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

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

Author de Almeida Lima, Kaue Carvalho Google Scholar
Borges, Leandro da Silva Google Scholar
Hatanaka, Elaine Google Scholar
Rolim, Luiz Clemente Autor UNIFESP Google Scholar
de Freitas, Paulo Barbosa Google Scholar
Abstract Diabetic peripheral neuropathy (DPN) affects the sensory function of the hands and, consequently, may negatively impact hand dexterity, maximum grip strength (GS(Max)), 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 GS(Max) 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 GS(Max) test, and a GF control test (i.e., hold a instrumented handle). The results indicated that individuals with DPN and controls produced similar GS(Max). 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.
Keywords Diabetes mellitus
Tactile sensitivity
Sensory
Feedback
Motor control
Manipulation
xmlui.dri2xhtml.METS-1.0.item-coverage Clare
Language English
Sponsor Sao Paulo Research Foundation (FAPESP)
National Council of Technological and Scientific Development (CNPq)
Coordination for the Improvement of Higher Education Personnel (CAPES - Brazil)
Grant number FAPESP: 2010/02939-4
FAPESP: 2014/26397-7
CNPq: 479903/2013-1
Date 2017
Published in Neuroscience Letters. Clare, v. 659, p. 54-59, 2017.
ISSN 0304-3940 (Sherpa/Romeo, impact factor)
Publisher Elsevier Ireland Ltd
Extent 54-59
Origin http://dx.doi.org/10.1016/j.neulet.2017.08.071
Access rights Closed access
Type Article
Web of Science ID WOS:000413883000009
URI https://repositorio.unifesp.br/handle/11600/57140

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