Upper Extremity Functioning in Individuals with Type 2 Diabetes Mellitus: A Comparative Study

Year 2021, Volume: 11 Issue: 2, 330 - 335, 30.06.2021

Tuba Yerlikaya , Bilge Başakcı Çalık , Uğur Cavlak , Özgür Sirkeci

https://doi.org/10.33808/clinexphealthsci.723847

Cited By: 2

Abstract

Objective: The aim of this study was to evaluate the upper extremity functions of individuals with type 2 diabetes mellitus and to compare them with those of healthy subjects.

Methods: Thirty six diabetic participants (mean age: 55.05±5.85 years; 21 female, 15 male) and thirty six healthy participants (mean age: 53.52±7.74 years; 20 female, 16 male) were evaluated in this study. A hand dynamometer was used to examine grip strength of the participants. Upper extremities endurance was evaluated by using the Unsupported Upper Limb Exercise Test (UULEX). Disabilities of the Arm Shoulder and Hand Test (DASH-T) was used to determine upper extremity disability level.

Results: Diabetic participants evaluated in this study showed lower scores in terms of upper extremity endurance (p<0.05). Moreover, disability level of the diabetics was found higher than the healthy controls (p<0.05). No significant difference in terms of grip strength was found between the two groups (p>0.05)

Conclusion: In individuals with type 2 diabetes mellitus, there is a significant decrease in upper extremity endurance and an increase in the level of upper extremity disability level.

Keywords

diabetes mellitus, upper extremity, physical endurance, disability, muscle strength

