PMID: 15220245Jun 29, 2004Paper

Cooling detection thresholds in the assessment of diabetic sensory polyneuropathy: comparison of CASE IV and Medoc instruments

Diabetes Care
Lorne H ZinmanBruce A Perkins

Abstract

Cooling detection threshold testing may be an important quantitative method for assessing polyneuropathy, in that it has traditionally been viewed as a measure of small-fiber involvement. The present study sought to determine the agreement between two common testing devices and to determine whether these are concordant in their association with predictor variables for diabetic sensory polyneuropathy. A total of 83 patients with diabetes (10 patients with type 1 diabetes and 73 patients with type 2 diabetes) and a wide spectrum of diabetic sensory polyneuropathy severity underwent concurrent cooling detection threshold testing using the Medoc and CASE IV instruments. Common predictor variables for diabetic sensory polyneuropathy were measured on the same day. Measurements of cooling detection thresholds by both instruments were highly correlated (Spearman's correlation coefficient 0.81, P < 0.001) and demonstrated a high degree of agreement by the method of Bland and Altman (95% distribution critical values for the difference in cooling detection thresholds, +7.5 and -5.6 degrees C). Cooling detection thresholds by both instruments were strongly correlated with clinical indicators of large-fiber neuropathy but not with the sympt...Continue Reading

References

Aug 1, 1987·Pain·Ronald Melzack
Aug 1, 1994·Journal of the Neurological Sciences·D Yarnitsky, E Sprecher
Jan 1, 1994·Diabetic Medicine : a Journal of the British Diabetic Association·S J BenbowG Williams
Feb 1, 1997·Muscle & Nerve·D Yarnitsky
Jul 31, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·Vera Bril, B A Perkins
Sep 5, 2002·Muscle & Nerve·David Lacomis
Oct 29, 2002·Diabetes Care·Vera Bril, Bruce A Perkins

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Citations

May 17, 2013·Current Diabetes Reports·Vincenza Spallone, Carla Greco
Jun 4, 2014·Continuum : Lifelong Learning in Neurology·Vera Bril
Sep 13, 2005·Current Opinion in Neurology·Giuseppe Lauria
Apr 12, 2011·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Nathan Efron
Mar 21, 2016·Journal of Diabetes and Its Complications·Mohammed A FarooqiBruce A Perkins
Jan 16, 2010·The Journal of Pain : Official Journal of the American Pain Society·Naofumi OtsuruRyusuke Kakigi
Apr 29, 2005·Diabetes/metabolism Research and Reviews
Jul 4, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·V SpalloneM R Maiello
Mar 26, 2013·Journal of the Peripheral Nervous System : JPNS·Mayienne BakkersIngemar S J Merkies
Mar 26, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·P HertzB A Perkins
Sep 5, 2006·Journal of Diabetes and Its Complications·Orcin Telli, Ugur Cavlak
Feb 24, 2012·Diabetes Care·Steven OrlovBruce A Perkins

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