Evaluation of thermal and vibration sensation in diabetic neuropathy
Diabetologia, ISSN: 0012-186X, Vol: 28, Issue: 3, Page: 131-137
1985
- 191Citations
- 48Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations191
- Citation Indexes191
- 191
- Captures48
- Readers48
- 48
Article Description
Sensory evaluation of diabetic neuropathy was undertaken by a new technique for assessment of thermal sensitivity. The method is simple and reproducible, and the mean normal value of the lateral border of the foot was 6.0 °C (3.6-9.8 °C, 95% confidence limits). Four groups of patients with diabetic neuropathy were examined: 22 with neuropathic ulcers and/or Charcot joints (groups 1 and 2); all showed severe abnormalities (range 10.8->30 °C), frequently more than three times the upper limit of normal. In contrast thermal sensitivity in 15 patients with painful neuropathy (group 4) varied from normal to grossly abnormal (range 3.9->30 °C) confirming this form of neuropathy as a distinct entity. The majority of those 10 patients with autonomic neuropathy alone (group 3) had abnormal thermal sensitivity (range 6.4->30 °C). Comparison of thermal sensitivity (a small fibre modality) with vibration perception threshold (a large fibre modality) showed that thermal sensitivity is sometimes selectively affected, especially in those with painful neuropathy, suggesting that the small fibres are more vulnerable in diabetes. Frequent involvement of the hands confirms the "stocking and glove" distribution of diabetic neuropathy. We conclude that impairment of thermal sensivity is the rule in symptomatic diabetic neuropathy and its assessment provides a simple quantitive measurement suitable for long-term studies of its natural history. © 1985 Springer-Verlag.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=0021916568&origin=inward; http://dx.doi.org/10.1007/bf00273859; http://www.ncbi.nlm.nih.gov/pubmed/3996794; https://link.springer.com/10.1007/BF00273859; https://dx.doi.org/10.1007/bf00273859; https://link.springer.com/article/10.1007/BF00273859
Springer Science and Business Media LLC
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