- Visibility 180 Views
- Downloads 48 Downloads
Role of Biothesiometry in the diagnosis of diabetic neuropathy
- Author Details:
-
BMK Aruna
-
R. Haragopal
Introduction and Objectives: Increased incidence of neuropathy in diabetic patients motivated this present study to diagnose the diabetic neuropathy as early as possible. The present study was undertaken to determine the usefulness of biothesiometry in the early diagnosis of diabetic neuropathy.
Materials and Method: The present study was conducted on 60 subjects (30 male and 30 female) in the age group of 40 to 60 years in which 30 were type II diabetic and 30 were non diabetic. Vibratory perception threshold was measured by Vibro therm DX Neuropathy analyzer which measures vibratory sensation quantitatively.
Results: The mean VPT in the non-diabetic group was 14.4 whereas in the diabetic group it was 16.19. There was statistically significant difference between the non-diabetic group and diabetic group (p˂0.05).
Conclusion: From this study we can conclude that all cases of diabetic patients irrespective of clinical symptoms of neuropathy should be advised to undergo biothesiometry on regular intervals as a part of routine diabetic checkup which can help in the early diagnosis of neuropathy & planning of future therapy to prevent progression of disease.
Keywords: Biothesiometry, Diabetic neuropathy, Diagnosis, Vibration perception threshold, Hyperglycaemia
References
- SK Bhadada, RK Sahay, VP Jyotsna, JK Agrawal Diabetic Neuropathy: Current Concepts. Journal, Indian Academy of Clinical Medicine. 2001;2(4):305-318.
- OC Oguejiofor, CU Odenigbo, CBN Oguejiofor. Evaluation of the effect of duration of diabetes mellitus on peripheral neuropathy using the United Kingdom screening test scoring system, Biothesiometry and aesthesiometry. Nigerian Journal of Clinical Practice. Sept. 2010 Vol. 13(3):240–247.
- Gelber DA, Pfeifer MA, Broadstone VL et al. Components of variance for vibratory and thermal threshold testing in normal and diabetic subjects. J Diabets Complication 1995;9:170–176.
- Shy ME, Frohman EM, So YT. Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Quantitative sensory testing: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2003;60:898–904.
- Jamal GA, Hansen S, Weir AI, Ballantyne JP. QST added more accuracy, sensitivity & specificity in diagnosing diabetic neuropathy. The neurophysiologic investigation of small fibre neuropathies. Muscle Nerve 1987;10:537–
- Sorensen, Lea BHSc, Molyneaux, Lynda RN, Yue Dennis K. The Level of Small Nerve Fiber Dysfunction Does not Predict Pain in Diabetic Neuropathy: A Study Using Quantitative Sensory Testing. Clin J Pain 2006;22:261–265.
- Ziegler D, Mayer P, Wiefels K, Gries FA: Evaluation of thermal, pain, and vibration sensation thresholds in newly diagnosed type 1 diabetic patients. J Neurol Neurosurg Psychiatry 11:1420–1424, 1988.
- Dyck PJ, Karnes J, O’Brien PC, Zimmerman IR: Detection thresholds of cutaneous sensation in humans. In Peripheral Neuropathy. Dyck PJ, Thomas PK, Griffin JW, Low PA, Poduslo JF, Eds. Philadelphia, W. B. Saunders, 1993, p. 706–728.
- Sumner CJ, Sheth S, Griffin JW, Cornblath DR, Polydefkis M: The spectrum of neuropathy in diabetes and impaired glucose tolerance. Neurology 60:108– 111,2003.
- Young MJ, Breddy JL, Veves A, Boulton AJM: The prediction of diabetic foot ulceration using vibration perception thresholds: a prospective study. Diabetes Care 17:557–560,1994.
- Boulton AJM, Kubrusly DB, Bowker JH, Skyler JS, Sosenko JM: Impaired vibratory perception and diabetic foot ulceration. Diabet Med 3:335–337,1986.
- Van Deusen RW, Sanchez MM, Derr JA. Vibration perception threshold testing in patients with diabetic neuropathy: ceiling effects and reliability. Diabet Med 2001;18:469–475.
- Dipa Saha, Kaushik Saha and P K Dasgupta. Vibration sense impairment in diabetes mellitus. Indian J Physiol Pharmacol 2011;55(4):381–383.
How to Cite This Article
Vancouver
Aruna B, Haragopal R. Role of Biothesiometry in the diagnosis of diabetic neuropathy [Internet]. Indian J Clin Anat Physiol. 2017 [cited 2025 Oct 28];4(3):329-331. Available from: https://doi.org/
APA
Aruna, B., Haragopal, R. (2017). Role of Biothesiometry in the diagnosis of diabetic neuropathy. Indian J Clin Anat Physiol, 4(3), 329-331. https://doi.org/
MLA
Aruna, BMK, Haragopal, R.. "Role of Biothesiometry in the diagnosis of diabetic neuropathy." Indian J Clin Anat Physiol, vol. 4, no. 3, 2017, pp. 329-331. https://doi.org/
Chicago
Aruna, B., Haragopal, R.. "Role of Biothesiometry in the diagnosis of diabetic neuropathy." Indian J Clin Anat Physiol 4, no. 3 (2017): 329-331. https://doi.org/