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Electrophysiological Measurements of Diabetic Peripheral Neuropathy: A Systematic Review Publisher Pubmed



Shabeeb D1, 2, 7 ; Najafi M3 ; Hasanzadeh G4 ; Hadian MR5 ; Musa AE1, 6 ; Shirazi A1, 7
Authors
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Authors Affiliations
  1. 1. Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Science, International Campus, Tehran, Iran
  2. 2. Department of Physiology, College of Medicine, University of Misan, Iraq
  3. 3. Radiology and Nuclear Medicine Department, School of Paramedical Sciences, Kermanshah University of Medical Science, Kermanshah, Iran
  4. 4. Department of Anatomy, School of Medicine, Tehran University of Medical Science, Tehran, Iran
  5. 5. Brain and Spinal Injury Repair Research Center, Tehran University of Medical Science, Tehran, Iran
  6. 6. Research Center for Molecular and Cellular Imaging, Tehran University of Medical Science, Tehran, Iran
  7. 7. Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran

Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews Published:2018


Abstract

Introduction: Peripheral neuropathy is one of the main complications of diabetes mellitus. One of the features of diabetic nerve damage is abnormality of sensory and motor nerve conduction study. An electrophysiological examination can be reproduced and is also a non-invasive approach in the assessment of peripheral nerve function. Population-based and clinical studies have been conducted to validate the sensitivity of these methods. When the diagnosis was based on clinical electrophysiological examination, abnormalities were observed in all patients. Method: In this research, using a review design, we reviewed the issue of clinical electrophysiological examination of diabetic peripheral neuropathy in articles from 2008 to 2017. For this purpose, PubMed, Scopus and Embase databases of journals were used for searching articles. Results/findings: The researchers indicated that diabetes (both types) is a very disturbing health issue in the modern world and should be given serious attention. Based on conducted studies, it was demonstrated that there are different procedures for prevention and treatment of diabetes-related health problems such as diabetic polyneuropathy (DPN). The first objective quantitative indication of the peripheral neuropathy is abnormality of sensory and motor nerve conduction tests. Electrophysiology is accurate, reliable and sensitive. It can be reproduced and also is a noninvasive approach in the assessment of peripheral nerve function. Conclusion: The methodological review has found that the best method for quantitative indication of the peripheral neuropathy compared with all other methods is clinical electrophysiological examination. For best results, standard protocols such as temperature control and equipment calibration are recommended. © 2018
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