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Assessing Subclinical Tactual Deficits in the Hand Function of Diabetic Blind Persons at Risk for Peripheral Neuropathy

Identifieur interne : 000A55 ( PascalFrancis/Curation ); précédent : 000A54; suivant : 000A56

Assessing Subclinical Tactual Deficits in the Hand Function of Diabetic Blind Persons at Risk for Peripheral Neuropathy

Auteurs : David Travieso [Espagne] ; Susan J. Lederman [Canada]

Source :

RBID : Pascal:08-0037136

Descripteurs français

English descriptors

Abstract

Objective: To assess subclinical impairments in tactual hand function produced by diabetes mellitus in late-blind adults with diabetic retinopathy. Design: The survey compares diabetic blind with nondiabetic blind and blindfolded sighted controls in terms of their performance on a battery of tests that assess tactual hand function. Setting: Subjects were evaluated at their rehabilitation program center in Madrid. Participants: Nine (referred) diabetic blind subjects affected by diabetic retinopathy versus 10 (referred) nondiabetic blind subjects versus 10 blindfolded sighted volunteers, all right-handed and matched for age. Subjects were referred by the training professionals of the rehabilitation program center and asked to volunteer. Interventions: Not applicable. Main Outcome Measures: Cutaneous force and spatial resolution thresholds, haptic psychophysical functions for perceived roughness, weight, and size, and both accuracy and response times for haptic classification of 3-dimensional common objects. Measures of joint mobility, muscular strength, and motor dexterity were also included. Results: The diabetic blind performed significantly poorer than the controls in terms of force sensitivity (distal and proximal finger pads, and palm), spatial resolution (distal finger pad only), motor dexterity, perceived roughness, and finally, haptic object classification response times for texture-diagnostic objects. Conclusions: Subclinical disturbances in the tactual hand function of the diabetic blind subjects were only documented in perceptual and motor tasks for which cutaneous, as opposed to kinesthetic, information was particularly relevant.
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A11 01  1    @1 TRAVIESO (David)
A11 02  1    @1 LEDERMAN (Susan J.)
A14 01      @1 Facultad de Psicología, Universidad Autónoma de Madrid @3 ESP @Z 1 aut.
A14 02      @1 Department of Psychology, Queen's University @3 CAN @Z 2 aut.
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C01 01    ENG  @0 Objective: To assess subclinical impairments in tactual hand function produced by diabetes mellitus in late-blind adults with diabetic retinopathy. Design: The survey compares diabetic blind with nondiabetic blind and blindfolded sighted controls in terms of their performance on a battery of tests that assess tactual hand function. Setting: Subjects were evaluated at their rehabilitation program center in Madrid. Participants: Nine (referred) diabetic blind subjects affected by diabetic retinopathy versus 10 (referred) nondiabetic blind subjects versus 10 blindfolded sighted volunteers, all right-handed and matched for age. Subjects were referred by the training professionals of the rehabilitation program center and asked to volunteer. Interventions: Not applicable. Main Outcome Measures: Cutaneous force and spatial resolution thresholds, haptic psychophysical functions for perceived roughness, weight, and size, and both accuracy and response times for haptic classification of 3-dimensional common objects. Measures of joint mobility, muscular strength, and motor dexterity were also included. Results: The diabetic blind performed significantly poorer than the controls in terms of force sensitivity (distal and proximal finger pads, and palm), spatial resolution (distal finger pad only), motor dexterity, perceived roughness, and finally, haptic object classification response times for texture-diagnostic objects. Conclusions: Subclinical disturbances in the tactual hand function of the diabetic blind subjects were only documented in perceptual and motor tasks for which cutaneous, as opposed to kinesthetic, information was particularly relevant.
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Pascal:08-0037136

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<div type="abstract" xml:lang="en">Objective: To assess subclinical impairments in tactual hand function produced by diabetes mellitus in late-blind adults with diabetic retinopathy. Design: The survey compares diabetic blind with nondiabetic blind and blindfolded sighted controls in terms of their performance on a battery of tests that assess tactual hand function. Setting: Subjects were evaluated at their rehabilitation program center in Madrid. Participants: Nine (referred) diabetic blind subjects affected by diabetic retinopathy versus 10 (referred) nondiabetic blind subjects versus 10 blindfolded sighted volunteers, all right-handed and matched for age. Subjects were referred by the training professionals of the rehabilitation program center and asked to volunteer. Interventions: Not applicable. Main Outcome Measures: Cutaneous force and spatial resolution thresholds, haptic psychophysical functions for perceived roughness, weight, and size, and both accuracy and response times for haptic classification of 3-dimensional common objects. Measures of joint mobility, muscular strength, and motor dexterity were also included. Results: The diabetic blind performed significantly poorer than the controls in terms of force sensitivity (distal and proximal finger pads, and palm), spatial resolution (distal finger pad only), motor dexterity, perceived roughness, and finally, haptic object classification response times for texture-diagnostic objects. Conclusions: Subclinical disturbances in the tactual hand function of the diabetic blind subjects were only documented in perceptual and motor tasks for which cutaneous, as opposed to kinesthetic, information was particularly relevant.</div>
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</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Etude comparative</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Comparative study</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Estudio comparativo</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Volontaire</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Volunteer</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Voluntario</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Droit</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Right</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Derecho</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Main</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Hand</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Mano</s0>
<s5>21</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Age</s0>
<s5>22</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Age</s0>
<s5>22</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Edad</s0>
<s5>22</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>23</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>23</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>23</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Peau</s0>
<s5>24</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Skin</s0>
<s5>24</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Piel</s0>
<s5>24</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Résolution spatiale</s0>
<s5>25</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Spatial resolution</s0>
<s5>25</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Resolución espacial</s0>
<s5>25</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Rugosité</s0>
<s5>26</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG">
<s0>Roughness</s0>
<s5>26</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA">
<s0>Rugosidad</s0>
<s5>26</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE">
<s0>Précision</s0>
<s5>27</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG">
<s0>Accuracy</s0>
<s5>27</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA">
<s0>Precisión</s0>
<s5>27</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE">
<s0>Classification</s0>
<s5>28</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG">
<s0>Classification</s0>
<s5>28</s5>
</fC03>
<fC03 i1="21" i2="X" l="SPA">
<s0>Clasificación</s0>
<s5>28</s5>
</fC03>
<fC03 i1="22" i2="X" l="FRE">
<s0>Articulation</s0>
<s5>29</s5>
</fC03>
<fC03 i1="22" i2="X" l="ENG">
<s0>Joint</s0>
<s5>29</s5>
</fC03>
<fC03 i1="22" i2="X" l="SPA">
<s0>Articulación</s0>
<s5>29</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Endocrinopathie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Endocrinopathy</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Endocrinopatía</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'oeil</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Trouble de la vision</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Vision disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Trastorno visión</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>052</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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