Hidden dangers revealed by misdiagnosed diabetic neuropathy: A comparison of simple clinical tests for the screening of vibration perception threshold at primary care level

2018 ◽  
Vol 12 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Kurt Azzopardi ◽  
Alfred Gatt ◽  
Nachiappan Chockalingam ◽  
Cynthia Formosa
Keyword(s):  
Primary Care ◽  
Diabetic Neuropathy ◽  
Clinical Tests ◽  
Perception Threshold ◽  
Care Level ◽  
Primary Care Level ◽  
Vibration Perception Threshold ◽  
Vibration Perception

scholarly journals Mechanical Noise Improves the Vibration Perception Threshold of the Foot in People With Diabetic Neuropathy

2018 ◽  
Vol 14 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Jennefer B. J. Zwaferink ◽  
Juha M. Hijmans ◽  
Claudia M. Schrijver ◽  
Laura K. Schrijver ◽  
Klaas Postema ◽  
...  
Keyword(s):  
Diabetic Neuropathy ◽  
Metatarsophalangeal Joint ◽  
Piezoelectric Actuators ◽  
Dorsal Side ◽  
Double Blind ◽  
Perception Threshold ◽  
Foot Ulceration ◽  
Vibration Perception Threshold ◽  
Mechanical Noise ◽  
Vibration Perception

Background: Mechanical noise may improve somatosensation at the dorsal side of the foot, but the effect at the plantar side of the foot, the side most at risk for foot ulceration, is unknown. Moreover, techniques used in research so far have several problems that limit applicability in daily practice. Piezoelectric actuators may provide mechanical noise with better clinical applicability. We assessed the effects of piezoelectric actuators generating mechanical noise on the vibration perception threshold (VPT) at the plantar side of the foot in people with diabetic neuropathy. Methods: Double-blind within-subjects design in a controlled laboratory setting including participants with diabetic neuropathy (N = 40; 18 male; mean age 69.6 years; mean duration of diabetes 14.1 years; mean BMI 30.5). VPT was measured at three plantar foot locations with and without mechanical noise applied via piezoelectric actuators. Results: Mechanical noise improved VPT at metatarsophalangeal joint (MTP) 1 (left 39.3V vs 43.5V; right 39.0 vs 42.6 V), MTP5 (left 37.5V vs 41.7V; right 34.5V vs 40.8V) and the heel (left 40.0V vs 44.0V; right 39.3V vs 41.0V), all P < .001. Conclusions: Mechanical noise improves VPT at the plantar side of the foot in people with diabetic neuropathy. This is an important step for further development of insoles using mechanical noise that may have the potential to improve VPT and decrease the risk of foot ulceration.

Vibration perception threshold testing in patients with diabetic neuropathy: ceiling effects and reliability

2001 ◽  
Vol 18 (6) ◽  
pp. 469-475 ◽  
Author(s):  
R. W. M. Van Deursen ◽  
M. M. Sanchez ◽  
J. A. Derr ◽  
M. B. Becker ◽  
J. S. Ulbrecht ◽  
...  
Keyword(s):  
Diabetic Neuropathy ◽  
Perception Threshold ◽  
Vibration Perception Threshold ◽  
Ceiling Effects ◽  
Threshold Testing ◽  
Vibration Perception

scholarly journals Comparison of electrochemical skin conductance and vibration perception threshold measurement in the detection of early diabetic neuropathy

PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0183973 ◽  
Author(s):  
Amit Goel ◽  
Channabasappa Shivaprasad ◽  
Anish Kolly ◽  
Vijaya Sarathi H. A. ◽  
Sridevi Atluri
Keyword(s):  
Diabetic Neuropathy ◽  
Skin Conductance ◽  
Perception Threshold ◽  
Vibration Perception Threshold ◽  
Vibration Perception ◽  
Threshold Measurement

Vibration perception threshold measured by a bone vibrator of audiometer

1993 ◽  
Vol 5 (2) ◽  
pp. 244
Author(s):  
Jong Young Lee ◽  
Dong Hoon Shin ◽  
Seung Hoon Lee ◽  
Moo Sik Lee ◽  
Suk Kwan Suh ◽  
...  
Keyword(s):  
Perception Threshold ◽  
Vibration Perception Threshold ◽  
Vibration Perception

scholarly journals Effectiveness of a brief intervention based on the '5A' model for smoking cessation at the primary care level in Santiago, Chile

2008 ◽  
Vol 23 (3) ◽  
pp. 240-250 ◽  
Author(s):  
K. Puschel ◽  
B. Thompson ◽  
G. Coronado ◽  
Y. Huang ◽  
L. Gonzalez ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Brief Intervention ◽  
Care Level ◽  
Primary Care Level
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