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Vibrotactile sense in patients with diabetes and carpal tunnel syndrome.

Thomsen, Niels LU ; Cederlund, Ragnhild LU ; Speidel, T and Dahlin, Lars LU (2011) In Diabetic medicine : a journal of the British Diabetic Association 28. p.1401-1406
Abstract
Aim: To evaluate vibration perception thresholds of patients with and without diabetes, before and after surgical carpal tunnel release. of patients with and without diabetes. Methods: In a prospective study, 35 consecutive patients with diabetes and carpal tunnel syndrome were age and gender matched with 31 patients without diabetes having idiopathic carpal tunnel syndrome. Preoperatively, 6, 12 and 52 weeks after surgery, the vibration perception threshold of the index and little finger (median and ulnar nerve, respectively) was measured at seven different frequencies (8, 16, 32, 64, 125, 250 and 500 Hz). Results: At several frequencies, patients with diabetes and carpal tunnel syndrome demonstrated significantly impaired vibration... (More)
Aim: To evaluate vibration perception thresholds of patients with and without diabetes, before and after surgical carpal tunnel release. of patients with and without diabetes. Methods: In a prospective study, 35 consecutive patients with diabetes and carpal tunnel syndrome were age and gender matched with 31 patients without diabetes having idiopathic carpal tunnel syndrome. Preoperatively, 6, 12 and 52 weeks after surgery, the vibration perception threshold of the index and little finger (median and ulnar nerve, respectively) was measured at seven different frequencies (8, 16, 32, 64, 125, 250 and 500 Hz). Results: At several frequencies, patients with diabetes and carpal tunnel syndrome demonstrated significantly impaired vibration perception thresholds of both the index and the little finger, before as well as after carpal tunnel release, compared with patients without diabetes with idiopathic carpal tunnel syndrome. After surgery, the overall sensibility index improved for the index finger [patients with diabetes and carpal tunnel syndrome (0.79-0.91, P < 0.001), patients without diabetes with idiopathic carpal tunnel syndrome (0.91-0.96, P > 0.05)] as well as for the little finger [patients with diabetes and carpal tunnel syndrome (0.82-0.90, P < 0.008), patients without diabetes with idiopathic carpal tunnel syndrome (0.95-0.99, P < 0.05)]. For the index finger, the sensibility index improved to a significantly higher degree for patients with diabetes and carpal tunnel syndrome not having signs of peripheral neuropathy (0.83-0.95, P < 0.001) compared with those with neuropathy (0.74-0.84, P < 0.02). Vibration perception threshold correlates with age of both patients with diabetes and carpal tunnel syndrome and patients without diabetes with idiopathic carpal tunnel syndrome, while no relationship was found based on duration of diabetes. Conclusions: Vibrotactile sense is significantly impaired in patients with diabetes before and after carpal tunnel release compared with patients without diabetes. However, patients with diabetes obtained significant recovery of vibration perception threshold, particularly those without peripheral neuropathy. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Diabetic medicine : a journal of the British Diabetic Association
volume
28
pages
1401 - 1406
publisher
Wiley-Blackwell
external identifiers
  • WOS:000296844900017
  • PMID:21480975
  • Scopus:80054704348
ISSN
1464-5491
DOI
10.1111/j.1464-5491.2011.03308.x
language
English
LU publication?
yes
id
e88232af-ea6a-448f-8ee5-ef906db2876d (old id 1937298)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21480975?dopt=Abstract
date added to LUP
2011-05-02 11:40:20
date last changed
2017-01-01 07:54:12
@article{e88232af-ea6a-448f-8ee5-ef906db2876d,
  abstract     = {Aim: To evaluate vibration perception thresholds of patients with and without diabetes, before and after surgical carpal tunnel release. of patients with and without diabetes. Methods: In a prospective study, 35 consecutive patients with diabetes and carpal tunnel syndrome were age and gender matched with 31 patients without diabetes having idiopathic carpal tunnel syndrome. Preoperatively, 6, 12 and 52 weeks after surgery, the vibration perception threshold of the index and little finger (median and ulnar nerve, respectively) was measured at seven different frequencies (8, 16, 32, 64, 125, 250 and 500 Hz). Results: At several frequencies, patients with diabetes and carpal tunnel syndrome demonstrated significantly impaired vibration perception thresholds of both the index and the little finger, before as well as after carpal tunnel release, compared with patients without diabetes with idiopathic carpal tunnel syndrome. After surgery, the overall sensibility index improved for the index finger [patients with diabetes and carpal tunnel syndrome (0.79-0.91, P &lt; 0.001), patients without diabetes with idiopathic carpal tunnel syndrome (0.91-0.96, P &gt; 0.05)] as well as for the little finger [patients with diabetes and carpal tunnel syndrome (0.82-0.90, P &lt; 0.008), patients without diabetes with idiopathic carpal tunnel syndrome (0.95-0.99, P &lt; 0.05)]. For the index finger, the sensibility index improved to a significantly higher degree for patients with diabetes and carpal tunnel syndrome not having signs of peripheral neuropathy (0.83-0.95, P &lt; 0.001) compared with those with neuropathy (0.74-0.84, P &lt; 0.02). Vibration perception threshold correlates with age of both patients with diabetes and carpal tunnel syndrome and patients without diabetes with idiopathic carpal tunnel syndrome, while no relationship was found based on duration of diabetes. Conclusions: Vibrotactile sense is significantly impaired in patients with diabetes before and after carpal tunnel release compared with patients without diabetes. However, patients with diabetes obtained significant recovery of vibration perception threshold, particularly those without peripheral neuropathy.},
  author       = {Thomsen, Niels and Cederlund, Ragnhild and Speidel, T and Dahlin, Lars},
  issn         = {1464-5491},
  language     = {eng},
  pages        = {1401--1406},
  publisher    = {Wiley-Blackwell},
  series       = {Diabetic medicine : a journal of the British Diabetic Association},
  title        = {Vibrotactile sense in patients with diabetes and carpal tunnel syndrome.},
  url          = {http://dx.doi.org/10.1111/j.1464-5491.2011.03308.x},
  volume       = {28},
  year         = {2011},
}