| Hand syndromes associated with diabetes: impairments and obesity predict disability. | |
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MedLine Citation:
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PMID: 19884270 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Christine L Redmond; Gregory I Bain; Laura L Laslett; Julian D McNeil |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-11-02 |
Journal Detail:
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Title: The Journal of rheumatology Volume: 36 ISSN: 0315-162X ISO Abbreviation: J. Rheumatol. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-07 Completed Date: 2010-02-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501984 Medline TA: J Rheumatol Country: Canada |
Other Details:
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Languages: eng Pagination: 2766-71 Citation Subset: IM |
Affiliation:
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University of Adelaide, Discipline of Medicine, Modbury Hospital, Modbury, Australia. christine.redmond@adelaide.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Diabetes Mellitus, Type 1* / complications, pathology, physiopathology Diabetes Mellitus, Type 2* / complications, pathology, physiopathology Disability Evaluation* Female Hand* / pathology, physiopathology Humans Male Middle Aged Obesity* / complications, pathology, physiopathology Questionnaires Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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