Short Report: Care Delivery
A pocket-sized disposable device for testing the integrity of sensation in the outpatient setting
Article first published online: 14 NOV 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 12, pages 1550–1552, December 2012
How to Cite
Bowling, F. L., Abbott, C. A., Harris, W. E., Atanasov, S., Malik, R. A. and Boulton, A. J. M. (2012), A pocket-sized disposable device for testing the integrity of sensation in the outpatient setting. Diabetic Medicine, 29: 1550–1552. doi: 10.1111/j.1464-5491.2012.03730.x
- Issue published online: 14 NOV 2012
- Article first published online: 14 NOV 2012
- Accepted manuscript online: 4 JUN 2012 12:14PM EST
- Accepted 1 June 2012
Diabet. Med. 29, 1550–1552 (2012)
Aims To compare the Ipswich Touch Test and the VibraTip with the Neuropathy Disability Score and the vibration perception threshold for detecting the ‘at-risk’ foot.
Methods We directly compared the Ipswich Touch Test and the VibraTip with both the Neuropathy Disability Score ≥ 6 and the vibration perception threshold ≥ 25 V indicating ‘at-risk’ feet in 83 individuals.
Results The vibration perception threshold and Neuropathy Disability Score tests exhibited almost perfect agreement with each other (P < 0.001). The VibraTip and Ipswich Touch Test results were identical (P < 0.001). The VibraTip and Ipswich Touch Test results also exhibited almost perfect agreement with the vibration perception threshold (P < 0.001) and the Neuropathy Disability Score (P < 0.001).
Conclusions These two simple and efficient tests are easy to teach, reliable and can be used in any setting, and neither requires an external power source. We conclude that both the VibraTip and the Ipswich Touch Test are reliable and sensitive tests for identifying the ‘high-risk’ foot.