DIABETES/METABOLISM RESEARCH AND REVIEWS RESEARCH ARTICLE Diabetes Metab Res Rev 2015; 31: 385–394. Published online 3 February 2015 in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/dmrr.2623

Impacts of elevated glycaemic haemoglobin and disease duration on the sensorimotor control of hands in diabetes patients

Hsiu-Yun Hsu1 Haw-Yen Chiu2 Hwai-Ting Lin3 Fong-Chin Su4,5 Chieh-Hsiang Lu6,7,8 Li-Chieh Kuo5,9,10*

Abstract Background To understand the impacts of disease chronicity and hyperglycaemia on sensorimotor control of hands of diabetic patients, this study investigated the differences in hand sensation, strength and motor control by applying the pinch-holding-up activity test for patients with diabetes mellitus (DM) with different levels of glycaemic control and disease chronicity.

1

Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

2

Section of Plastic Surgery, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan

3

Department of Sports Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

4

Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan

5

Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan

6

Department of Internal Medicine, Ditmanson Medical Foundation, Chiayi Christian Hospital, Chiayi, Taiwan

Methods One hundred and fifty-nine patients with clinically defined DM were included. Semmes–Weinstein monofilament, static two-point discrimination and moving two-point discrimination, maximal pinch strength precision pinch performance tests and nerve conduction studies (NCS) of the subjects were carried out. Forty-seven (29.6%) patients were in the HbA1c < 7% category, and 112 (70.4%) patients were in the >7% group. There were 87 (54.7%) patients with the disease duration 2.8 ms or SNCS amplitude

Impacts of elevated glycaemic haemoglobin and disease duration on the sensorimotor control of hands in diabetes patients.

To understand the impacts of disease chronicity and hyperglycaemia on sensorimotor control of hands of diabetic patients, this study investigated the ...
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