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Hand syndromes associated with diabetes: Impairments and obesity predict disability
Journal of Rheumatology, 11/09/09

Redmond CL et al. – This study shows that in adults with hand syndromes associated with diabetes, disability was related to impaired muscle function and carpal tunnel syndrome. Obesity and overall physical functioning influenced hand disability, particularly in women.

• Hand assessments performed on 60 adults with DM1 or DM2 and carpal tunnel syndrome, trigger finger, Dupuytren’s disease, or syndrome of limited joint mobility
• Examination included measurement of grip strength, light touch perception, and dexterity, as well as self-reported function using Disabilities of the Arm, Shoulder and Hand (DASH) instrument and Medical Outcomes Study Short Form-36 questionnaire
• Associations with hand disability analyzed using correlation and regression

• Most frequent presentation was carpal tunnel syndrome (45%)
• Common for patients to present with clinical features associated with more than one hand syndrome (47%)
• Overall, women had greater difficulties, with significantly higher DASH scores than men [mean 30.3 (95% CI 23.2, 37.5) vs 18.0 (95% CI 12.1, 23.9), respectively]
• Grip strength, dexterity, and obesity associated with hand disability

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