University of Tasmania
Browse

File(s) under permanent embargo

Hand syndromes associated with diabetes: impairments and obesity predict disability

journal contribution
posted on 2023-05-17, 23:17 authored by Redmond, CL, Bain, GI, Laura LaslettLaura Laslett, McNeil, JD
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.

History

Publication title

Journal of Rheumatology

Volume

36

Issue

12

Pagination

2766-2771

ISSN

0315-162X

Department/School

Menzies Institute for Medical Research

Publisher

J Rheumatol Publ Co

Place of publication

920 Yonge St, Suite 115, Toronto, Canada, Ontario, M4W 3C7

Rights statement

Copyright 2009 Journal of Rheumatology

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

Usage metrics

    University Of Tasmania

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC