Motor Neuropathy and Diabetic Hand Syndrome
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The sequence of diabetic sensory neuropathy, ulcer, infection, gangrene, and amputation generally captures more attention in practice as well as in literature. However, there has to be a component of motor neuropathy without which ulcers and its consequences to gangrene occur in substantial number than neuropathy alone. It is also now accepted that motor neuropathy can even precede diabetic sensory neuropathy. It means that motor neuropathic abnormalities also would be high in prevalence by which time the sensory neuropathic disturbances catch up known to be frequent. The first issue therefore is to recognize the concurrence of these two and its consequences. The affliction of motor component neuropathy of the hands in diabetes is least understood. Its detailed review with lower limb motor neuropathies will enhance its understanding of the clinicians.
- 21.Chiu H-Y, Hsu H-Y, Kuo L-C, Su F-C, Yu H-I, et al. How the impact of median neuropathy on sensorimotor control capability of hands for diabetes: an achievable assessment from functional perspectives. PLoS One. 2014;9(4):e94452. https://doi.org/10.1371/journal.pone.0094452.CrossRefPubMedPubMedCentralGoogle Scholar