Reproducibility of vibration perception threshold values in children and adolescents with type 1 diabetes mellitus and associated factors

Louraki, Maria; Tsentidis, Charalampos; Kallinikou, Dimitra; Katsalouli, Marina; Kanaka‐Gantenbein, Christina; Kafassi, Nikolitsa; Papathanasiou, Astéroula; Karavanaki, Kyriaki

doi:10.1016/j.pcd.2013.11.002

Cited by 15 publications

(16 citation statements)

References 33 publications

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“…Autoimmunity status was not different in patients with and without neuropathy. Similar frequency of neuropathy (8.2%) was found in type 1 diabetes patients in SEARCH pilot study [33], although low reproducibility of vibration perception threshold values in young age was previously reported [34]. …”

Section: Discussionsupporting

confidence: 69%

The course of diabetes in children, adolescents and young adults: does the autoimmunity status matter?

et al. 2016

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BackgroundInitial classification of diabetes of young may require revision to improve diagnostic accuracy of different forms of diabetes.The aim of our study was to examine markers of beta-cell autoimmunity in a cohort of young (0–25 years) patients with type 1 diabetes and compare the presentation and course of the disease according to the presence of pancreatic antibodies.MethodsCross-sectional population-based study was performed covering 100% of pediatric (n = 860) and 70% of 18–25 years old adult patients (n = 349) with type 1 diabetes in Lithuania.ResultsNo antibodies (GAD65, IA-2, IAA and ICA) were found in 87 (7.5%) cases. Familial history of diabetes was more frequent in those with antibodies-negative diabetes (24.1 vs. 9.4%, p < 0.001). Gestational age, birth weight and age at diagnosis was similar in both groups. Ketosis at presentation was more frequent in patients with autoimmune diabetes (88.1 vs. 73.5%, p < 0.05). HbA1c at the moment of investigation was 8.6 (3) vs. 8.7 (2.2)% in antibodies-negative and antibodies-positive diabetes groups, respectively, p > 0.05. In the whole cohort, neuropathy was found in 8.8% and nephropathy - in 8.1% of cases, not depending on autoimmunity status. Adjusted for age at onset, disease duration and HbA1c, retinopathy was more frequent in antibodies-negative subjects (13.8 vs. 7.8%, p < 0.05).ConclusionAntibodies-negative pediatric and young adult patients with type 1 diabetes in this study had higher incidence of family history of diabetes, higher frequency of retinopathy, less frequent ketosis at presentation, but similar age at onset, HbA1c, incidence of nephropathy and neuropathy compared to antibodies-positive patients.

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Section: Discussionsupporting

confidence: 69%

The course of diabetes in children, adolescents and young adults: does the autoimmunity status matter?

et al. 2016

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“…In this study, it is determined that height and age influence VPT in people with type 2 DM (Table 4). These results are consistent with previous studies [38][39][40][41]. It is known that age is the main determinant of VPT values, increasing VPT with age [22,36,42].…”

Section: Discussionsupporting

confidence: 93%

“…However, in people with DM, this is somewhat controversial. Some studies indicate that BMI does influence VPT values [38], but some do not [49]. Data obtained in this article cannot confirm whether this relationship applies to people with type 2 DM.…”

Section: Discussioncontrasting

confidence: 75%

Test-Retest Reliability of Vibration Perception Threshold Test in People with Type 2 Diabetes Mellitus

Domínguez‐Muñoz

Adsuar

Villafaina

et al. 2020

IJERPH

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Background: Diabetes mellitus is a chronic disease characterized by fasting hyperglycemia. It affects approximately 415 million people worldwide and involves a variety of complications. One of them is the loss of sensitivity to peripheral vibration. Objective: Our study aims to discover the test-retest reliability of a procedure for assessing vibration sensitivity in people with type 2 diabetes mellitus. Methodology: 90 people with type 2 diabetes mellitus (56 men and 34 women) performed the vibration perception threshold (VPT) test using the Vibratron II device. A re-test was completed seven days after the first reading. Results: The relative reliability of the VPT test result is excellent (intraclass correlation coefficient = 0.96). The same applies to gender and obesity subgroups. Regarding absolute reliability, the standard error of measurement is 8.99%, and the small real difference is 24.94%. Conclusions: The relative and absolute reliability results of the vibration perception threshold in people with type 2 diabetes mellitus offer excellent results.

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“…Interestingly, even children with toe-walking gait show different VPTs than controls, reflecting physiological changes in the localized receptors within the skin or at a neural perception level in these children [ 36 ]. In most of previous studies, the Biothesiometer has been used to detect vibrotactile perception, but again applied at non-tactile surfaces [ 12 , 28 , 37 ]. However, the gold standard is still electrophysiology, which is a more complicated method unsuitable for screening in clinical routine [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Vibrotactile Perception in Finger Pulps and in the Sole of the Foot in Healthy Subjects among Children or Adolescents

et al. 2015

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AimsTo evaluate vibrotactile perception at different frequencies in fingers and in foot in healthy girls and boys.MethodsVibration perception thresholds (VPTs) were measured in 283 healthy (8–20 years), consecutively included, girls (n=146) and boys (n=137); i.e., 269 children after excluding those with diseases or disorders possibly affecting the nervous system. Thresholds were measured in finger pulps of index and little fingers (seven frequencies; 8–500 Hz) and at first and fifth metatarsal head and at heel in the sole of the foot (six frequencies; 8–250 Hz;) using Multi Frequency Tactilometry.ResultsVPTs, divided in six groups by age and gender (i.e., 8–10 years, 11–15 years and 16–20 years), at all three sites in the sole increased with higher frequencies, but without gender differences. Thresholds at 64 and 125 Hz were generally higher at heel compared to metatarsal heads. VPTs in finger pulps of index and little fingers, with no finger differences, had a different pattern with increasing thresholds with frequency, but with lower thresholds at 64 and 125 Hz. Thresholds at lower frequencies were higher in finger pulps, while at higher frequencies VPTs were lower in finger pulps than in the sole of the foot; thus, vibration perception in the sole was better than perception in finger pulps at lower frequencies and opposite at higher frequencies. VPTs were higher among adolescents than in younger children in the foot, while thresholds were lower in the finger pulps among adolescents, particularly in index finger. Thresholds in finger pulps of index and little fingers, particularly at higher frequencies, correlated with each other, which the three sites in the sole also did.ConclusionsVPTs in fingers and in feet are different as related to frequency in healthy girls and boys. Multi Frequency Tactilometry is a future valuable method to detect neuropathy in children and adolescents.

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Reproducibility of vibration perception threshold values in children and adolescents with type 1 diabetes mellitus and associated factors

Cited by 15 publications

References 33 publications

The course of diabetes in children, adolescents and young adults: does the autoimmunity status matter?

The course of diabetes in children, adolescents and young adults: does the autoimmunity status matter?

Test-Retest Reliability of Vibration Perception Threshold Test in People with Type 2 Diabetes Mellitus

Vibrotactile Perception in Finger Pulps and in the Sole of the Foot in Healthy Subjects among Children or Adolescents

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