Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy
Aim. This study compares the effectiveness of Michigan Neuropathy Screening Instrument (MNSI), neurothesiometer, and electromyography (EMG) in detecting diabetic peripheral neuropathy in patients with diabetes type 2. Materials and Methods. 106 patients with diabetes type 2 treated at the outpatient...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2013/821745 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563720693219328 |
|---|---|
| author | Turkan Mete Yusuf Aydin Mustafa Saka Halise Cinar Yavuz Sule Bilen Yavuz Yalcin Berna Arli Dilek Berker Serdar Guler |
| author_facet | Turkan Mete Yusuf Aydin Mustafa Saka Halise Cinar Yavuz Sule Bilen Yavuz Yalcin Berna Arli Dilek Berker Serdar Guler |
| author_sort | Turkan Mete |
| collection | DOAJ |
| description | Aim. This study compares the effectiveness of Michigan Neuropathy Screening Instrument (MNSI), neurothesiometer, and electromyography (EMG) in detecting diabetic peripheral neuropathy in patients with diabetes type 2. Materials and Methods. 106 patients with diabetes type 2 treated at the outpatient clinic of Ankara Numune Education and Research Hospital Department of Endocrinology between September 2008 and May 2009 were included in this study. Patients were evaluated by glycemic regulation tests, MNSI (questionnaire and physical examination), EMG (for detecting sensorial and motor defects in right median, ulnar, posterior tibial, and bilateral sural nerves), and neurothesiometer (for detecting alterations in cold and warm sensations as well as vibratory sensations). Results. According to the MNSI score, there was diabetic peripheral neuropathy in 34 (32.1%) patients (score ≥2.5). However, when the patients were evaluated by EMG and neurothesiometer, neurological impairments were detected in 49 (46.2%) and 79 (74.5%) patients, respectively. Conclusion. According to our findings, questionnaires and physical examination often present lower diabetic peripheral neuropathy prevalence. Hence, we recommend that in the evaluation of diabetic patients neurological tests should be used for more accurate results and thus early treatment options to prevent neuropathic complications. |
| format | Article |
| id | doaj-art-976392e0ea9643b7a69401882df1434a |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-976392e0ea9643b7a69401882df1434a2025-02-03T01:12:41ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/821745821745Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic NeuropathyTurkan Mete0Yusuf Aydin1Mustafa Saka2Halise Cinar Yavuz3Sule Bilen4Yavuz Yalcin5Berna Arli6Dilek Berker7Serdar Guler8Ankara Numune Education and Research Hospital, Department of Endocrinology, Sıhhiye, 06622 Ankara, TurkeyDuzce University, Faculty of Medicine, Endocrinology and Metabolism Department, TurkeyAnkara Numune Research and Education Hospital, Department of Neurology, TurkeyAnkara Numune Education and Research Hospital, Department of Endocrinology, Sıhhiye, 06622 Ankara, TurkeyAnkara Numune Research and Education Hospital, Department of Neurology, TurkeyAnkara Numune Education and Research Hospital, Department of Endocrinology, Sıhhiye, 06622 Ankara, TurkeyAnkara Numune Research and Education Hospital, Department of Neurology, TurkeyAnkara Numune Education and Research Hospital, Department of Endocrinology, Sıhhiye, 06622 Ankara, TurkeyAnkara Numune Education and Research Hospital, Department of Endocrinology, Sıhhiye, 06622 Ankara, TurkeyAim. This study compares the effectiveness of Michigan Neuropathy Screening Instrument (MNSI), neurothesiometer, and electromyography (EMG) in detecting diabetic peripheral neuropathy in patients with diabetes type 2. Materials and Methods. 106 patients with diabetes type 2 treated at the outpatient clinic of Ankara Numune Education and Research Hospital Department of Endocrinology between September 2008 and May 2009 were included in this study. Patients were evaluated by glycemic regulation tests, MNSI (questionnaire and physical examination), EMG (for detecting sensorial and motor defects in right median, ulnar, posterior tibial, and bilateral sural nerves), and neurothesiometer (for detecting alterations in cold and warm sensations as well as vibratory sensations). Results. According to the MNSI score, there was diabetic peripheral neuropathy in 34 (32.1%) patients (score ≥2.5). However, when the patients were evaluated by EMG and neurothesiometer, neurological impairments were detected in 49 (46.2%) and 79 (74.5%) patients, respectively. Conclusion. According to our findings, questionnaires and physical examination often present lower diabetic peripheral neuropathy prevalence. Hence, we recommend that in the evaluation of diabetic patients neurological tests should be used for more accurate results and thus early treatment options to prevent neuropathic complications.http://dx.doi.org/10.1155/2013/821745 |
| spellingShingle | Turkan Mete Yusuf Aydin Mustafa Saka Halise Cinar Yavuz Sule Bilen Yavuz Yalcin Berna Arli Dilek Berker Serdar Guler Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy International Journal of Endocrinology |
| title | Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy |
| title_full | Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy |
| title_fullStr | Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy |
| title_full_unstemmed | Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy |
| title_short | Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy |
| title_sort | comparison of efficiencies of michigan neuropathy screening instrument neurothesiometer and electromyography for diagnosis of diabetic neuropathy |
| url | http://dx.doi.org/10.1155/2013/821745 |
| work_keys_str_mv | AT turkanmete comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT yusufaydin comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT mustafasaka comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT halisecinaryavuz comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT sulebilen comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT yavuzyalcin comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT bernaarli comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT dilekberker comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy AT serdarguler comparisonofefficienciesofmichiganneuropathyscreeninginstrumentneurothesiometerandelectromyographyfordiagnosisofdiabeticneuropathy |