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.