Scopus
YÖKSİS Eşleşti
Diabetic Hand Complications in Prediabetes: A Controlled Observational Study
Archives of Physical Medicine and Rehabilitation · Ocak 2025
YÖKSİS Kayıtları
Diabetic Hand Complications in Prediabetes: A Controlled Observational Study
Archives of Physical Medicine and Rehabilitation · 2025 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ EZGİ AKYILDIZ TEZCAN →
Makale Bilgileri
DergiArchives of Physical Medicine and Rehabilitation
Yayın TarihiOcak 2025
Scopus ID2-s2.0-105013251750
Özet
Objective: The study aimed to evaluate diabetic hand complications and hand function in prediabetic individuals and explore factors influencing hand dysfunction and its early musculoskeletal effects in prediabetes. Design: Controlled, observational study. Setting: The study was conducted at a tertiary care hospital between January and July 2019. Participants: One hundred prediabetic patients and 50 normoglycemic controls aged 18-65 years were included. Participants were selected using a convenience sampling method, with eligibility based on American Diabetes Association prediabetes criteria. Participants with conditions affecting hand function were excluded. Interventions: Not applicable. Main Outcome Measures: Hand function was assessed using the Duruöz Hand Index (DHI). Grip strength measurements were obtained bilaterally using a calibrated digital dynamometer. The presence of hand complications such as carpal tunnel syndrome (CTS), limited joint mobility (LJM), trigger finger (TF), sclerodactyly, and Dupuytren's contracture was evaluated using standardized clinical criteria. Results: Prediabetic individuals had significantly higher DHI scores, indicating impaired hand function compared to controls (P=.025). Hand complications, particularly LJM (P=.024), were more prevalent in the prediabetic group. Regression analyses revealed that CTS (P=.002), TF (P=.007), and lower nondominant hand grip strength (P=.003) were each statistically associated with impaired hand function. No significant relationship was found between DHI scores and hemoglobin A1c (HbA1c), fasting glucose, or 2-hour post-oral glucose tolerance test glucose levels. Conclusions: Prediabetes is associated with impaired hand function and an increased prevalence of complications, particularly LJM. CTS and TF appear to have a strong statistical association with hand dysfunction in people with prediabetes, whereas HbA1c levels were not directly linked.
Yazarlar (4)
1
Kemal Erol
ORCID: 0000-0003-0673-3961
2
Ezgi Akyildiz Tezcan
ORCID: 0000-0002-4988-1270
3
Ulaş Serkan Topaloğlu
ORCID: 0000-0001-6625-7763
4
Mehmet Fatih Göl
Anahtar Kelimeler
Carpal tunnel syndrome
Diabetic hand complications
Dupuytren's contracture
Hand dysfunction
Limited joint mobility
Prediabetes
Rehabilitation
Trigger finger
Kurumlar
Kayseri City Hospital
Kayseri Turkey
Selçuk Üniversitesi
Selçuklu Turkey
University of Health Sciences
Istanbul Turkey