Health Condition 1: E118- Type 2 diabetes mellitus with unspecified complications
Conditions
Interventions
Intervention1: Exercise program for hand: Wrist joint flexion and extension on both hands, Wrist joint radial and ulnar deviation on both hands, Flexor tendon gliding and blocking exercises on both ha
Sponsors
Anila Paul
Eligibility
Inclusion criteria
Inclusion criteria: Persons who are clinically diagnosed with type 2 diabetes mellitus and age between 50 and 70 years Both genders Persons who are under oral hypoglycemic drugs and or insulin Screening tests for musculoskeletal manifestations Prayer sign or Preachers sign positive and or Table top sign positive Hand muscle grip strength lower than 27 kg in males and 21 kg in females on dominant hand using hand held dynamometer. based on established normal values in Indian population Hand palmar pinch strength lower than 4 kg in males and 2 kg in females on dominant hand using pinch gauge. based on established normal values in Indian population Hand gross dexterity lower than 73 blocks in one minute in males and 75 blocks per minute in females on dominant hand using box and block test Hand fine dexterity more than 20 seconds in males and 18 seconds in females on dominant hand using nine hole peg test
Exclusion criteria
Exclusion criteria: Musculoskeletal neurological metastatic involvement of cervical spine or upper extremity Peripheral nerve injury affecting upper limb in past 6 months History of wrist and hand trauma or surgery in past 3 months Rheumatic degenerative disease and other musculoskeletal and neurological diseases Impairments affecting upper extremity due to central peripheral or autonomic nervous system MMSE score less than 24 showing impairment in cognition Amputation joint fusion upper limb arthroplasty Recent upper limb fractures and or surgeries in past 6 months Reflex sympathetic dystrophy History of diabetic complications like severe nephropathy severe retinopathy and significant cardio vascular impairments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hand muscle grip strength Pinch strength Hand gross dexterity Fine hand dexterity Timepoint: At baseline - pre-test assessment At 8 weeks - Post test assessment | — |
Secondary
| Measure | Time frame |
|---|---|
| Hand functional activity Hand joint mobility Hand sensory neuropathy scoreTimepoint: At baseline - pretest assessment At 8 weeks - post test assessment | — |
Countries
India
Contacts
Public ContactAnila Paul
Kerala university of health sciences
Outcome results
None listed