Diagnostic Value of Tendon Reflex in Diabetic Peripheral Neuropathy
Journal of the Korean Academy of Rehabilitation Medicine
; : 303-309, 1999.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-724189
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
To investigate the role of tendon reflex test in the diagnosis of diabetic peripheral neuropathy.METHOD:
Patellar tendon reflex (PTR) and achilles tendon reflex (ATR) were recorded in forty six diabetic patients and thirty seven normal adults by delivering tendon taps with an electric reflex hammer. Forty six diabetic patients were divided into two groups based on nerve conduction study and diabetic neuropathy score group 1 consisted of nineteen patients with peripheral neuropathy, group 2 consisted of twenty seven patients without peripheral neuropathy. Multiple regression equations using latency as a variable dependent on age and height were used and upper crossing of the 3 standard deviation level with regression on height and age was considered abnormal.RESULTS:
Mean latencies of PTR and ATR were prolonged in the diabetic patients in comparison with the controls (p<0.01) and were prolonged in group 1 compared to group 2. In group 1, PTR was abnormal in 14 cases (sensitivity 73.6%, specifity 88%) and ATR was abnormal in 13 cases (sensitivity 68.4%, specifity 85.1%). In group 2, PTR was abnormal in 3 cases and ATR was abnormal in 4 cases.CONCLUSION:
Tendon reflex test would be a valuable supplement to conventional nerve conduction studies for detection of diabetic peripheral neuropathy, especially in the proximal segment.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Diabetes Mellitus
/
Doenças do Sistema Endócrino
/
Doenças Musculoesqueléticas e Reumáticas
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reflexo
/
Reflexo de Estiramento
/
Tendão do Calcâneo
/
Tendões
/
Ligamento Patelar
/
Doenças do Sistema Nervoso Periférico
/
Neuropatias Diabéticas
/
Diagnóstico
/
Condução Nervosa
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Ano de publicação:
1999
Tipo de documento:
Artigo