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Hi,

I'm hoping that someone can point me in the right direction to find some current evidence-based guidelines on neurovascular assessment techniques for people with diabetes...

I've recently commenced my first full time job at a teriatry hospital podiatry dept and was hoping to update the department's assesement guidelines as there appears to be a large disparity between agreed assessment techniques across the majority of the staff.

I was looking specifically for current literature on:
1. The current thought behind vibration perception testing; minimum threshold detection with a graduated tuning fork vs non-threshold detection.
2. The most appripriate hot/cold temperature discrimination testing sites e.g. plantar vs dorsal approach.
3. Sharp/blunt discrimination using neurotips and variability in detection being dependent on the amount of pressure applied by the operator i.e. neurotip applied to foot surface manually by hand, or loaded into neurotip holder.

Any guidance to useful articles or clinical insight would be much appreciated.

Cheers

 

Hi,

I can't help I'm afraid, but these people will be able to.

If you are not already a member and are working with patients with diabetes you should join. The group is multidisciplinary too, which is useful.

 

hi davidh thanks for your reply. Unfortunately the diabetes group won't be very useful to me as I am working in Australia not the UK.

 

Hi

Anyone in the world can join FDUK (Foot in diabetes UK). We welcome everyone!
We've got members from UK, Republic of Ireland, USA, Spain, Portugal, Singapore, Tasmania, Australia, New Zealand etc etc.