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Quality of Life Research
Gepubliceerd in:

01-01-2015

The associations among hand dexterity, functional performance, and quality of life in diabetic patients with neuropathic hand from objective- and patient-perceived measurements

Auteurs: Chien-Ju Yang, Hsiu-Yun Hsu, Chieh-Hsiang Lu, Yen-Li Chao, Haw-Yen Chiu, Li-Chieh Kuo

Gepubliceerd in: Quality of Life Research | Uitgave 1/2015

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Abstract

Purpose

To comprehend the associations among the dexterity and functional performance of the hands and quality of life in diabetic patients with neuropathic hands, via objective- and patient-perceived measurements.

Methods

The study participants were 144 diabetes patients who received objective evaluations, including the Purdue pegboard test, electrophysiological testing in sensory amplitude of the median nerve, and self-administrated measurements, including the Michigan Hand Outcomes Questionnaire (MHQ) and Diabetes-39 (D-39). Pearson’s and Spearman’s correlation tests were conducted to assess the relationships among hand neuropathy, hand dexterity and functions, and quality of life.

Results

The results show that the amplitude of the sensory nerve action potential of the median nerve was positively correlated with hand dexterity (r = 0.28–0.43; p < 0.01) and the total score of MHQ (r = 0.24–0.33; p < 0.01). Objective hand dexterity had mild to moderate relationships with most of the MHQ results, but only weak associations with some dimensions of the D-39 results. The MHQ results were negatively correlated with the D-39 scores, with mild to moderate relationships in the domains of energy/mobility and anxiety.

