CENTRAL LOOP VERSUS CONVENTIONAL H-REFLEX IN DIABETIC NEUROPATHIC PATIENTS

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EMAD M.R.; GHEYSI A.R.

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Journal: Armaghane Danesh Year:2009 | Volume:14 | Issue:2 (54) Page(s): 127-136

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Title

CENTRAL LOOP VERSUS CONVENTIONAL H-REFLEX IN DIABETIC NEUROPATHIC PATIENTS

Author(s)

EMAD M.R. | GHEYSI A.R. | Issue Writer Certificate

Keywords

CENTRAL LOOPQ3

H-REFLEXQ3

DIABETIC NEUROPATHYQ2

Abstract

Introduction and Objective: Diabetes mellitus is the most prevalent endocrine disease and one of the most common causes of peripheral neuropathy. Neither conventional electrodiagnostic nor imaging studies (even MRI of lumbosacral vertebrae) can precisely differentiate concomitant radiculopathy (e.g. S1-root irritation) and diabetic peripheral polyneuropathy. This usually leads to unnecessary surgical interventions and its complications. In this study, S1-roots of diabetic neuropathic patients with impaired conventional H-REFLEXes were evaluated by the CENTRAL LOOP of gastrocnemius-soleus H-REFLEXes.Materials and Methods: This descriptive study was performed in the clinics of Shiraz medical school in 1387 (2008). Forty two diabetic patients (14 males and 28 females with a mean age of 48.2 years) with unobtainable or abnormal conventional gastrocnemius-soleus H-REFLEXes and peripheral neuropathy were enrolled. The CENTRAL LOOP of H-REFLEX was performed bilaterally by stimulating S1-root with a monopolar needle and recorded in the half way of the line from popliteal crease to the medial malleolus. Collected data were analyzed by McNemar test, using SPSS software.Results: Of 84 limbs with impaired conventional H-REFLEXes, 82 limbs (97.6%) had the CENTRAL LOOP of H-REFLEXes with latencies less than 8 ms. All the limbs with abnormally prolonged conventional H-REFLEXes' latencies had the CENTRAL LOOP of H-REFLEXes' latencies in the range of 5.5-7.85 ms. The latency of CENTRAL LOOP of H-REFLEX in this study was 6.34 ± 0.96 ms with the range of 4.3-7.85 ms.Conclusion: In case the conventional H-REFLEX is impaired, the CENTRAL LOOP of H-REFLEX in diabetic neuropathic patients offers a valuable approach for investigating S1-root. It seems that this approach leads to a better diagnosis of the absence of radiculopathy and a decrease in the rate of unnecessary surgical interventions and its complications in diabetics.

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APA: Copy

EMAD, M.R., & GHEYSI, A.R.. (2009). CENTRAL LOOP VERSUS CONVENTIONAL H-REFLEX IN DIABETIC NEUROPATHIC PATIENTS. ARMAGHAN DANESH, 14(2 (54)), 127-136. SID. https://sid.ir/paper/77909/en

Vancouver: Copy

EMAD M.R., GHEYSI A.R.. CENTRAL LOOP VERSUS CONVENTIONAL H-REFLEX IN DIABETIC NEUROPATHIC PATIENTS. ARMAGHAN DANESH[Internet]. 2009;14(2 (54)):127-136. Available from: https://sid.ir/paper/77909/en

IEEE: Copy

M.R. EMAD, and A.R. GHEYSI, “CENTRAL LOOP VERSUS CONVENTIONAL H-REFLEX IN DIABETIC NEUROPATHIC PATIENTS,” ARMAGHAN DANESH, vol. 14, no. 2 (54), pp. 127–136, 2009, [Online]. Available: https://sid.ir/paper/77909/en

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