J Korean Med Sci.  2000 Feb;15(1):78-82. 10.3346/jkms.2000.15.1.78.

Foot screening technique in a diabetic population

• Shin JB
• Seong YJ
• Lee HJ
• Kim SH
• Park JR

• KMID: 1731239
• DOI: http://doi.org/10.3346/jkms.2000.15.1.78

Abstract

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

Keyword

Diabetic Foot; Diabetic Angiopathies; Diabetic Neuropathies; Mass Screening

MeSH Terms

Diabetic Angiopathies/diagnosis
Diabetic Angiopathies/complications
Diabetic Foot/physiopathology
Diabetic Foot/diagnosis*
Diabetic Foot/classification
Diabetic Neuropathies/diagnosis
Diabetic Neuropathies/complications
Female
Foot/physiopathology
Human
Male
Mass Screening
Middle Age
Podiatry/methods
Sensory Thresholds