A Novel Robotic Monofilament Test for Diabetic Neuropathy
| Autor: | Sopon Jirasisrithum, Yuttana Itsarachaiyot, Chumpon Wilasrusmee, Claire Guerineau, Jackrit Suthakorn, Panuwat Lertsithichai, Napaphat Proprom, Dilip S. Kittur, Vera Sa-ing |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Diabetic neuropathy Wilcoxon signed-rank test Neural Conduction lcsh:Surgery Diagnostic Techniques Neurological Vibration Vibration perception Physical medicine and rehabilitation Cohen's kappa Diabetic Neuropathies Reflex vibration perception test Screening method Medicine Humans Foot ulcers business.industry Robotics lcsh:RD1-811 Middle Aged medicine.disease Diabetic foot Test (assessment) Surgery Semmes-Weinstein monofilament Touch Toronto Clinical Scoring System Female business diabetic foot |
| Zdroj: | Asian Journal of Surgery, Vol 33, Iss 4, Pp 193-198 (2010) |
| ISSN: | 1015-9584 |
| DOI: | 10.1016/S1015-9584(11)60006-7 |
| Popis: | Objective The use of the Semmes-Weinstein (SW) monofilament test is recommended as a screening method for diabetic neuropathy. It offers an important chance to prevent further complications of diabetic foot. We aimed to develop a prototype Robotic Monofilament Inspector that can be used as a standard machine for screening of diabetic neuropathy. Methods Development was divided into three parts: computer software, control box, and Robotic Monofilament Inspector. The examiner conducted the SW test (by hand and by robotic inspector), vibration perception threshold, and Toronto Clinical Scoring System without knowledge of patient information. The unpaired t test or Wilcoxon rank-sum test was used to determine the differences between independent groups in terms of continuous outcomes, while the χ 2 test was used to determine categorical outcomes. Agreement between the various diabetic neuropathy tests was measured using the kappa statistic. Results The SW test and vibration perception threshold were more valid tests for neuropathy than the Toronto test. The robotic test was in excellent agreement with the two former tests and appeared to be valid (kappa statistic, 0.35-0.81). Another indirect evidence for the validity of the robotic test was the finding that diabetic patients with foot ulcers had a higher prevalence of neuropathy (77% vs. 38%). This might indicate that the robotic test was more valid than the manual test. Conclusion The Robotic Monofilament Inspector could be used as a simple screening machine. This prototype may be developed further for routine clinical use. |
| Databáze: | OpenAIRE |
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