The effectiveness of electroneuromyography in the early diagnosis of diabetic foot development

Authors : Fatma KESMEZ CAN, Nuray BİLGE, Handan ALAY, Mehmet PARLAK

Pages : 213-218

Doi:10.32322/jhsm.856117

View : 25 | Download : 12

Publication Date : 2021-03-28

Article Type : Research Paper

Abstract :Objective: Diabetic foot is one of the first cause of lower extremity amputation. The aim of this study is to determine which of the nerve conduction disorders may be used predominantly for early diagnosis of diabetic foot development in the follow-up of diabetic patients. Material and Method: The study consists of 3 different groups insert ignore into journalissuearticles values(150); of patients diagnosed with type 2 diabetes insert ignore into journalissuearticles values(DM);. 1. Group; 50 patients with diabetic foot complications insert ignore into journalissuearticles values(DA+);, 2. Group; 50 patients without diabetic foot complications and with polyneuropathy insert ignore into journalissuearticles values(DA-/PNP+);, 3. Group; 50 patients without diabetic foot complications and without polyneuropathy insert ignore into journalissuearticles values(DA-/PNP-);. Diabetic foot wounds were grouped by pedis classification. Findings: Age, sex, diabetes duration, blood glucose, HbA1c values and electroneuromyography insert ignore into journalissuearticles values(ENMG); for nerve amplitude, velocity and latancy results were compared among the groups. A significant statistical difference was found between three groups when age, sex, HgbA1c, fasting blood glucose, diabetes duration were evaluated insert ignore into journalissuearticles values(p 0.05);. Peroneal nerve conduction velocity was lowest in the DA+ group. This factor was considered as a risk factor for DA development. Conclusions: In conclusion, the slowdown in peroneal nerve conduction velocity and the increase in diabetes duration were the primary risk factors for diabetic foot development, and the decrease in tibial nerve velocity was also considered as significant. This study showed that the involvement of motor nerve conduction in the lower extremity was considered as a signal for diabetic foot development.
Keywords : Diabetic foot, Polyneuropathy, ENMG