New method for evaluation of cutaneous sensibility in diabetic feet: preliminary report
| Autor: | Klaus Werner Fels, Leandro Rodrigues, Marcus Castro Ferreira |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Diabetic neuropathy medicine.medical_treatment Sensation Diabetes mellitus Diabetic Neuropathies Sensory threshold medicine Diabetes Mellitus Pressure Humans Skin Neurologic Examination business.industry General Medicine Middle Aged medicine.disease Diabetic foot Diabetic Foot Surgery Amputation Sensory Thresholds Female Calcaneus Complication business Foot (unit) Diabetic neuropathies |
| Zdroj: | Revista do Hospital das Clínicas v.59 n.5 2004 Revista do Hospital das Clínicas Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 0041-8781 |
| Popis: | Diabetic neuropathy is an important complication of the disease, responsible for ulceration and amputation of the foot. Prevention of these problems is difficult mainly because there is no method to correctly access sensibility on the skin of the foot. The introduction of the Pressure-Specified Sensory Device (PSSD TM) in the last decade made possible the measurement of pressure thresholds sensed by the patient, such as touch, both static and in movement, on a continuous scale. This paper is the first in Brazil to report the use of this device to measure cutaneous sensibility in 3 areas of the foot: the hallux pulp, the calcaneus, and the dorsum, which are territories of the tibial and fibular nerves. METHOD: Non-diabetic patients were measured as controls, and 2 groups of diabetic patients - with and without ulcers - were compared. The PSSD TM was used to test the 3 areas described above. The following were evaluated: 1 PS (1-point static), 1 PD (1-point dynamic), 2 PS (2-points static), 2 PD (2-points dynamic). RESULTS: The diabetic group had poorer sensibility compared to controls and diabetics with ulcers had poorer sensibility when compared to diabetics without ulcers. The differences were statistically significant (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|