Grip force control and hand dexterity are impaired in individuals with diabetic peripheral neuropathy.

Abstract:

:Diabetic peripheral neuropathy (DPN) affects the sensory function of the hands and, consequently, may negatively impact hand dexterity, maximum grip strength (GSMax), and hand grip force (GF) control during object manipulation. The aims of this study were to examine and compare the GF control during a simple holding task as well as GSMax and hand dexterity of individuals with DPN and healthy controls. Ten type 2 diabetic individuals diagnosed with DPN and ten age- and gender-matched healthy controls performed two traditional timed hand dexterity tests (i.e., nine-hole peg test and Jebsen-Taylor hand function test), a GSMax test, and a GF control test (i.e., hold a instrumented handle). The results indicated that individuals with DPN and controls produced similar GSMax. However, individuals with DPN took longer to perform the hand dexterity tests and set lower safety margin (exerted lower GF) than controls when holding the handle. The findings showed that mild to moderate DPN did not significantly affect maximum hand force generation, but does impair hand dexterity and hand GF control, which could impair the performance of daily living manipulation tasks and put them in risk of easily dropping handheld objects.

journal_name

Neurosci Lett

journal_title

Neuroscience letters

authors

Lima KCA,Borges LDS,Hatanaka E,Rolim LC,de Freitas PB

doi

10.1016/j.neulet.2017.08.071

subject

Has Abstract

pub_date

2017-10-17 00:00:00

pages

54-59

eissn

0304-3940

issn

1872-7972

pii

S0304-3940(17)30716-4

journal_volume

659

pub_type

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