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Comparison of the sensitivities of plantar nerve conduction techniques for early detection of diabetic sensory polyneuropathy.
Electromyogr Clin Neurophysiol. 2010 Sep-Oct; 50(6):269-75.EC

Abstract

The purpose of this study was to determine the most sensitive diagnostic test for nerve conduction study (NCS) of the foot for early detection of diabetic polyneuropathy. We compared the sensitivities for diagnosis of sensory polyneuropathy of four different nerve conduction techniques in the same nerves: nerve conduction studies of the medial plantar nerve with surface electrodes using three different techniques and a nerve conduction study of the digital and interdigital nerves of the foot using a near-nerve needle technique. In 25 patients with diabetic polyneuropathy with normal routine NCS, diagnosis of sensory neuropathy was confirmed by medial plantar NCS in 5 patients (20.0%) using Guiloff's method, in 5 patients (20.0%) using Ponsford's method and in 9 patients (36.0%) using Hemmi's method. In digital and interdigital NCS of the foot, a definite neuropathy pattern was observed in 15 patients (60.0%). The most common abnormality was low amplitude of sensory nerve action potential, indicating axonal degeneration. This study demonstrated that digital and interdigital NCS using the near-nerve needle technique is a more sensitive method for detection of early-stage diabetic polyneuropathy.

Authors+Show Affiliations

Division of Neurology, Department of Internal Medicine Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan. shojihemmi@yahoo.co.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21061773

Citation

Hemmi, S, et al. "Comparison of the Sensitivities of Plantar Nerve Conduction Techniques for Early Detection of Diabetic Sensory Polyneuropathy." Electromyography and Clinical Neurophysiology, vol. 50, no. 6, 2010, pp. 269-75.
Hemmi S, Inoue K, Murakami T, et al. Comparison of the sensitivities of plantar nerve conduction techniques for early detection of diabetic sensory polyneuropathy. Electromyogr Clin Neurophysiol. 2010;50(6):269-75.
Hemmi, S., Inoue, K., Murakami, T., & Sunada, Y. (2010). Comparison of the sensitivities of plantar nerve conduction techniques for early detection of diabetic sensory polyneuropathy. Electromyography and Clinical Neurophysiology, 50(6), 269-75.
Hemmi S, et al. Comparison of the Sensitivities of Plantar Nerve Conduction Techniques for Early Detection of Diabetic Sensory Polyneuropathy. Electromyogr Clin Neurophysiol. 2010 Sep-Oct;50(6):269-75. PubMed PMID: 21061773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the sensitivities of plantar nerve conduction techniques for early detection of diabetic sensory polyneuropathy. AU - Hemmi,S, AU - Inoue,K, AU - Murakami,T, AU - Sunada,Y, PY - 2010/11/11/entrez PY - 2010/11/11/pubmed PY - 2010/12/14/medline SP - 269 EP - 75 JF - Electromyography and clinical neurophysiology JO - Electromyogr Clin Neurophysiol VL - 50 IS - 6 N2 - The purpose of this study was to determine the most sensitive diagnostic test for nerve conduction study (NCS) of the foot for early detection of diabetic polyneuropathy. We compared the sensitivities for diagnosis of sensory polyneuropathy of four different nerve conduction techniques in the same nerves: nerve conduction studies of the medial plantar nerve with surface electrodes using three different techniques and a nerve conduction study of the digital and interdigital nerves of the foot using a near-nerve needle technique. In 25 patients with diabetic polyneuropathy with normal routine NCS, diagnosis of sensory neuropathy was confirmed by medial plantar NCS in 5 patients (20.0%) using Guiloff's method, in 5 patients (20.0%) using Ponsford's method and in 9 patients (36.0%) using Hemmi's method. In digital and interdigital NCS of the foot, a definite neuropathy pattern was observed in 15 patients (60.0%). The most common abnormality was low amplitude of sensory nerve action potential, indicating axonal degeneration. This study demonstrated that digital and interdigital NCS using the near-nerve needle technique is a more sensitive method for detection of early-stage diabetic polyneuropathy. SN - 0301-150X UR - https://www.unboundmedicine.com/medline/citation/21061773/Comparison_of_the_sensitivities_of_plantar_nerve_conduction_techniques_for_early_detection_of_diabetic_sensory_polyneuropathy_ L2 - https://medlineplus.gov/diabeticfoot.html DB - PRIME DP - Unbound Medicine ER -