Screening Instrument for Clinical Diagnosis of Peripheral Neuropathy in Diabetes-A Review Atre Janhavi1,*, Ganvir Suvarna2 1Post graduate Student, DVVPF'S College of Physiotherapy, Ahmednagar 2HOD and Professor, DVVPF'S College of Physiotherapy, Ahmednagar *Corresponding author: Janhavi Atre, Post Graduate Student, DVVPF'S College of Physiotherapy, Ahmednagar, Telephone - 7588230417, Email ID - janatre2010@gmail.com
Online published on 11 July, 2019. Abstract Background Distal symmetrical polyneuropathy is the most common type of peripheral neuropathy and accounts for 75% of neuropathies in patients with diabetes. Painless paresthesia with impairment of vibration, joint position, touch and pressure sensations along with loss of ankle reflex is the characteristic feature of distal symmetrical polyneuropathy. Many diagnostic tests have been designed to screen and diagnose peripheral neuropathy in individuals with diabetes. But there exist a disagreement as to which is the most appropriate and reliable clinical neuropathy scale for peripheral neuropathy in patients with diabetes. Many studies have been conducted to find the reliability and validity of various scales but no study has been conducted to find the most appropriate scale for diagnosing diabetic neuropathy. Objective The objective of the review was to combine all the reliable and valid clinical neuropathy scales to find the most appropriate scale. Materials and Method Scales like NSS,NDS,DNE,CNE,MNSI, TCNS and NTSS 6 were studied and compared. Conclusion It was concluded that MNSI is the most reliable and valid scale for diagnosis of diabetic neuropathy. Top Keywords Peripheral neuropathy, diabetes, screening instrument, diabetic neuropathy. Top |