Effect of Hand Rehabilitation on Hand Grip Strength and Manual Dexterity in Patients with Diabetic Hand Syndrome

Abstract

Background- In patients with diabetes upper extremity impairments are common. Diabetes patient are

more prone to diabetic hand. Aim- To study the effect of hand exercises on hand grip strength and manual

dexterity in patients with Diabetic hand .Objectives- To study the effect of hand exercises on hand grip

strength in patients with Diabetic hand using Modified sphygmomanometer test. To study the effect of

hand exercises dexterity in patients with Diabetic hand using grip ability scale. To study the effect of hand

function in patients with Diabetic hand using Michigan hand outcomes questionnaire (MHQ) and Duruoz

Hand Index. Setting and design – In this study 15 individual participated having diabetic hand which was

selected randomly. Modified sphygmomanometer test was performed on patient to check grip strength.

Grip ability scale was performed on patient to check manual dexterity. Hand function was check using

Michigan hand outcomes questionnaire (MHQ) and Duruoz Hand Index. The effect of hand exercise on

hand grip strength and manual dexterity in patients with diabetic hand was analysied. Result- Total 15

individual participated with age mean 58±13.519 and duration of diabetes with mean 11±6.448. Modified

sphygmomanometer test result improved from 28.13±3.044 to 32.47±2.875(p=0.001). Grip ability test

result improved from 23.13±3.523 to 18.67±1.345(p=0.001). Michigan hand outcome questionnaire result

improved from 53.29±10.19 to 71.34±5.036(p=0.001). Duruoz Hand Index result improved from 31.67±11.2

to13.47±4.596(0.001).Conclusion- There is significant effect of hand exercises on hand grip strength and

manual dexterity in patient with diabetic hand.