Original Research Article
Year: 2019 | Month: May | Volume: 9 | Issue: 5 | Pages: 196-201
Sural Nerve Electrophysiologic Profile in Normals and Type2 Diabetics of Dissimilar Duration
Sowjanya Maruboyina1, Sanjeev Attry2, Kusuma Kumari. B3, Kranthi Kumar. M1, Eswar Reddy. K4, Sunil Kumar5, Ch. Sai Nikitha 6
1Associate Professor, Department of Neuro Physiotherapy, Durgabai Deshmukh College Of Physiotherapy, DDMS (AMS), Hyderabad, Telangana, India.
Research Scholar in physiotherapy, NIMS University Rajasthan, Jaipur, India.
2Associate Professor, Department of Neuro Surgery, NIMS University Rajasthan, Jaipur, India.
3Professor, Department of Physiology, MRIMS, Hyderabad, Telangana, India.
4Professor, SIMS College of Physiotherapy, Guntur, A.P, India.
5Professor, Principal, NIMS College of Physiotherapy , NIMS University Rajasthan, Jaipur, India.
6MPT Student, Durgabai Deshmukh College Of Physiotherapy, DDMS (AMS), Hyderabad, Telangana, India.
Corresponding Author: Sowjanya Maruboyina
ABSTRACT
Background and Purpose: Diabetes is the disease of major concern of all in the present Era. The morbidity, mortality and economical burden due to this illness is escalating at a faster pace. The incidence of foot complications like ulcers and amputations are getting increased because of late diagnosis of distal symmetrical peripheral neuropathy which is the common complication of Diabetes. In this the distal sensory nerves are affected commonly due to length dependent relation. Sural nerve which carries sensory information from lateral aspect of sole is involved most frequently. The morbidity is increased due to pain, numbness, pins and needles sensations. So early detection of this sensory neuropathy by evaluating Sural NCS will help the individuals to decrease the complications and improve quality of life.
Methods: 20 participants with type2 diabetes were selected into the study, they were distributed into 2 groups, 10 individuals with less than 10yrs of diabetes duration and 10 with more than 10 yrs of diabetes duration. 10 age matched normal individuals were taken in the control group. For all the participants electro physiologic parameters of Sural Nerve were recorded bilaterally by making use of EMG OCTOPUS clarity machine.
Results: Results of latency, amplitude and conduction velocity were analysed by micro soft excel and Graph pad prism software. Statistical significance was measured with p value less than 0.05
Conclusion- All 20 Diabetic individuals have shown decrease in amplitude and conduction velocity and increase in latency when compared to normal individuals. The values were more altered in diabetics of longer duration.
Key words: Type2 Diabetes, Sensory Neuropathy, Latency, Amplitude, Sural NCV.