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Hand syndromes associated with diabetes: impairments and obesity predict disability


Redmond, CL and Bain, GI and Laslett, LL and McNeil, JD, Hand syndromes associated with diabetes: impairments and obesity predict disability, Journal of Rheumatology, 36, (12) pp. 2766-2771. ISSN 0315-162X (2009) [Refereed Article]

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Copyright 2009 Journal of Rheumatology

DOI: doi:10.3899/jrheum.090239


OBJECTIVE: We determined patterns of disability in diabetic hand conditions and identified factors that contributed to functional limitations. METHODS: Hand assessments were performed on 60 adults with DM1 or DM2 and carpal tunnel syndrome, trigger finger, Dupuytren's disease, or the syndrome of limited joint mobility. The examination included measurement of grip strength, light touch perception, and dexterity, as well as self-reported function using the Disabilities of the Arm, Shoulder and Hand (DASH) instrument and the Medical Outcomes Study Short Form-36 questionnaire. Associations with hand disability were analyzed using correlation and regression. RESULTS: The most frequent presentation was carpal tunnel syndrome (45%) but it was common for patients to present with clinical features associated with more than one hand syndrome (47%). Overall, women had greater difficulties, with significantly higher DASH scores than men [mean 30.3 (95% CI 23.2, 37.5) vs 18.0 (95% CI 12.1, 23.9), respectively; p = 0.01]. Grip strength, dexterity, and obesity were associated with hand disability (p < 0.05). CONCLUSION: In adults with hand syndromes associated with diabetes, disability was related to impaired muscle function and carpal tunnel syndrome. Obesity and overall physical functioning influenced hand disability, particularly in women.

Item Details

Item Type:Refereed Article
Keywords:diabetes mellitus, grip strength, obesity, hand, dexterity, musculoskeletal complications, monofilament, disability
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Rheumatology and arthritis
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Laslett, LL (Dr Laura Laslett)
ID Code:89858
Year Published:2009
Web of Science® Times Cited:27
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-03-18
Last Modified:2014-05-09
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