Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review

Diabetic peripheral neuropathy (DPN), a common complication of type 2 diabetes mellitus, leads to sensory and motor impairments that significantly affect fine motor skills, grip strength, and dexterity, limiting daily functioning. Understanding the impact of DPN on hand-related activities of daily l...

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Main Authors: Noor Aziella Mohd Nayan, Chi-Wen Chien, Najihah Lokman, Mohammed Alrashdi, Ahmad Zamir Che Daud
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2025-06-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://e-arm.org/upload/pdf/arm-250003.pdf
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author Noor Aziella Mohd Nayan
Chi-Wen Chien
Najihah Lokman
Mohammed Alrashdi
Ahmad Zamir Che Daud
author_facet Noor Aziella Mohd Nayan
Chi-Wen Chien
Najihah Lokman
Mohammed Alrashdi
Ahmad Zamir Che Daud
author_sort Noor Aziella Mohd Nayan
collection DOAJ
description Diabetic peripheral neuropathy (DPN), a common complication of type 2 diabetes mellitus, leads to sensory and motor impairments that significantly affect fine motor skills, grip strength, and dexterity, limiting daily functioning. Understanding the impact of DPN on hand-related activities of daily living (ADLs) is crucial for improving patient care and outcomes. This review employed the International Classification of Functioning, Disability, and Health (ICF) framework to assess hand function issues. A systematic search of peer-reviewed studies was conducted across multiple databases to identify research examining the impact of DPN on hand-related ADLs. The findings were categorised using relevant ICF codes linked to hand function issues. The analysis identified four major themes: (1) the impact of DPN on daily activities and participation; (2) sensory impairments affecting hand function; (3) muscle weakness and functional limitations; and (4) unaddressed areas, such as structural changes, driving, assisting others, and preparing meals. DPN was found to significantly hinder hand function, reducing independence in ADLs and overall quality of life. This review highlights the need for comprehensive assessments that address not only impairments, but also activity limitations and participation restrictions, to capture the multifaceted challenges of DPN. Developing targeted assessments tailored to the specific needs of individuals with DPN is essential for improving intervention strategies and overall quality of care.
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series Annals of Rehabilitation Medicine
spelling doaj-art-9f608135067d4177b79bd438e1f23c222025-08-20T03:31:24ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532025-06-0149313915110.5535/arm.2500034405Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping ReviewNoor Aziella Mohd Nayan0Chi-Wen Chien1Najihah Lokman2Mohammed Alrashdi3Ahmad Zamir Che Daud4 Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Selangor, Malaysia Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong Department of Community Oral Health & Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Selangor, MalaysiaDiabetic peripheral neuropathy (DPN), a common complication of type 2 diabetes mellitus, leads to sensory and motor impairments that significantly affect fine motor skills, grip strength, and dexterity, limiting daily functioning. Understanding the impact of DPN on hand-related activities of daily living (ADLs) is crucial for improving patient care and outcomes. This review employed the International Classification of Functioning, Disability, and Health (ICF) framework to assess hand function issues. A systematic search of peer-reviewed studies was conducted across multiple databases to identify research examining the impact of DPN on hand-related ADLs. The findings were categorised using relevant ICF codes linked to hand function issues. The analysis identified four major themes: (1) the impact of DPN on daily activities and participation; (2) sensory impairments affecting hand function; (3) muscle weakness and functional limitations; and (4) unaddressed areas, such as structural changes, driving, assisting others, and preparing meals. DPN was found to significantly hinder hand function, reducing independence in ADLs and overall quality of life. This review highlights the need for comprehensive assessments that address not only impairments, but also activity limitations and participation restrictions, to capture the multifaceted challenges of DPN. Developing targeted assessments tailored to the specific needs of individuals with DPN is essential for improving intervention strategies and overall quality of care.http://e-arm.org/upload/pdf/arm-250003.pdfdiabetes mellitus, type 2diabetic neuropathiesactivities of daily livinghandwrist
spellingShingle Noor Aziella Mohd Nayan
Chi-Wen Chien
Najihah Lokman
Mohammed Alrashdi
Ahmad Zamir Che Daud
Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
Annals of Rehabilitation Medicine
diabetes mellitus, type 2
diabetic neuropathies
activities of daily living
hand
wrist
title Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
title_full Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
title_fullStr Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
title_full_unstemmed Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
title_short Hand-Related Activities of Daily Living Challenges Among Individuals With Diabetic Peripheral Neuropathy: A Scoping Review
title_sort hand related activities of daily living challenges among individuals with diabetic peripheral neuropathy a scoping review
topic diabetes mellitus, type 2
diabetic neuropathies
activities of daily living
hand
wrist
url http://e-arm.org/upload/pdf/arm-250003.pdf
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