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Comparative Study
. 1994 Jun;17(6):557-60.
doi: 10.2337/diacare.17.6.557.

The prediction of diabetic neuropathic foot ulceration using vibration perception thresholds. A prospective study

M J Young  1 , J L Breddy, A Veves, A J Boulton
Affiliations
Comparative Study

The prediction of diabetic neuropathic foot ulceration using vibration perception thresholds. A prospective study

M J Young et al. Diabetes Care. 1994 Jun.

Abstract

Objective: To assess the ability of vibration perception threshold (VPT) to predict the development of diabetic foot ulceration.

Research design and methods: A prospective follow-up study of consecutive patients with vibration perception measured by biothesiometry from April 1988 to March 1989. Patients were stratified in various risk groups.

Results: Patients with a VPT < 15 V had a cumulative incidence of foot ulceration of 2.9% compared with 19.8% in patients with a VPT > 25 V, odds ratio (OR) 7.99 (3.65-17.5, 95% confidence intervals), P < 0.01. The incidence of ulceration increased with duration of diabetes, but even with this effect removed, the excess of ulceration persisted, OR 6.82 (2.75-16.92), P < 0.01.

Conclusions: VPT is an effective predictor of the risk of foot ulceration in diabetes and therefore could be used to target foot-care education to those patients most likely to benefit and, thereby, possibly improve its effectiveness.

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