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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(6):1007-1015.
The Mixed Nerve Action Potential of the Medial and Lateral Plantar Nerve Conduction Studies in Diabetic Patients.
Min, Kyeong Chul , Kim, Jong Moon , Koh, Seong Eun , Chung, Jin Sang
Department of Rehabilitation Medicine, College of Medicine, Konkuk University, Korea.
당뇨 환자에서의 혼합 신경 활동 전위를 이용한 족부 신경 전도 검사
민경철, 김종문, 고성은, 정진상
건국대학교 의과대학 재활의학교실
Abstract

Objective
To evaluate the mixed nerve action potential of the medial and lateral plantar nerve conduction studies in diabetic patients with the various factors.


Method
69 healthy adults without foot trauma as control group and 78 diabetic patients without foot trauma as subject group were studied. The study was performed by using the orthodromic surface stimulation and recording method of evaluating of the mixed nerve action potential of the medial and lateral plantar nerve conduction studies.


Results
The differences in the distal latency (p<0.05), amplitude (p<0.05) and nerve conduction velocity (p<0.05) of the mixed nerve action potential of the medial and lateral plantar nerve conduction studies were statistically significant between the diabetic group and the normal control group. Same results also could be obtained in diabetic patients relating to longer duration of diabetes, presence of diabetic retinopathy, higher blood glucose level, longer duration of oral hypoglycemic agent and insulin treatment (p<0.05).


Conclusion
The mixed nerve action potential of the medial and lateral plantar nerve conduction studies are useful for the detection of diabetic neuropathic foot.

Key Words: Diabetes mellitus, Medial and lateral plantar nerves


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