AI Summary & Key Takeaways
AI InsightEarly detection of these deficits is essential for developing targeted rehabilitation strategies to preserve upper extremity function.
📌 3 Key Takeaways
Abstract
This study aimed to assess the physical features, sensory perception, and functional capacity of the hand in individuals with Type 2 Diabetes Mellitus (T2DM). Eighty-eight individuals with T2DM and 88 healthy, demographically matched controls were included. Cognitive status was assessed using the Standardized Mini Mental Test (α=0.83). Joint range of motion was measured with a goniometer. Grip and pinch strength were assessed using a Jamar Hydraulic Hand Dynamometer and Pinch Gauge (ICC=0.97). Sensory evaluation included superficial sensations (sharp/dull, hot/cold, light touch) and cortical sensation (two-point discrimination, stereognosis, graphesthesia). Functional performance was evaluated with the Purdue Pegboard Test (α=0.87). Data were analyzed using SPSS 22.0. The T2DM group showed significant deficits in all domains of hand function (P<0.05). Grip strength decreased by 25%, pinch strength by 28.4% (P<0.001). Two-point discrimination was 44% worse in T2DM (8.1±1.4 mm vs. 4.5±1.1 mm; P<0.001). Stereognosis and graphesthesia declined by 31.1% and 34.4%, respectively. Pegboard performance was 24% lower (P<0.001). Individuals with T2DM have marked impairments in sensory integration and hand function. Early detection of these deficits is essential for developing targeted rehabilitation strategies to preserve upper extremity function.
Özet
This study aimed to assess the physical features, sensory perception, and functional capacity of the hand in individuals with Type 2 Diabetes Mellitus (T2DM). Eighty-eight individuals with T2DM and 88 healthy, demographically matched controls were included. Cognitive status was assessed using the Standardized Mini Mental Test (α=0.83). Joint range of motion was measured with a goniometer. Grip and pinch strength were assessed using a Jamar Hydraulic Hand Dynamometer and Pinch Gauge (ICC=0.97). Sensory evaluation included superficial sensations (sharp/dull, hot/cold, light touch) and cortical sensation (two-point discrimination, stereognosis, graphesthesia). Functional performance was evaluated with the Purdue Pegboard Test (α=0.87). Data were analyzed using SPSS 22.0. The T2DM group showed significant deficits in all domains of hand function (P<0.05). Grip strength decreased by 25%, pinch strength by 28.4% (P<0.001). Two-point discrimination was 44% worse in T2DM (8.1±1.4 mm vs. 4.5±1.1 mm; P<0.001). Stereognosis and graphesthesia declined by 31.1% and 34.4%, respectively. Pegboard performance was 24% lower (P<0.001). Individuals with T2DM have marked impairments in sensory integration and hand function. Early detection of these deficits is essential for developing targeted rehabilitation strategies to preserve upper extremity function.