Conclusions

In comparison with diabetic feet, neuropathic diabetic hands are an easily neglected problem, with insufficient empirical evidence in the literature to indicate its impact on functional performance and quality of life. This study showed that lesions related to neural functioning in the diabetic hand may negatively influence dexterity and functional hand performance and thus also affect the quality of life.
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Literatuur
1.
Kumar, R., Anstey, K., Cherbuin, N., Wen, W., & Sachdev, P. (2008). Association of type 2 diabetes with depression, brain atrophy, and reduced fine motor speed in a 60-to 64-year-old community sample. American Journal of Geriatric Psych, 16(12), 989–998.CrossRef
2.
Savas, S., Koroglu, B. K., Koyuncuoglu, H. R., Uzar, E., Celik, H., & Tamer, N. M. (2007). The effects of the diabetes related soft tissue hand lesions and the reduced hand strength on functional disability of hand in type 2 diabetic patients. Diabetes Research and Clinical Practice, 77(1), 77–83.PubMedCrossRef
3.
Rota, E., Quadri, R., Fanti, E., Isoardo, G., Poglio, F., Tavella, A., et al. (2005). Electrophysiological findings of peripheral neuropathy in newly diagnosed type II diabetes mellitus. Journal of the Peripheral Nervous System, 10(4), 348–353.PubMedCrossRef
4.
Chiles, N. S., Phillips, C. L., Volpato, S., Bandinelli, S., Ferrucci, L., Guralnik, J. M., et al. (2014). Diabetes, peripheral neuropathy, and lower-extremity function. Journal of Diabetes and Its Complications, 28(1), 91–95.PubMedCentralPubMedCrossRef
5.
Resnick, H. E., Stansberry, K. B., Harris, T. B., Tirivedi, M., Smith, K., Morgan, P., et al. (2002). Diabetes, peripheral neuropathy, and old age disability. Muscle and Nerve, 25(1), 43–50.PubMedCrossRef
6.
Gale, L., Vedhara, K., Searle, A., Kemple, T., & Campbell, R. (2008). Patients’ perspectives on foot complications in type 2 diabetes: A qualitative study. The British Journal of General Practice, 58(553), 555–563.PubMedCentralPubMedCrossRef
7.
Lekholm, C., Sundkvist, G., Lundborg, G., & Dahlin, L. (2001). The diabetic hand—complications of diabetes. Läkartidningen, 98(4), 306–312.PubMed
8.
Redmond, C., Bain, G., Laslett, L., & McNeil, J. (2012). Deteriorating tactile sensation in patients with hand syndromes associated with diabetes: A two-year observational study. Journal of Diabetes and Its Complications, 26(4), 313–318.PubMedCrossRef
9.
Sinnreich, M., Taylor, B. V., & Dyck, P. J. (2005). Diabetic neuropathies. Classification, clinical features, and pathophysiological basis. Neurologist, 11(2), 63–79.PubMedCrossRef
10.
Papanas, N., & Maltezos, E. (2010). The diabetic hand: A forgotten complication? Journal of Diabetes and Its Complications, 24(3), 154–162.PubMedCrossRef
11.
Casanova, J., Casanova, J., & Young, M. (1991). Hand function in patients with diabetes mellitus. Southern Medical Journal, 84(9), 1111–1113.PubMedCrossRef
12.
Pfutzner, A., Musholt, P. B., Schipper, C., Niemeyer, M., Qvist, M., Schorsch, A., et al. (2012). Self-assessment and objective determination of dexterity in patients with type 1 or type 2 diabetes mellitus. Current Medical Research and Opinion, 28(1), 15–21.PubMedCrossRef
13.
Cederlunda, R. I., Thomsenb, N., Thrainsdottirc, S., Erikssond, K. F., Sundkviste, G., & Dahlinb, L. B. (2009). Hand disorders, hand function, and activities of daily living in elderly men with type 2 diabetes. Journal of Diabetes and Its Complications, 23(1), 32–39.CrossRef
14.
Redmond, C. L., Bain, G. I., Laslett, L. L., & McNeil, J. D. (2009). Hand syndromes associated with diabetes: Impairments and obesity predict disability. Journal of Rheumatology, 36(12), 2766–2771.PubMedCrossRef
15.
Camacho, F., Anderson, R. T., Bell, R. A., Goff, D. C. J., Duren-Winfield, V., Doss, D. D., et al. (2002). Investigating correlates of health related quality of life in a low-income sample of patients with diabetes. Quality of Life Research, 11(8), 783–796.PubMedCrossRef
16.
Al-Maskari, M., Al-Shookri, A., Al-Adawi, S., & Lin, K. (2011). Assessment of quality of life in patients with type 2 diabetes mellitus in Oman. Saudi Medical Journal, 32(12), 1285–1290.PubMed
17.
Bakkers, M., Faber, C., Hoeijmakers, J., Lauria, G., & Merkies, I. (2013). Small fibers, large impact: Quality of life in small-fiber neuropathy. Muscle and Nerve, 49(3), 329–336.PubMedCrossRef
18.
Poole, J. L., Santhanam, D. D., & Latham, A. L. (2013). Hand impairment and activity limitations in four chronic diseases. Journal of Hand Therapy, 26(3), 232–236 (quiz 237).
19.
Lewko, J., Politynska, B., Kochanowicz, J., Zarzycki, W., Mariak, Z., Gorska, M., et al. (2013). Median nerve conduction impairment in patients with diabetes and its impact on patients’ perception of health condition: a quantitative study. Diabetology Metabolic Syndrome, 5(1), 16–27.PubMedCentralPubMedCrossRef
