Pancreatic Disorders & Therapy
Open Access

THE EFFECT OF DIABETES ON FUNCTIONAL OUTCOMES AMONG INDIVIDUALS WITH DISTAL RADIAL FRACTURES

22^nd International Conference on PREVENTION OF DIABETES AND COMPLICATIONS

October 12-13, 2017 | London, UK

Sanaa Alsubheen, D Walton, JC MacDermid and R Grewal

University of Western Ontario, Canada
St. Joseph�s Health Centre, Canada

Posters & Accepted Abstracts: Pancreat Disord Ther

Abstract :

Purpose: This study investigated the effect of diabetes on pain, hand function, physical health status, grip strength, wrist and forearm ROM among patients with distal radial fractures (DRFs). Material and Methods: A prospective cohort study assessed a total of 479 patients with DRFs. Patients were classified into patients with diabetes and patients without diabetes groups based on self-report. Pain and hand function were assessed using Patient Rated Wrist Evaluation (PRWE) questionnaire. The SF-12 questionnaire was used to assess physical health status. Both questionnaires examined DRFs recovery at baseline, 3-month (3m), and at 1-year (1y). Grip strength, wrist and forearm ROMs were measured using N-K computerized hand evaluation system at 3m and 1y. Results: Results revealed a significant improvement in PRWE scores over time (69�±19 to 25�±22; 76�±15 to 20�±20 for patients with and without diabetes respectively, p < 0.01) with a significant interaction between time and diabetes (p < 0.01); indicating that diabetic patients recovered more slowly than the rest of the cohort. There was improvement over time on physical health status (36�±12 to 45�±12; 39�±9 to 50�±9, p <0.01), grip strength (16�±7 to 24�±10; 15�±9 to 24�±10, p < 0.01), and ROMs (flexion (42�±14 to 49�±15; 43�±15 to 54�±14 , p < 0.01), extension (45�±11to 52�±11; 46�±13 to 53�±12, p < 0.01), pronation (73�±10 to 77�±9; 73�±11 to 78�±9, p < 0.01), and supination (58�±17 to 65�±14; 61�±17 to 70�±12, p < 0.01) for patients with and without diabetes, respectively. Despite the insignificant interaction between diabetes and time on these secondary outcomes; diabetic patients had poorer physical health status and less ROMs at 1-year time point. Conclusion: Diabetes is associated with greater pain, hand disability, and poorer physical health status; and slower recovery after DRFs.

Biography :

S Alsubheen is a PhD candidate at School of Physical Therapy, University of Western Ontario, Canada. She has a masters degree in Kinesiology from Memorial University, Newfoundland, Canada.