| Foot screening technique in a diabetic population. | |
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MedLine Citation:
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PMID: 10719814 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Foot complications are a well known factor which contribute to the morbidity of diabetes and increases the chance of amputation. A total of 126 consecutive diabetic patients were evaluated by diabetic foot screening. Forty-one patients showed an impaired protective sense when tested with Semmes-Weinstein monofilament 5.07 (10 g), and 92% of them showed peripheral polyneuropathy in nerve conduction study (NCS). The mean vibration score of the Rydel-Seiffer graduated tuning fork in patients with peripheral polyneuropathy in nerve conduction (NCV) study was 5.38+/-2.0, which was significantly different from that of patients without polyneuropathy in NCS. Among the deformities identified on examination, callus, corn, and hallux valgus were the greatest. While checking the ankle/ brachial index (ABI), we also evaluated the integrity of vasculature in the lower extremities. After extensive evaluation, we classified the patients into eight groups (category 0,1,2,3,4A,4B,5,6). The result of this study suggested that the Semmes-Weinstein monofilament test, Rydel-Seiffer graduated tuning fork test, and checking the ankle/brachial index were simple techniques for evaluating pathologic change in the diabetic foot by office screening, and that this screening based on treatment-oriented classification helps to reduce pedal complications in a diabetic population. |
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Authors:
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J B Shin; Y J Seong; H J Lee; S H Kim; J R Park |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of Korean medical science Volume: 15 ISSN: 1011-8934 ISO Abbreviation: J. Korean Med. Sci. Publication Date: 2000 Feb |
Date Detail:
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Created Date: 2000-04-21 Completed Date: 2000-04-21 Revised Date: 2011-03-16 |
Medline Journal Info:
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Nlm Unique ID: 8703518 Medline TA: J Korean Med Sci Country: KOREA (SOUTH) |
Other Details:
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Languages: eng Pagination: 78-82 Citation Subset: IM |
Affiliation:
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Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. jbshinlim@netsgo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetic Angiopathies
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complications,
diagnosis Diabetic Foot / classification, diagnosis*, physiopathology Diabetic Neuropathies / complications, diagnosis Female Foot / physiopathology Humans Male Mass Screening Middle Aged Podiatry / methods Sensory Thresholds |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
| Full Text | |
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Journal Information Journal ID (nlm-ta): J Korean Med Sci Journal ID (pmc): jkms ISSN: 1011-8934 ISSN: 1598-6357 Publisher: Korean Academy of Medical Sciences |
Article Information Download PDF  Print publication date: Month: 2 Year: 2000 Volume: 15 Issue: 1 First Page: 78 Last Page: 82 ID: 3054586 PubMed Id: 10719814 |
| Foot screening technique in a diabetic population. | |
| J. B. Shin | Email: jbshinlim@netsgo.com |
| Y. J. Seong | |
| H. J. Lee | |
| S. H. Kim | |
| J. R. Park | |
| Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea. |
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