diabetic neuropathy tool and methodology

PProblem statement

A descriptive study to assess the prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

Objectives:

1.      To assess the prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

2.      To associate the selected demographic variables with prevalence of diabetic neuropathy among diabetic client who visit to diabetic OPD in AIIMS Rishikesh. UK

Methodology

Research approach: quantitative approach

Research design: non experimental descriptive study

Target population: Diabetic Clients

Accessible population: client who visit to diabetic OPD AIIMS Rishikesh

Sample size: 100

Sample design: non probability sampling technique

Sampling technique:  purposive sampling technique

Instrument used: standard scale of sensory and reflex assessment or Semmes Weinstein Monofilament Testing

Data collection method:  Bio-physiological (invitro)

Analysis and interpretation of data:  descriptive and inferential statistics.

Discussion

Report writing

Demographic variable:

1.      Age:

a)      31 to 40 yrs

b)      41-50 yrs

c)      51-60 yrs

d)     >60 yrs

2.      Sex

a)      Male

b)      Female

3.      Educational status:

a)      Uneducated

b)      Primary

c)      Secondary

d)     Higher secondary

e)      Under graduate

f)       Post graduate

g)      Others

4.      Place of living

a)      Rural

b)      urban

5.      Duration of illness (Diabetes mellitus)

a)      <5 yrs

b)      5 -10 yrs

c)      11-15 yrs

d)     16-20 yrs

e)      >20yrs

6.      Suffering with any of  given illnesses

a)      Kidney disease

b)      Vitamin B12 deficiency

c)      Neither a and b

7.      Habits

a)      Just alcoholism

b)      Just smoking

c)      Both Alcohol and smoking

d)     None

Standard tools for Sensory, motor and   Reflex assessment

1.      light touch  (kinesthetic)

2.      sharp and blend test  (pain)  (if perceived don’t go for further test)

3.      hot and cold test (temperature)

4.      vibration sensation

5.      Muscle strength and movement

6.      Ankle reflexes or Achilles Reflex 

(If possible Semmes Weinstein Monofilament Testing can be used)

Sensory Assessment	Well Perceived	Moderately perceived	Slightly perceived	Not perceived	Remarks
Score	3	2	1	0
light touch (kinesthetic sensation)
sharp and blend test  (pain)
hot and cold test (temperature)
vibration sensation

Muscle strength and movement	Normal motor power	Able to overcome the gravity with resistant	Able to overcome the gravity without resistance	Unable to overcome the gravity	Flicker movements	Total paralysis
Score	5	4	3	2	1	0

Ankle/Achilles reflexes	Hyperactive	Brisker than normal	Normal	Diminished	Absent
Score	4+	3+	2+	1+	0