Foot screening technique in a diabetic population.
10.3346/jkms.2000.15.1.78
- Author:
Jung Bin SHIN
1
;
Yeon Jae SEONG
;
Hong Jae LEE
;
Sang Hyun KIM
;
Jong Ryool PARK
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jbshinlim@netsgo.com
- Publication Type:Original Article ; Clinical Trial
- Keywords:
Diabetic Foot;
Diabetic Angiopathies;
Diabetic Neuropathies;
Mass Screening
- MeSH:
Diabetic Angiopathies/diagnosis;
Diabetic Angiopathies/complications;
Diabetic Foot/physiopathology;
Diabetic Foot/diagnosis*;
Diabetic Foot/classification;
Diabetic Neuropathies/diagnosis;
Diabetic Neuropathies/complications;
Female;
Foot/physiopathology;
Human;
Male;
Mass Screening;
Middle Age;
Podiatry/methods;
Sensory Thresholds
- From:Journal of Korean Medical Science
2000;15(1):78-82
- CountryRepublic of Korea
- Language:English
-
Abstract:
Foot complications are a well known factor which contribute to the morbidity of diabetes and increases the chance of amputation. A total of 126 consecutive diabetic patients were evaluated by diabetic foot screening. Forty-one patients showed an impaired protective sense when tested with Semmes-Weinstein monofilament 5.07 (10 g), and 92% of them showed peripheral polyneuropathy in nerve conduction study (NCS). The mean vibration score of the Rydel-Seiffer graduated tuning fork in patients with peripheral polyneuropathy in nerve conduction (NCV) study was 5.38+/-2.0, which was significantly different from that of patients without polyneuropathy in NCS. Among the deformities identified on examination, callus, corn, and hallux valgus were the greatest. While checking the ankle/ brachial index (ABI), we also evaluated the integrity of vasculature in the lower extremities. After extensive evaluation, we classified the patients into eight groups (category 0,1,2,3,4A,4B,5,6). The result of this study suggested that the Semmes-Weinstein monofilament test, Rydel-Seiffer graduated tuning fork test, and checking the ankle/brachial index were simple techniques for evaluating pathologic change in the diabetic foot by office screening, and that this screening based on treatment-oriented classification helps to reduce pedal complications in a diabetic population
