Grading the loss of sensation in diabetic patients: A psychometric evaluation of the rotterdam diabetic foot study test battery

Muscle & Nerve
Willem D RinkelJ Henk Coert

Abstract

Static- and moving 2-point discrimination (S2PD, M2PD), 10-g monofilaments- and tuning fork are validated outcome measures of clinical manifestations of diabetes-related neuropathy. No modern statistical techniques have been used to investigate how well these instruments combine to measure sensory loss. To grade sensory loss at the feet, we fitted parametric forms of Item Response Theory models to the data of these instruments. The fit statistics indicate that the loss of sensation is gradable, with readily available instruments. S2PD and M2PD are lost first, followed by vibration sense, the 10-g monofilament and the ability to feel a cold stimulus. This test battery appears to provide sound measurement properties in a group of diabetic patients with diverse amounts of sensory loss. This approach may be used in clinical practice to grade sensory loss reliably and quickly, with instruments that are easy to use. Muscle Nerve 58: 559-565, 2018.

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Citations

Dec 24, 2018·Diabetes/metabolism Research and Reviews·Willem D RinkelJan Hendrik Coert
Aug 29, 2019·Muscle & Nerve·Aimee K Boegle, Pushpa Narayanaswami
Jan 20, 2020·Diabetes/metabolism Research and Reviews·Willem D RinkelJ Henk Coert
Apr 19, 2020·Advances in Skin & Wound Care·Saulo Pereira da CostaMônica Antar Gamba
Nov 19, 2019·Diabetes Research and Clinical Practice·Willem D RinkelJ Henk Coert
Apr 12, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Willem D RinkelJ Henk Coert
Mar 24, 2020·Advanced Functional Materials·Hossein DerakhshandehAli Tamayol

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

SPSS Statistics
R
ltm
difR

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