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KMID : 0191120030180010103
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Journal of Korean Medical Science
2003 Volume.18 No. 1 p.103 ~ p.107
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Clinical Usefulness of the Two-site Semmes-Weinstein Monofilament Test for Detecting Diabetic Peripheral Neuropathy
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Yun Jin Kim/Sang Yeoup Lee
Hyeun Ho Kim/Sang Han Choi/Yong Soon Park/Yun Jin Kim/Byeung Man Cho
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Abstract
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The present study was done to validate the two-site Semmes-Weinstein (SW) monofilament test in identifying patients at risk of lower-extremity complications in clinical setting. The SW monofilament test and nerve conduction study were conducted on type 2 diabetic patients (n=37) at Pusan National University Hospital in Korea. As the duration of diabetes mellitus was longer, neuropathy identified by nerve conduction study and complications of diabetes were more severe (p<0.01). The number of sites unable to perceive SW monofilament (p<0.001) was larger in patients with lower-extremity neuropathy symptoms than those without symptoms. Sensitivity and specificity at two sites (the third and fifth metatarsal head sites) were 93% and 100%, respectively. In conclusion, the two-site SW monofilament test was a sensitive, specific, simple, and inexpensive screening tool for identifying diabetic peripheral neuropathy in clinical setting.
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KEYWORD
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Diabetes Mellitus, Diabetic Neuropathies, Diabetic Foot, Diagnosis,
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