Since foot care nurses are often the only ones who actually examine the patients feet, it would be a great service to provide these tests every 6 months. Both help identify sensory neuropathy which is common in diabetics and can lead to ulceration. The first uses a standard stethoscope and a 128 HZ tuning fork. Two of the most important diagnostic tools are the monofilament and the tuning fork. These preliminary findings are based on a small sample size thus further research is warranted. There are two ways to diagnose a fracture with a tuning fork.
10 gram monofilament OR loss of sensitivity to vibration (128Hz tuning fork). This study suggests that assessment of vibration sensation with the tuning fork may be unreliable. Usually determined by loss of sensitivity to.
Overall, there was 66.2% agreement between the results obtained from the two investigators using the tuning fork at each site however, Kappa values only reached statistical significance at one site, indicating variability between the results from the two tools. There was a positive correlation between the results for the two methods of assessment for both investigators, and also between the results for both tools at three individual sites. A quota sample of patients (n = 21 age range 43-73 years) were assessed using the neurothesiometer and tuning fork by two investigators at five sites on both feet. The current study compared the effectiveness of the graduated tuning fork (128 Hz) and the neurothesiometer in assessing vibration sensation perception in patients presenting with type II diabetes mellitus.
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