Tags

Type your tag names separated by a space and hit enter

Assessment of the medial dorsal cutaneous, dorsal sural, and medial plantar nerves in impaired glucose tolerance and diabetic patients with normal sural and superficial peroneal nerve responses.
Diabetes Care. 2012 Apr; 35(4):834-9.DC

Abstract

OBJECTIVE

This study evaluated the nerve conduction study (NCS) parameters of the most distal sensory nerves of the lower extremities-namely, the medial dorsal cutaneous (MDC), dorsal sural (DS), and medial plantar (MP) nerves-in diabetic (DM) and impaired glucose tolerance (IGT) patients who displayed normal findings on their routine NCSs.

RESEARCH DESIGN AND METHODS

Standard NCSs were performed on healthy control (HC), DM, and IGT groups (N = 147). The bilateral NCS parameters of the MDC, DS, and MP nerves were investigated. The Toronto Clinical Scoring System (TCSS) was assessed for the DM and IGT groups.

RESULTS

The mean TCSS scores of the IGT and DM groups were 2.5 ± 2.3 and 2.8 ± 2.2, respectively. No significant differences between the two groups were observed. After adjustment of age and BMI, the DM group showed significant NCS differences in DS and MDC nerves compared with the HC group (P < 0.05). These differences were also exhibited in the left DS of the IGT group (P = 0.0003). More advanced NCS findings were observed in the DM group. Bilateral abnormal NCS responses in these distal sensory nerves were found in 40 and 16% of DM and IGT patients, respectively.

CONCLUSIONS

These results showed that the simultaneous assessment of the most distal sensory nerves allowed the detection of early NCS changes in the IGT and DM groups, even when the routine NCS showed normal findings.

Links

PMC Free PDF
PMC Free Full Text
Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Im S
Department of Rehabilitation Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Republic of Korea.
Kim SR
No affiliation info available
Park JH
No affiliation info available
Kim YS
No affiliation info available
Park GY
No affiliation info available

MeSH

Action PotentialsAdultAgedDiabetic NeuropathiesFemaleFollow-Up StudiesGlucose IntoleranceHumansLegMaleMiddle AgedNeural ConductionNeurologic ExaminationPeroneal NerveSkinSural NerveTibial NerveYoung Adult

Pub Type(s)

Controlled Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22100966

Citation

Im, Sun, et al. "Assessment of the Medial Dorsal Cutaneous, Dorsal Sural, and Medial Plantar Nerves in Impaired Glucose Tolerance and Diabetic Patients With Normal Sural and Superficial Peroneal Nerve Responses." Diabetes Care, vol. 35, no. 4, 2012, pp. 834-9.
Im S, Kim SR, Park JH, et al. Assessment of the medial dorsal cutaneous, dorsal sural, and medial plantar nerves in impaired glucose tolerance and diabetic patients with normal sural and superficial peroneal nerve responses. Diabetes Care. 2012;35(4):834-9.
Im, S., Kim, S. R., Park, J. H., Kim, Y. S., & Park, G. Y. (2012). Assessment of the medial dorsal cutaneous, dorsal sural, and medial plantar nerves in impaired glucose tolerance and diabetic patients with normal sural and superficial peroneal nerve responses. Diabetes Care, 35(4), 834-9. https://doi.org/10.2337/dc11-1001
Im S, et al. Assessment of the Medial Dorsal Cutaneous, Dorsal Sural, and Medial Plantar Nerves in Impaired Glucose Tolerance and Diabetic Patients With Normal Sural and Superficial Peroneal Nerve Responses. Diabetes Care. 2012;35(4):834-9. PubMed PMID: 22100966.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of the medial dorsal cutaneous, dorsal sural, and medial plantar nerves in impaired glucose tolerance and diabetic patients with normal sural and superficial peroneal nerve responses. AU - Im,Sun, AU - Kim,Sung-Rae, AU - Park,Joo Hyun, AU - Kim,Yang Soo, AU - Park,Geun-Young, Y1 - 2011/11/18/ PY - 2011/11/22/entrez PY - 2011/11/22/pubmed PY - 2012/8/10/medline SP - 834 EP - 9 JF - Diabetes care JO - Diabetes Care VL - 35 IS - 4 N2 - OBJECTIVE: This study evaluated the nerve conduction study (NCS) parameters of the most distal sensory nerves of the lower extremities-namely, the medial dorsal cutaneous (MDC), dorsal sural (DS), and medial plantar (MP) nerves-in diabetic (DM) and impaired glucose tolerance (IGT) patients who displayed normal findings on their routine NCSs. RESEARCH DESIGN AND METHODS: Standard NCSs were performed on healthy control (HC), DM, and IGT groups (N = 147). The bilateral NCS parameters of the MDC, DS, and MP nerves were investigated. The Toronto Clinical Scoring System (TCSS) was assessed for the DM and IGT groups. RESULTS: The mean TCSS scores of the IGT and DM groups were 2.5 ± 2.3 and 2.8 ± 2.2, respectively. No significant differences between the two groups were observed. After adjustment of age and BMI, the DM group showed significant NCS differences in DS and MDC nerves compared with the HC group (P < 0.05). These differences were also exhibited in the left DS of the IGT group (P = 0.0003). More advanced NCS findings were observed in the DM group. Bilateral abnormal NCS responses in these distal sensory nerves were found in 40 and 16% of DM and IGT patients, respectively. CONCLUSIONS: These results showed that the simultaneous assessment of the most distal sensory nerves allowed the detection of early NCS changes in the IGT and DM groups, even when the routine NCS showed normal findings. SN - 1935-5548 UR - https://www.unboundmedicine.com/medline/citation/22100966/Assessment_of_the_medial_dorsal_cutaneous_dorsal_sural_and_medial_plantar_nerves_in_impaired_glucose_tolerance_and_diabetic_patients_with_normal_sural_and_superficial_peroneal_nerve_responses_ L2 - http://care.diabetesjournals.org/cgi/pmidlookup?view=long&amp;pmid=22100966 DB - PRIME DP - Unbound Medicine ER -