Article

OBJECTIVES: To evaluate activity limitations before and after carpal tunnel
release among patients with and without diabetes, to explore differences between
genders and the influence of grip strength on activity limitations. DESIGN:
Prospective case-control study. PATIENTS: Thirty-three patients with diabetes and
carpal tunnel syndrome (CTS) were age and gender matched with 30 patients without
diabetes having idiopathic CTS. METHODS: Activity limitations were assessed
pre-operatively, 3 and 12 months after surgery, with the self-administered
Evaluation of Daily Activities Questionnaire (EDAQ) containing 102 activity items
in 11 dimensions and 3 additional male-activity-oriented dimensions including 22
items. RESULTS: For all dimensions the mean score was higher for patients with
diabetes compared with patients without diabetes. This indicates a more
pronounced activity limitation for patients with diabetes. However, no
statistical differences between the two groups could be demonstrated. In general,
females have significantly higher activity limitation scores than males.
CONCLUSION: CTS creates a broad variety of activity limitations for affected
patients. After carpal tunnel release a significant alleviation of these
limitations occurs within the first 3 months. Activity limitations seem not to be
related to diabetes, but were more pronounced in women than in men, probably due
to reduced grip strength.

Langue : ANGLAIS