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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(1):112-117.
Relation of Nerve Conduction Study and Physical Parametersin Diabetic Polyneuropathy.
Shin, Yong Sik , Kim, Myeong Ok , Kim, Chang Hwan , Nam, Moon Suk
1Department of Rehabilitation Medicine, Inha University College of Medicine, Korea. jacob.kim@inha.ac.kr
2Department of Internal Medicine, Inha University College of Medicine, Korea.
당뇨병성 신경병증에서 신경전도검사와 이학적 변수와의 연관성
신용식, 김명옥, 김창환, 남문석1
인하대학교 의과대학 재활의학교실, 1내과학교실
To determine the relations of parameters of nerve conduction study (NCS) and total symptom score (TSS), neuropathy impairment score (NIS) in diabetic polyneuropathy patients.
Seventy three patients with diabetes mellitus were included in the study. The NIS, TSS was scored in each patient by a single examiner. NCS was performed on median, ulnar, tibial, peroneal and sural nerves. Distal latencies, amplitudes and conduction velocities of compound muscles and nerves were used as parameters of NCS. The transformed individual amplitudes and nerve conduction velocities were graded in relation to the mean values and standard deviations of our control group study. Then, composite score (CS) was calculated in each individual and was correlated to the NIS, TSS using correlation analysis.
There was a significant linear relationship between CS and NIS-LL (neuropathy impairment score-lower limb) (r=0.718, p<0.01)
This study showed significant correlations between composite score and NIS-LL. Thus, composite score appears to reliably represent the objective neurologic findings. In addition, NIS-LL would be useful in determining the progression of peripheral polyneuropathy in diabetic patients. (J Korean Acad Rehab Med 2009; 33: 112-117)
Key Words: Diabetic polyneuropathy, Nerve conduction study, Total symptom score, Neuropathy impairment score


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