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Published in: Quality of Life Research 1/2015

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

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

Published in: Quality of Life Research | Issue 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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Metadata
Title
The associations among hand dexterity, functional performance, and quality of life in diabetic patients with neuropathic hand from objective- and patient-perceived measurements
Authors
Chien-Ju Yang
Hsiu-Yun Hsu
Chieh-Hsiang Lu
Yen-Li Chao
Haw-Yen Chiu
Li-Chieh Kuo
Publication date
01-01-2015
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 1/2015
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0748-y

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