Diagnostic Value of Tendon Reflex in Diabetic Peripheral Neuropathy
Journal of the Korean Academy of Rehabilitation Medicine
; : 303-309, 1999.
Article
en Ko
| WPRIM
| ID: wpr-724189
Biblioteca responsable:
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Reflejo
/
Reflejo de Estiramiento
/
Tendón Calcáneo
/
Tendones
/
Ligamento Rotuliano
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Enfermedades del Sistema Nervioso Periférico
/
Neuropatías Diabéticas
/
Diagnóstico
/
Conducción Nerviosa
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Año:
1999
Tipo del documento:
Article