University of Manchester, Manchester, UK.
Diabet Med. 2012 Dec;29(12):1550-2. doi: 10.1111/j.1464-5491.2012.03730.x.
To compare the Ipswich Touch Test and the VibraTip with the Neuropathy Disability Score and the vibration perception threshold for detecting the 'at-risk' foot.
We directly compared the Ipswich Touch Test and the VibraTip with both the Neuropathy Disability Score ≥ 6 and the vibration perception threshold ≥ 25 V indicating 'at-risk' feet in 83 individuals.
The vibration perception threshold and Neuropathy Disability Score tests exhibited almost perfect agreement with each other (P < 0.001). The VibraTip and Ipswich Touch Test results were identical (P < 0.001). The VibraTip and Ipswich Touch Test results also exhibited almost perfect agreement with the vibration perception threshold (P < 0.001) and the Neuropathy Disability Score (P < 0.001).
These two simple and efficient tests are easy to teach, reliable and can be used in any setting, and neither requires an external power source. We conclude that both the VibraTip and the Ipswich Touch Test are reliable and sensitive tests for identifying the 'high-risk' foot.
比较 Ipswich 触诊试验和 VibraTip 与神经病变残疾评分和振动感觉阈值,以检测“高危”足部。
我们直接比较 Ipswich 触诊试验和 VibraTip 与神经病变残疾评分≥6 和振动感觉阈值≥25V,以指示 83 名个体中的“高危”足部。
振动感觉阈值和神经病变残疾评分测试结果之间具有几乎完美的一致性(P<0.001)。VibraTip 和 Ipswich 触诊试验结果完全相同(P<0.001)。VibraTip 和 Ipswich 触诊试验结果与振动感觉阈值(P<0.001)和神经病变残疾评分(P<0.001)也具有几乎完美的一致性。
这两种简单而有效的测试易于教授、可靠且可在任何环境中使用,且两者均不需要外部电源。我们得出结论,VibraTip 和 Ipswich 触诊试验都是识别“高危”足部的可靠和敏感的测试方法。