References

• [1] Kidwai SS, Wahid L, Siddiqi SA, Khan RM , Ghauri I, Sheikh I. Upper limb musculoskeletal abnormalities in type 2 diabetic patients in low socioeconomic strata in Pakistan. BMC Research Notes 2013, 6:16
• [2] Andreassen CS, Jakobsen J, Andersen H. Muscle weakness: A progressive late complication in diabetic distal symmetric polyneuropathy. Diabetes 2006;55: 806-812.
• [3] Larose J, Sigal RJ, Khandwala F, Kenny GP. Comparison of strength development with resistance training and combined exercise training in type 2 diabetes. Scand J Med Sci Sports 2012: 22: e45–e54.
• [4] Roquelaure Y, Ha C, Rouillon C, Fouquet N, Leclerc A, Descatha A, et al: Risk factors for upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum 2009, 61:1425–1434.
• [5] Fritschi C, Quinn L. Fatigue in patients with diabetes: a review. J Psychosom Res 2010;69(1): 33-41.
• [6] Guy RJC, Gilbey SG, Sheehy M, Asselman P, Watkins PJ. Diabetic neuropathy in the upper limb and the effect of twelve months sorbinil treatment. Diabetologia 1988;31: 214-220.
• [7] Parasoglou P, Rao S, and Slade JM. Declining Skeletal Muscle Function in Diabetic Peripheral Neuropathy. Clin Ther 2017; 39(6): 1085–1103.
• [8] Gill PKS, Sandhu R, Dhillon SK, Arora AK. Hand grip strength in patients with type 2 diabetes mellitus. Pak J Physiol 2016;12(2): 19-20.
• [9] Özdirenç M, Biberoğlu S, Özcan A. Evaluation of physical fitness in patients with Type 2 diabetes mellitus. Diabetes Res Clin Pr 2003;60: 171-176.
• [10] Cagliero E, Apruzzese W, Perlmutter GS, Nathan DM. Musculoskeletal disorders of the hand and shoulder in patients with diabetes mellitus. Am J Med 2002;112: 487-90.
• [11] Thomas S, McDougall C, Brown I, Jaberoo MC, Stearns A, Ashraf R, Fisher M, Kelly IG. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elb Surg 2007;16: 748-51.
• [12] Balducci S, Zanuso S, Cardelli P, Salvi L, Mazzitelli G, Bazuro A, Iacobini C, Nicolucci A, Pugliese G; Italian Diabetes Exercise Study (IDES) Investigators. Changes in physical fitness predict improvements in modifiable cardiovascular risk factors independently of body weight loss in subjects with type 2 diabetes participating in the Italian Diabetes and Exercise Study (IDES). Diabetes Care 2012 Jun;35(6):1347-54.
• [13] Bacchi E, Negri C, Zanolin ME, Milanese C, Faccioli N, Trombetta M, Zoppini G, Cevese A, Bonadonna RC, Schena F, Bonora E, Lanza M, Moghetti P. Metabolic effects of aerobic training and resistance training in type 2 diabetic subjects: a randomized controlled trial (the RAED2 study). Diabetes Care 2012; 35(4):676-82.
• [14] Larose J, Sigal RJ, Khandwala F, Kenny GP. Comparison of strength development with resistance training and combined exercise training in type 2 diabetes. Scand J Med Sci Sports 2012; 22(4):e45-54.
• [15] Haidar SG, Kumar D, Bassi RS, Deshmukh SC. Average versus maximum grip strength: which is more consistent?. J Hand Surg-Eur Vol 2004; 29(1): 82-4.
• [16] Takahashi T, Jenkins SC, Strauss GR, Watson CP, Lake FR. A new unsupported upper limb exercise test for patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil 2003;23(6): 430-437.
• [17] Nyberg A, Törnberg A, Wadell K. Correlation between limb muscle endurance, strength, and functional capacity in people with chronic obstructive pulmonary disease. Physiother Can 2014;68(1): 46-53.
• [18] Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay BS, Ayhan Ç, Leblebicioğlu G, Kayıhan H, Kırdı N, Yakut Y et al. Kol Omuz ve El Sorunları Anketi (Disabilities of the Arm Shoulder and Hand-DASH) Anketi Türkçe Uyarlamasının Güvenirliği ve Geçerliği. Turk J Physiother Rehabil 2006;17(3): 99-107.
• [19] Carver RH, Nash JG. Doing Data Analysis with SPSS: Version 18.0. 5th ed. United States: Cengage Learning; 2012. [20] Eckman M, Gigliotti C, Sutermaster S, Butler PJ, Mehta K. Using handgrip strength to screen for diabetes in developing countries. J Med Eng Technol 2016;40(1): 8-14.
• [21] Van der Kooi AL, Snijder MB, Peters RJG, Van Valkengoed IG. The association of handgrip strength and Type 2 Diabetes Mellitus in Six Ethnic Groups: An analysis of the HELIUS study. PLoS One 2015;10(9): e0137739.
• [22] Li JJ, Wittert GA, Vincent A, Atlantis E, Shi Z, Appleton SL. Muscle grip strength predicts incident type 2 diabetes: Population-based cohort study. Metabolism 2016; 65(6): 883-92.
• [23] Akpinar P, Icagasioglu A, Selimoglu E, Mesci B. Hand functions in type 1 and type 2 diabetes mellitus. Srp Ark Celok Lek 2017;145(11-12): 584-588.
• [24] Oliveira A, Cruz J, Jacome C, Marques A. The Unsupported Upper Limb Exercise Test in People Without Disabilities: Assessing the Within-Day Test-Retest Reliability and the Effects of Age and Gender. Physiother Can 2018;70(1): 11-21.
• [25] Lima VP, Velloso M, Almeida FD, Carmona B, Ribeiro-Samora GA, Janaudis-Ferreira T. Test–retest reliability of the unsupported upperlimb exercise test (UULEX) and 6-min peg board ring test (6PBRT) in healthy adult individuals Physiother Theory Pract 2018;19: 1-7.
• [26] Cetin SY, Calik BB, Ayan A, Cavlak U. Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis. Int J Rheum Dis 2019;22:2025–2030.
• [27] Shah S, Sonawane P, Nahar P, Buge K, Vaidya S. Are we ignoring diabetic disability: a cross sectional study of diabetic myopathy. Indian J Med Sci 2011;65(5): 186-192.
• [28] Park SY, Lee IH. Effects on training and detraining on physical function, control of diabetes and anthropometrics in type 2 diabetes; a randomized controlled trial. Physiother Theory Pract. 2015 Feb;31(2):83-8.
• [29] Allen MD, Kimpinski K, Doherty TJ, Rice CL. Decreased muscle endurance associated with diabetic neuropathy may be attributed partially to neuromuscular transmission failure. J Appl Physiol 2015;118: 1014-1022.
• [30] Halvatsiotis P, Short KR, Bigelow M, Nair KS. Synthesis rate of muscle proteins, muscle functions, and amino acid kinetics in type 2 diabetes. Diabetes 2002;51(8): 2395-2404.
• [31] Ijzerman TH, Schaper NC, Melai T, Meijer K, Willems PJ, Savelberg HH. Lower extremity muscle strength is reduced in people with type 2 diabetes, with and without polyneuropathy, and is associated with impaired mobility and reduced quality of life. Diabetes Res Clin Pract 2012;95(3): 345-351.
• [32] Wani SK, Mullerpatan R. Prevalence of shoulder dysfunction in people with type II diabetes. IJTRR. 2016;5(4): 234-239.
• [33] Laslett LL, Burnet SP, Jones JA, Redmond CL, McNeil JD. Predictors of shoulder pain and shoulder disability after one year in diabetic outpatients, J Rheumatol 2008;47: 1583-1586.
• [34] Telli O, Cavlak U. Measuring the pain threshold and tolerance using electrical stimulation in patients with Type II diabetes mellitus. J Diabetes Complicat 2006;20: 30-316.