title: Comparison of nerve conduction studies with diabetic neuropathy symptom score and diabetic neuropathy examination score in type-2 diabetics for detection of sensorimotor polyneuropathy.
abstract: OBJECTIVE
  To compare the nerve conduction studies in clinically undetectable and detectable sensorimotor polyneuropathy in type 2 diabetics.
  
  
  METHODS
  Diagnosed diabetics (n = 60) were divided in two groups. Group 1 (n1 = 30) with clinically undetectable and group 2 (n2 = 30) with clinically detectable Diabetic Polyneuropathy. Detection of the sensorimotor neuropathy was done according to Diabetic Neuropathy Symptom Score and Diabetic Neuropathy Examination scores. The simplified nerve conduction studies protocol was followed in recording amplitudes, velocities and latencies of minimum two (Sural, Peroneal) and maximum six i.e. three sensory (Sural, Ulnar, Median) and three motor (Peroneal, Ulnar, Tibial) nerves.
  
  
  RESULTS
  The comparisons were done between different parameters of nerve conduction studies with the neurological scores in undetectable and detectable groups using Pearson's chi square test. The amplitudes, velocities, latencies, outcome and grading of neuropathy in nerve conduction studies when compared with neurological detection scores showed a significant relation in each group regarding evaluation (p = 0.005, p = 0.004, p = 0.05, p = 0.00001, p = 0.003 respectively).
  
  
  CONCLUSIONS
  Diabetic Neuropathy Symptom Score and Diabetic Neuropathy Examination Score together can help in prompt evaluation of the diabetic sensorimotor polyneuropathy though nerve conduction study is more powerful test and can help in diagnosing subclinical cases.
authors.affiliation: Army Medical College/NUST, Rawalpindi.
authors.forename: Ambreen
authors.initials: A
authors.lastname: Asad
authors.forename: Muhammad Amjad
authors.initials: MA
authors.lastname: Hameed
authors.forename: Umar Ali
authors.initials: UA
authors.lastname: Khan
authors.forename: Mujeeb-ur-Rahman Abid
authors.initials: MU
authors.lastname: Butt
authors.forename: Nadeem
authors.initials: N
authors.lastname: Ahmed
authors.forename: Amina
authors.initials: A
authors.lastname: Nadeem
mesh_terms: D003430:Cross-Sectional Studies; D003929:Diabetic Neuropathies / Q000175:diagnosis*; D004568:Electrodiagnosis / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009431:Neural Conduction; D010543:Peroneal Nerve / Q000503:physiopathology; D013979:Tibial Nerve / Q000503:physiopathology