20.
Jarmuzewska, E. A., & Mangoni, A. A. (2005). Pulse pressure is independently associated with sensorimotor peripheral neuropathy in patients with type 2 diabetes. Journal of Internal Medicine, 258(1), 38–44.PubMedCrossRef
21.
Tiffin, J., & Asher, E. J. (1948). The purdue pegboard: Norms and studies of reliability and validity. The Journal of Applied Psychology, 32(3), 234–247.PubMedCrossRef
22.
Chung, K. C., Pillsbury, M. S., Waiters, M. R., Hayward, R. A., & Arbor, A. (1998). Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. The Journal of Hand Surgery, 23(4), 575–587.PubMedCrossRef
23.
Horng, Y. S., Lin, M. C., Feng, C. T., Huang, C. H., Wu, H. C., & Wang, J. D. (2010). Responsiveness of the Michigan Hand Outcomes Questionnaire and the disabilities of the arm, shoulder, and hand questionnaire in patients with hand injury. The Journal of Hand Surgery, 35(3), 430–436.PubMedCrossRef
24.
Boyer, J., & Earp, J. (1997). The development of an instrument for assessing the quality of life of people with diabetes: Diabetes-39. Medical Care, 35(5), 440–453.PubMedCrossRef
25.
Huang, I. C., Hwang, C. C., Wu, M. Y., Lin, W., Leite, W., & Wu, A. W. (2008). Diabetes-specific or generic measures for health-related quality of life? Evidence from psychometric validation of the D-39 and SF-36. Value Health, 11(3), 450–461.PubMedCrossRef
26.
Ross, M. A., & Kimura, J. (1995). AAEM case report #2: The carpal tunnel syndrome. Muscle and Nerve, 18(6), 567–573.PubMedCrossRef
27.
Buddenberg, L. A., & Davis, C. (2000). Test-retest reliability of the Purdue Pegboard test. American Journal of Occupational Therapy, 54(5), 555–558.PubMedCrossRef
28.
Sethi, R. K., & Thompson, L. L. (1989). The electromyographer’s handbook: Little, Brown.
29.
Kincaid, J., Price, K., Jimenez, M., & Skljarevski, V. (2007). Correlation of vibratory quantitative sensory testing and nerve conduction studies in patients with diabetes. Muscle and Nerve, 36(6), 821–827.PubMedCrossRef
30.
Happich, M., John, J., Stamenitis, S., Clouth, J., & Polnau, D. (2008). The quality of life and economic burden of neuropathy in diabetic patients in Germany in 2002—results from the Diabetic Microvascular Complications (DIMICO) study. Diabetes Research and Clinical Practice, 81(2), 223–230.PubMedCrossRef
31.
Lewko, J., Kochanowicz, J., Zarzycki, W., Mariak, Z., Górska, M., & Krajewska-Kulak, E. (2012). Poor hand function in diabetics its causes and effects on the quality of life. Saudi Medical Journal, 33(4), 429–435.PubMed
32.
Kawano, M., Omori, Y., & Katayama, S. (2001). A questionnaire for neurological symptoms in patients with diabetes—cross-sectional multicenter study in Saitama Prefecture, Japan. Diabetes Research and Clinical Practice, 54(1), 41–47.PubMedCrossRef
33.
Al-Matubsi, H., Hamdan, F., Alhanbali, O., Oriquat, G., & Salim, M. (2011). Diabetic hand syndromes as a clinical and diagnostic tool for diabetes mellitus patients. Diabetes Research and Clinical Practice, 94(2), 225–229.PubMedCrossRef
34.
Papelbaum, M., Lemos, H., Duchesne, M., Kupfer, R., Moreira, R., & Coutinho, W. (2010). The association between quality of life, depressive symptoms and glycemic control in a group of type 2 diabetes patients. Diabetes Research and Clinical Practice, 89(3), 227–230.PubMedCrossRef
35.
Yen, W. J., Kuo, Y. L., Kuo, L. C., Chen, S. M., Kuan, T. S., & Hsu, H. Y. (2014). Precision pinch performance in patients with sensory deficits of the median nerve at the carpal tunnel. Motor Control, 18(1), 16–18.CrossRef
36.
Thrainsdottir, S., Malik, R., Rosen, I., Jakobsson, F., Bakhtadze, E., Petersson, J., et al. (2009). Sural nerve biopsy may predict future nerve dysfunction. Acta Neurologica Scandinavica, 120(1), 38–46.PubMedCrossRef
37.
Lamontagne, A., & Buchthal, F. (1970). Electrophysiological studies in diabetic neuropathy. Journal of Neurology, Neurosurgery and Psychiatry, 33(4), 442–452.PubMedCentralPubMedCrossRef
38.
Liu, M., Hu, B., Cui, L., Tang, X., Du, H., & Li, B. (2005). Clinical and neurophysiological features of 700 patients with diabetic peripheral neuropathy. Zhonghua Nei Ke Za Zhi, 44(3), 173–176.PubMed
39.
Romeo, J. H., Seftel, A. D., Madhun, Z. T., & Aron, D. C. (2000). Sexual function in men with diabetes type 2: Association with glycemic control. The Journal of Urology, 163(3), 788–791.PubMedCrossRef
Metagegevens
Titel
The associations among hand dexterity, functional performance, and quality of life in diabetic patients with neuropathic hand from objective- and patient-perceived measurements
Auteurs
Chien-Ju Yang
Hsiu-Yun Hsu
Chieh-Hsiang Lu
Yen-Li Chao
Haw-Yen Chiu
Li-Chieh Kuo
Publicatiedatum
01-01-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0748-y

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