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https://hdl.handle.net/2440/73630
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Type: | Journal article |
Title: | Deteriorating tactile sensation in patients with hand syndromes associated with diabetes: a two-year observational study |
Author: | Redmond, C. Bain, G. Laslett, L. McNeil, J. |
Citation: | Journal of Diabetes and Its Complications, 2012; 26(4):313-318 |
Publisher: | Elsevier Science Inc |
Issue Date: | 2012 |
ISSN: | 1056-8727 1873-460X |
Statement of Responsibility: | Christine L. Redmond, Gregory I. Bain, Laura L. Laslett and Julian D. McNeil |
Abstract: | <h4>Aims</h4>To observe the natural history of hand function during a two-year period in participants with hand syndromes associated with diabetes and to determine factors related to changing function.<h4>Methods</h4>Hand function was measured over three annual visits using Disability of the Arm, Shoulder and Hand (DASH) and SF-36v2 questionnaires, grip strength, light touch and 9-hole peg tests. Light touch was tested with WEST monofilaments at 7 sites on the hand (score 35 to 0). Data were analyzed using repeated-measures ANOVA, Spearman's correlation, and Wilcoxon signed-rank tests.<h4>Results</h4>Participants (n=60) were aged 61 ± 10.5 years, 57% female, diagnosed with diabetes and at least one of four associated hand disorders. Presentations of carpal tunnel syndrome, or past release (n=27, 45%) and trigger finger (n=24, 40%) were common. Tactile sensation was reduced during the two-year period (median, range; 30 months, 25-40 months). Initial median (inter-quartile range) scores for the dominant hand of 25.5 (22-28.5) were reduced to 23 (21.5-27). This sensory loss was weakly associated with HbA1c (r=0.30, p=0.05) and occurred predominantly in participants with trigger finger (p=0.05).<h4>Conclusions</h4>Light touch perception was reduced in longstanding diabetic hand syndromes. Tactile abnormalities that were detected by clinical examination progressed during a two year period and were related to metabolic control and musculoskeletal diagnosis. |
Keywords: | Hand Humans Carpal Tunnel Syndrome Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Disease Progression Disability Evaluation Hand Strength Incidence Longitudinal Studies Follow-Up Studies Touch Health Status Aged Middle Aged Female Male Trigger Finger Disorder Touch Perception Dupuytren Contracture Surveys and Questionnaires |
Rights: | © 2012 Elsevier Inc. All rights reserved. |
DOI: | 10.1016/j.jdiacomp.2012.04.009 |
Published version: | http://dx.doi.org/10.1016/j.jdiacomp.2012.04.009 |
Appears in Collections: | Aurora harvest Medicine publications |
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