Is ultrasonography useful in the diagnosis of the polyneuropathy in diabetic patients?

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dc.authorid0000-0003-1757-1814
dc.contributor.authorAğırman, Mehmet
dc.contributor.authorYağcı, İlker
dc.contributor.authorLeblebicier Akdeniz, Merve
dc.contributor.authorÖztürk, Demet
dc.contributor.authorAkyüz, Gülseren Derya
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:37Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:37Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstract[Purpose] The aim of this study was to investigate the usefulness of ultrasonography for the diagnosis of polyneuropathy in diabetic patients by examination of the median and ulnar nerves. [Subjects and Methods] Sixty-three diabetic patients and fourteen controls were enrolled in the study. Nerve conduction studies were performed on both upper and lower limbs. Median and ulnar nerve cross-sectional areas were measured at the wrist and forearm levels in 140 hands by ultrasound. [Results] The median nerve cross-sectional area was increased at the hook of hamatum, pisiform bone, and radioulnar joint levels in patients with carpal tunnel syndrome. The ulnar nerve area at the medial epicondyle was significantly increased in the diabetic polyneuropathy (9.2 ± 1.6), diabetic polyneuropathy plus carpal tunnel syndrome (9.3 ± 1.4), and carpal tunnel syndrome (9.2 ± 1.9) groups compared with the control group (7.7 ± 1.1). In receiver operating characteristics analysis, the cutoff value of the ulnar nerve was 8.5 mm2 at ulnar epicondyle with 71.4% specificity and 70.4% sensitivity, corresponding to the highest diagnostic accuracy for diabetic polyneuropathy. [Conclusion] Ultrasonographic examination of the median and ulnar nerves can be an alternative or additional diagnostic modality for the evaluation of neuropathies in diabetic patients.
dc.identifier.citationAğırman, M., Yağcı, İ., Leblebicier Akdeniz, M., Öztürk, D. ve Akyüz, G. D. (2016). Is ultrasonography useful in the diagnosis of the polyneuropathy in diabetic patients?. Journal of Physical Therapy Science, 28(9), 2620-2624. https://dx.doi.org/10.1589/jpts.28.2620
dc.identifier.doi10.1589/jpts.28.2620
dc.identifier.endpage2624
dc.identifier.issn0915-5287
dc.identifier.issue9
dc.identifier.scopusqualityQ2
dc.identifier.startpage2620
dc.identifier.urihttps://hdl.handle.net/20.500.12511/875
dc.identifier.urihttps://dx.doi.org/10.1589/jpts.28.2620
dc.identifier.volume28
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSociety of Physical Therapy Science (Rigaku Ryoho Kagakugakkai)
dc.relation.ispartofJournal of Physical Therapy Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectDiabetes Mellitus
dc.subjectPolyneuropathy
dc.subjectUltrasound
dc.titleIs ultrasonography useful in the diagnosis of the polyneuropathy in diabetic patients?
dc.typeArticle

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