Use of monofilament in the detection of foot lesions in older adults

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Arvind ModawalJun Yang

Abstract

The purpose of this study was to compare Semmes-Weinstein monofilament testing between elderly and young patients in both a diabetic and nondiabetic population. Monofilament mapping (10 g) was performed on 115 patients: 74 who were greater than 60 years of age (47 with diabetes) and 41 who were younger than 60 years (20 with diabetes). Sensations were assessed at 15 predefined pressure/risk points. Sensations were found to have perfect correlation between the same point on the left and right foot (r = 1.0) for each of the 15 points. The data for the 15 points were divided in 2 subsets: one for 8 points similar to a validated method and another with 7 new points on the dorsum and ankle area. Scores on both subsets differed significantly by age group (P < .0001) and diabetes status (P < .001), with older patients and patients with diabetes having higher scores. Analysis of covariance was used to estimate 15-point scores for the 4 combinations of age group and diabetes status, adjusting for foot ulceration, callus, deformity, and ischemia. In older patients without diabetes, each subset score was used to detect future neuropathy if 4 or more points were insensitive. The detections agreed in 37 of 47 cases. In all 10 cases of disag...Continue Reading

References

Mar 1, 1994·Archives of Family Medicine·M A PliskinG W Edelson
Jun 1, 1996·Endocrinology and Metabolism Clinics of North America·M E Levin
Aug 1, 1997·Diabetes Care·D K LitzelmanF Vinicor
Feb 24, 1998·Archives of Internal Medicine·D G ArmstrongJ G Fleischli
Aug 1, 1998·Journal of General Internal Medicine·J G SuicoD K Litzelman
Sep 9, 1999·The Nurse Practitioner·L UmehN Nicoloff
Jan 13, 2005·JAMA : the Journal of the American Medical Association·Nalini SinghBenjamin A Lipsky

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Citations

Jun 5, 2012·Age·Jocelyn L Bowden, Penelope A McNulty
Jan 30, 2014·Journal of Diabetes and Metabolic Disorders·Shahram BarazSeyed Mahmoud Latifi
Mar 1, 2012·PM & R : the Journal of Injury, Function, and Rehabilitation·Neal E WiggermannW Monroe Keyserling
Aug 16, 2015·Geriatric Nursing·Daniel López LópezFrancisco Alonso Tajes
Mar 19, 2008·Journal of the Peripheral Nervous System : JPNS·Suman JainIndira Nath
Mar 8, 2017·Journal of Physical Therapy Science·Yuji OhmuraToshiyuki Kondo
Jun 19, 2019·Journal of Foot and Ankle Research·Jean Paul Vwakya WanzouErisa Sabakaki Mwaka

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