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	Diagnostic Tools and Techniques

Diagnostic tools for DPN

Diagnostic Tool	Outcome
Biothesiometer (Xilas VPTMeter)[1]	Identifies patients at high risk for foot problems by detecting degree of nerve damage; measures vibration perception threshold (VPT)
Neurometer[2]	Measures current perception threshold (CPT)
Computer-assisted sensory evaluation (CASE IV)[3]	Records both vibration and thermal measurements
Physitemp Vibratron II[4]	Measures sensitivity to vibration in hands and feet
Medoc TSA-II NeuroSensory Analyzer[5]	Assesses integrity of sensory nerve fibers by measuring vibratory or thermal stimuli (warmth, cold, and heat-or cold-induced pain)
Podotrack[6]	Identifies high-pressure areas
NC-stat nerve conduction system[7]	Measures nerve conduction of motor and sensory nerves
Electromyography (EMG)[8]	Nerve conduction studies and needle electromyography

References

Xilas. Available at: http://www.xilas.com/products-vpt.php. Accessed June 2006.

Pitei DL, et al. The value of the neurometer in assessing diabetic neuropathy by measurement of the current perception threshold. Diabet Med. 1994;11:872-876.

Case IV. Available at: http://www.wrmed.com/case.html. Accessed June 2006.

Physitemp. Available at: http://www.physitemp.com/sensory.htm#vibration. Accessed June 2006.

Medoc. Available at: http://www.medoc-web.com/tsa.html. Accessed June 2006.

Van Schie CHM, et al. A comparative study of the Podotrack, a simple semiquantitative plantar pressure measuring device, and the optical pedobarograph in the assessment of pressures under the diabetic foot. Diabet Med. 1999;16:154-159.

NEUROMetrix. Available at: http://www.neurometrix.com/monitor.htm. Accessed June 2006.

EMG. Available at: http://www.bts.it/eng/proser/pocemg.htm. Accessed June 2006.

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