caa a22 4500 606177841 CHVBK 20210128100754.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11136-014-0748-y doi (NATIONALLICENCE)springer-10.1007/s11136-014-0748-y The associations among hand dexterity, functional performance, and quality of life in diabetic patients with neuropathic hand from objective- and patient-perceived measurements [Elektronische Daten] [Chien-Ju Yang, Hsiu-Yun Hsu, Chieh-Hsiang Lu, Yen-Li Chao, Haw-Yen Chiu, Li-Chieh Kuo] 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. Springer International Publishing Switzerland, 2014 Diabetes mellitus nationallicence Hand function nationallicence Hand neuropathy nationallicence Quality of life nationallicence Yang Chien-Ju Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan aut Hsu Hsiu-Yun Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan, Taiwan aut Lu Chieh-Hsiang Department of Internal Medicine, Chia-Yi Christian Hospital, Chia-Yi, Taiwan aut Chao Yen-Li Department of Occupational Therapy, National Cheng Kung University, 701, Tainan, Taiwan aut Chiu Haw-Yen Section of Plastic Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan aut Kuo Li-Chieh Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan aut Quality of Life Research Springer International Publishing 24/1(2015-01-01), 213-221 0962-9343 24:1<213 2015 24 11136 https://doi.org/10.1007/s11136-014-0748-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0748-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yang Chien-Ju Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan aut NATIONALLICENCE 700 1- Hsu Hsiu-Yun Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan, Taiwan aut NATIONALLICENCE 700 1- Lu Chieh-Hsiang Department of Internal Medicine, Chia-Yi Christian Hospital, Chia-Yi, Taiwan aut NATIONALLICENCE 700 1- Chao Yen-Li Department of Occupational Therapy, National Cheng Kung University, 701, Tainan, Taiwan aut NATIONALLICENCE 700 1- Chiu Haw-Yen Section of Plastic Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan aut NATIONALLICENCE 700 1- Kuo Li-Chieh Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/1(2015-01-01), 213-221 0962-9343 24:1<213 2015 24 11136