ACTIVITY LIMITATIONS BEFORE AND AFTER SURGICAL CARPAL TUNNEL RELEASE AMONG PATIENTS WITH AND WITHOUT DIABETES

作者：Cederlund Ragnhild I^*; Dahlin Lars B; Thomsen Niels O B

来源：Journal of Rehabilitation Medicine, 2012, 44(3): 261-267.

DOI：10.2340/16501977-0934

• carpal tunnel syndrome
• diabetes mellitus
• activities of daily living
• gender
• grip strength

Objectives: To evaluate activity limitations before and after carpal tunnel release among patients with and without diabetes, to explore differences between genders and the influence of grip strength on activity limitations. %26lt;br%26gt;Design: Prospective case-control study. %26lt;br%26gt;Patients: Thirty-three patients with diabetes and carpal tunnel syndrome (CTS) were age and gender matched with 30 patients without diabetes having idiopathic CTS. %26lt;br%26gt;Methods: Activity limitations were assessed pre-operatively, 3 and 12 months after surgery, with the self-administered Evaluation of Daily Activities Questionnaire (EDAQ) containing 102 activity items in 11 dimensions and 3 additional male-activity-oriented dimensions including 22 items. %26lt;br%26gt;Results: For all dimensions the mean score was higher for patients with diabetes compared with patients without diabetes. This indicates a more pronounced activity limitation for patients with diabetes. However, no statistical differences between the two groups could be demonstrated. In general, females have significantly higher activity limitation scores than males. %26lt;br%26gt;Conclusion: CTS creates a broad variety of activity limitations for affected patients. After carpal tunnel release a significant alleviation of these limitations occurs within the first 3 months. Activity limitations seem not to be related to diabetes, but were more pronounced in women than in men, probably due to reduced grip strength.

• 出版日期2012-3