinical Science 69, s12 (December 1, 1985): 16P. http://dx.doi.org/10.1042/cs069016pa.

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46

Mengist, M., and J. Abdulkadir. "Limited Finger Joint Mobility in Insulin-dependent and Non-insulin-dependent Ethiopian Diabetics." Diabetic Medicine 2, no. 5 (September 1985): 387–89. http://dx.doi.org/10.1111/j.1464-5491.1985.tb00658.x.

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47

Simmons, Roger W., Charles Richardson, and Katherine Deutsch. "Limited joint mobility of the ankle in diabetic patients with cutaneous sensory deficit." Diabetes Research and Clinical Practice 37, no. 2 (August 1997): 137–43. http://dx.doi.org/10.1016/s0168-8227(97)00067-3.

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48

Vera-Gonzales, M., M. E. Martinez, C. Rosales, M. C. Alvarez, G. Shumkov, E. Cabera-Rode, A. Cabrera, M. Hernandez-Paz, M. Carriles, and R. Guell. "Limited joint mobility (LJM) in type 1 diabetic patients. Characterization of a syndrome." Diabetes Research and Clinical Practice 50 (September 2000): 413. http://dx.doi.org/10.1016/s0168-8227(00)81406-0.

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49

ARKKILA, P. E. T., I. M. KANTOL MD, and J. S. A. VIIKARI. "Limited joint mobility in type 1 diabetic patients: correlation to other diabetic complications." Journal of Internal Medicine 236, no. 2 (August 1994): 215–23. http://dx.doi.org/10.1111/j.1365-2796.1994.tb01286.x.

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50

Eadington, DW, AW Patrick, A. Collier, and BM Frier. "Cigarette Smoking, Limited Joint Mobility and Retinopathy in Type I (Insulin-Dependent) Diabetes." Clinical Science 75, s19 (December 1, 1988): 35P. http://dx.doi.org/10.1042/cs075035pb.

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