Tactile directional sensibility and diabetic neuropathy
| Autor: | Håkan Olausson, Björn Eliasson, B. Gunnar Wallin, Ulf Norrsell, Martin Frizell, Christian Wesslau |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Diabetic neuropathy Neurology Physiology Neural Conduction Sensitivity and Specificity Two stages Nerve conduction velocity Cellular and Molecular Neuroscience Muscle nerve Diabetic Neuropathies Physiology (medical) Ophthalmology medicine Humans Sensibility Middle Aged medicine.disease Diabetic foot Surgery Peripheral neuropathy Touch Sensory Thresholds Female Neurology (clinical) Psychology |
| Zdroj: | Muscle & Nerve. 24:1496-1502 |
| ISSN: | 1097-4598 0148-639X |
| DOI: | 10.1002/mus.1174 |
| Popis: | Five different procedures used to diagnose neuropathy were compared in a “blind” study with diabetic patients. The aim was to evaluate tests of tactile directional sensibility. Three matched groups were examined, two groups with type I diabetes, either with or without suspected neuropathy, and one of healthy controls. Testing consisted of: (1) examination by a specialist in neurology, (2) electrophysiologic measurement of nerve conduction velocity and determination of cool sensitivity, and (3) determination of directional sensibility in two stages, with categorical and quantitative techniques. Abnormal test results were obtained for both groups of diabetic patients. Quantitatively measured directional sensibility had the highest sensitivity (89%) and specificity (85%) when calculated for patients who had received a diagnosis of neuropathy from the neurologist, despite one case of abnormal directional sensibility among the healthy controls. Conduction velocity testing was almost comparably sensitive (80%) and cool sensitivity, comparably specific (85%) when calculated in the same manner. © 2001 John Wiley & Sons, Inc. Muscle Nerve 24: 1496–1502, 2001 |
| Databáze: | OpenAIRE |
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