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https://hdl.handle.net/2440/73630
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dc.contributor.author | Redmond, C. | - |
dc.contributor.author | Bain, G. | - |
dc.contributor.author | Laslett, L. | - |
dc.contributor.author | McNeil, J. | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Journal of Diabetes and Its Complications, 2012; 26(4):313-318 | - |
dc.identifier.issn | 1056-8727 | - |
dc.identifier.issn | 1873-460X | - |
dc.identifier.uri | http://hdl.handle.net/2440/73630 | - |
dc.description.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. | - |
dc.description.statementofresponsibility | Christine L. Redmond, Gregory I. Bain, Laura L. Laslett and Julian D. McNeil | - |
dc.language.iso | en | - |
dc.publisher | Elsevier Science Inc | - |
dc.rights | © 2012 Elsevier Inc. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.jdiacomp.2012.04.009 | - |
dc.subject | Hand | - |
dc.subject | Humans | - |
dc.subject | Carpal Tunnel Syndrome | - |
dc.subject | Diabetes Mellitus, Type 1 | - |
dc.subject | Diabetes Mellitus, Type 2 | - |
dc.subject | Disease Progression | - |
dc.subject | Disability Evaluation | - |
dc.subject | Hand Strength | - |
dc.subject | Incidence | - |
dc.subject | Longitudinal Studies | - |
dc.subject | Follow-Up Studies | - |
dc.subject | Touch | - |
dc.subject | Health Status | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Trigger Finger Disorder | - |
dc.subject | Touch Perception | - |
dc.subject | Dupuytren Contracture | - |
dc.subject | Surveys and Questionnaires | - |
dc.title | Deteriorating tactile sensation in patients with hand syndromes associated with diabetes: a two-year observational study | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.jdiacomp.2012.04.009 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Bain, G. [0000-0002-3258-996X] | - |
Appears in Collections: | Aurora harvest Medicine publications |
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