Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus
المؤلفون المشاركون
Gutefeldt, Kerstin
Lundstedt, Simon
Thyberg, Ingrid S. M.
Bachrach-Lindström, Margareta
Arnqvist, Hans J.
Spångeus, Anna
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-11
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Aim.
The aims of the current study were (1) to determine the prevalence of upper extremity impairments (UEIs) in patients with type 1 diabetes by clinical investigation; (2) to investigate if self-reported impairments were concordant with clinical findings and if key questions could be identified; and (3) to investigate if answers to our self-reported questionnaire regarding UEIs are reliable.
Methods.
Patients with type 1 diabetes were invited to participate in a cross-sectional study of clinical and self-reported (12 items) UEIs in adjunction to ordinary scheduled clinical visit.
Before the visit, a questionnaire on UEIs was filled in twice (test-retest) followed by clinical testing at the planned visit.
Results.
In total, 69 patients aged 45±14 years and with diabetes duration 26±15 were included in the study.
In the clinical examination, two-thirds (65%) of the patients showed one or more UEI, with failure to perform hand against back as the most common clinical finding (40%) followed by positive Phalen’s test (27%), Tinel’s test (26%), and Prayer’s sign (24%).
UEIs observed by clinical examination were often bilateral, and multiple impairments often coexisted.
Self-reported shoulder stiffness was associated with impaired shoulder mobility and with Prayer’s sign.
Self-reported reduced hand strength was associated to lower grip force, Prayer’s sign, trigger finger, fibrosis string structures, and reduced thenar strength as well as reduced shoulder mobility.
In addition, self-reporting previous surgery of carpal tunnel and trigger finger was associated with several clinical UEIs including shoulder, hand, and finger.
The test-retest of the questionnaire showed a high agreement of 80-98% for reported shoulder, hand, and finger impairments.
Conclusion.
UEIs are common in type 1 diabetes.
Self-reported shoulder stiffness and reduced hand strength might be used to capture patients with UEIs in need of clinical investigation and enhanced preventive and therapeutic strategies, as well as rehabilitative interventions.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Gutefeldt, Kerstin& Lundstedt, Simon& Thyberg, Ingrid S. M.& Bachrach-Lindström, Margareta& Arnqvist, Hans J.& Spångeus, Anna. 2020. Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus. Journal of Diabetes Research،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1183118
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Gutefeldt, Kerstin…[et al.]. Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus. Journal of Diabetes Research No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1183118
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Gutefeldt, Kerstin& Lundstedt, Simon& Thyberg, Ingrid S. M.& Bachrach-Lindström, Margareta& Arnqvist, Hans J.& Spångeus, Anna. Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus. Journal of Diabetes Research. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1183118
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1183118
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر