Malang Neurology Journal (Jan 2018)

DIAGNOSTIC TEST OF TORONTO AND MODIFIED TORONTO SCORING, MONOFILAMENT TEST, AND VIBRATE SENSATION TEST USING 128 HZ TUNING FORK FOR DIABETIC POLINEUROPATHY

  • Bethasiwi Purbasari,
  • Vivi Laras Anggraini,
  • Made Dinda Pratiwi,
  • Machlusil Husna,
  • Shahdevi Nandar Kurniawan

DOI
https://doi.org/10.21776/ub.mnj.2018.004.01.5
Journal volume & issue
Vol. 4, no. 1
pp. 25 – 34

Abstract

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Background. The prevalence of diabetes mellitus has been epidemically increasing throughout all the world population, and diabetic polyneuropathy (PNP-DM) is one of the most common neurologic manifestation of this disease. Clinical research has proved that effective bedside screening of PNP-DM can significantly reduce the incidence of foot ulcer and limb amputation. Objective. To measure the diagnostic test of polyneuropathy scoring, monofilament 10-g SemmesWeinstein test, and 128 Hz tuning fork test as an early detection measure for PNP-DM. Methods. This research was conducted using a cross sectional approach from Januari 2016 to Juli 2017. Results. Among the total study population of 43 (23 men and 20 woman), Modified Toronto Score has the highest sensitivity (100%), PPV (93%) and accuracy (93%). Toronto score has the highest NPV (9%). Conclusion. Modified Toronto Score has good diagnostic value as screening tool in PNP-DM.

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