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Hand function in patients with diabetes mellitus.

J E Casanova1, J S Casanova, M J Young

  • 1Department of Medicine, Medical College of Wisconsin, Milwaukee.

Southern Medical Journal
|September 1, 1991
PubMed
Summary
This summary is machine-generated.

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Diabetic patients showed significantly reduced hand function, impacting daily activities. This decline was greater than they perceived, highlighting a need for better assessment and support.

Area of Science:

  • Neurology
  • Endocrinology
  • Occupational Therapy

Background:

  • Diabetes mellitus is a chronic condition affecting multiple organ systems.
  • Hand dysfunction is a potential complication of diabetes, impacting quality of life.
  • Objective measurement of hand function in diabetic patients is crucial.

Purpose of the Study:

  • To quantitatively assess hand function in diabetic patients using validated clinical tests.
  • To compare objective hand function measures with patients' subjective self-assessments.
  • To explore the implications of hand dysfunction on occupational performance and daily living.

Main Methods:

  • Utilized three standardized hand function tests: Purdue Pegboard, O'Connor Tweezer Dexterity, and Smith Hand Function.

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  • Recruited 15 diabetic patients (median age 48) with a minimum of 5 years of insulin use.
  • Administered a symptom questionnaire alongside objective functional testing.

    • Main Results:

    • Diabetic patients exhibited significantly impaired hand function across all tested domains.
    • The objective decrease in hand function was disproportionately larger than patients' self-reported limitations.
    • Hand function deficits were observed despite long-term insulin therapy.

    Conclusions:

    • Diabetes significantly compromises hand function, often unrecognized by patients.
    • Objective hand function assessment is vital for diabetic patient care.
    • Impaired hand function has substantial consequences for occupational performance and activities of daily living.