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Hand disorders, hand function, and activities of daily living in elderly men with type 2 diabetes.

Cederlund, Ragnhild LU ; Thomsen, Niels LU ; Thrainsdottir, Soley LU ; Eriksson, Karl-Fredrik LU ; Sundkvist, Göran LU and Dahlin, Lars LU orcid (2009) In Journal of Diabetes and its Complications 23. p.32-39
Abstract
AIMS/HYPOTHESIS: This study aimed to examine hand disorders, symptoms, overall hand function, activities of daily living (ADLs), and life satisfaction in elderly men with type 2 diabetes mellitus (DM), impaired glucose tolerance (IGT), and normal glucose tolerance (NGT). METHODS: Subjects were interviewed and evaluated with a battery of clinical and laboratory tests, including hand assessment, and a questionnaire. RESULTS: HbA1c differed between groups (highest in DM, especially in long-term DM). Limited joint motion (LJM), for example, prayer sign and Dupuytren's contracture, was most common in individuals with DM, followed by individuals with IGT, as compared to those with NGT. Vibrotactile sense was impaired symmetrically in the index... (More)
AIMS/HYPOTHESIS: This study aimed to examine hand disorders, symptoms, overall hand function, activities of daily living (ADLs), and life satisfaction in elderly men with type 2 diabetes mellitus (DM), impaired glucose tolerance (IGT), and normal glucose tolerance (NGT). METHODS: Subjects were interviewed and evaluated with a battery of clinical and laboratory tests, including hand assessment, and a questionnaire. RESULTS: HbA1c differed between groups (highest in DM, especially in long-term DM). Limited joint motion (LJM), for example, prayer sign and Dupuytren's contracture, was most common in individuals with DM, followed by individuals with IGT, as compared to those with NGT. Vibrotactile sense was impaired symmetrically in the index and little fingers in DM. However, there were no differences for sensibility, dexterity, grip strength, and cold intolerance between groups. Individuals with long-term (>15 years) DM were more affected regarding sensibility and ADL than individuals with short-term DM, who had more sleep disturbances. ADL difficulties were less among IGT subjects. Vibrotactile sense showed correlations with Semmes-Weinstein monofilament test and static two-point discrimination. CONCLUSIONS/INTERPRETATION: Dupuytren's contracture and impaired vibrotactile sense in finger pulps occurred in patients with DM but not in those with IGT, although LJM occurred in both IGT and DM patients. A longer duration of DM was associated with more severe neuropathy and ADL difficulties. Life satisfaction was high, and hand disorders did not have a significant impact on ADL. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Diabetes and its Complications
volume
23
pages
32 - 39
publisher
Elsevier
external identifiers
  • wos:000261708900006
  • pmid:18413154
  • scopus:56749107013
  • pmid:18413154
ISSN
1873-460X
DOI
10.1016/j.jdiacomp.2007.09.002
project
The diabetic hand
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000), Neurology, Malmö (013027010), Reconstructive Surgery (013240300), Hand Surgery Research Group (013241910), Unit for Clinical Vascular Disease Research (013242410), Diabetes Epidemiology and Neuropathy (013241560)
id
c77d5d79-c3a3-4517-9dfd-53f1561c5ca8 (old id 1147368)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18413154?dopt=Abstract
date added to LUP
2016-04-04 09:17:55
date last changed
2021-08-04 01:50:39
@article{c77d5d79-c3a3-4517-9dfd-53f1561c5ca8,
  abstract     = {AIMS/HYPOTHESIS: This study aimed to examine hand disorders, symptoms, overall hand function, activities of daily living (ADLs), and life satisfaction in elderly men with type 2 diabetes mellitus (DM), impaired glucose tolerance (IGT), and normal glucose tolerance (NGT). METHODS: Subjects were interviewed and evaluated with a battery of clinical and laboratory tests, including hand assessment, and a questionnaire. RESULTS: HbA1c differed between groups (highest in DM, especially in long-term DM). Limited joint motion (LJM), for example, prayer sign and Dupuytren's contracture, was most common in individuals with DM, followed by individuals with IGT, as compared to those with NGT. Vibrotactile sense was impaired symmetrically in the index and little fingers in DM. However, there were no differences for sensibility, dexterity, grip strength, and cold intolerance between groups. Individuals with long-term (>15 years) DM were more affected regarding sensibility and ADL than individuals with short-term DM, who had more sleep disturbances. ADL difficulties were less among IGT subjects. Vibrotactile sense showed correlations with Semmes-Weinstein monofilament test and static two-point discrimination. CONCLUSIONS/INTERPRETATION: Dupuytren's contracture and impaired vibrotactile sense in finger pulps occurred in patients with DM but not in those with IGT, although LJM occurred in both IGT and DM patients. A longer duration of DM was associated with more severe neuropathy and ADL difficulties. Life satisfaction was high, and hand disorders did not have a significant impact on ADL.},
  author       = {Cederlund, Ragnhild and Thomsen, Niels and Thrainsdottir, Soley and Eriksson, Karl-Fredrik and Sundkvist, Göran and Dahlin, Lars},
  issn         = {1873-460X},
  language     = {eng},
  pages        = {32--39},
  publisher    = {Elsevier},
  series       = {Journal of Diabetes and its Complications},
  title        = {Hand disorders, hand function, and activities of daily living in elderly men with type 2 diabetes.},
  url          = {http://dx.doi.org/10.1016/j.jdiacomp.2007.09.002},
  doi          = {10.1016/j.jdiacomp.2007.09.002},
  volume       = {23},
  year         = {2009},
}