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Published on: March 4, 2014
Validation of Duruöz Hand Index for diabetic hand dysfunction
Yasemin Turan1, Mehmet Tuncay Duruöz, Elif Aksakalli
1Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey.
Summary
The Duruöz Hand Index (DHI) accurately assesses hand dysfunction in diabetic patients. This practical scale is efficient for evaluating hand problems in individuals with diabetes.
Area of Science:
- Orthopedics
- Rheumatology
- Endocrinology
Background:
- Diabetes mellitus frequently affects hand function.
- Assessing hand disability in diabetic patients is crucial for management.
- The Duruöz Hand Index (DHI) is a validated tool for hand arthropathies.
Purpose of the Study:
- To evaluate the accuracy and ease of using the Duruöz Hand Index (DHI) for assessing hand dysfunction in diabetic patients.
- To determine the DHI's validity and correlation with other functional and nonfunctional parameters in diabetes.
Main Methods:
- Forty patients with diabetes mellitus were enrolled.
- Hand pain (visual analog scale), grip strength, and pinch strength were measured.
- Duruöz Hand Index (DHI) and Hand Functional Index were administered.
Main Results:
- The DHI demonstrated good convergent validity, correlating highly with the Hand Functional Index (P < 0.001).
- DHI showed significant correlations with pain, restricted hand motion, and various grip/pinch strength tests.
- Jamar dynamometer measurements provided quantitative grip and pinch strength data.
Conclusions:
- The Duruöz Hand Index (DHI) is a practical and efficient scale for accurately assessing hand dysfunction in diabetic patients.
- The DHI's validity is supported by its correlation with functional and nonfunctional measures.
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