Clinical Usefulness of the Two-site Semmes-Weinstein Monofilament Test for Detecting Diabetic Peripheral Neuropathy
Journal of Korean Medical Science
; : 103-107, 2003.
Article
in En
| WPRIM
| ID: wpr-63345
Responsible library:
WPRO
ABSTRACT
The present study was done to validate the two-site Semmes-Weinstein (SW) monofilament test in identifying patients at risk of lower-extremity complications in clinical setting. The SW monofilament test and nerve conduction study were conducted on type 2 diabetic patients (n=37) at Pusan National University Hospital in Korea. As the duration of diabetes mellitus was longer, neuropathy identified by nerve conduction study and complications of diabetes were more severe (p<0.01). The number of sites unable to perceive SW monofilament (p<0.001) was larger in patients with lower-extremity neuropathy symptoms than those without symptoms. Sensitivity and specificity at two sites (the third and fifth metatarsal head sites) were 93% and 100%, respectively. In conclusion, the two-site SW monofilament test was a sensitive, specific, simple, and inexpensive screening tool for identifying diabetic peripheral neuropathy in clinical setting.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pressure
/
Touch
/
Comparative Study
/
Sensitivity and Specificity
/
Sensation Disorders
/
Diabetes Mellitus, Type 2
/
Diabetic Neuropathies
/
Neural Conduction
/
Neurologic Examination
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2003
Type:
Article