Abstract:
OBJECTIVE:To promote foot screening of inpatients with diabetes, we simplified sensory testing to lightly touching the tips of the first, third, and fifth toes (the Ipswich Touch Test [IpTT]). RESEARCH DESIGN AND METHODS:Respective performances of the IpTT and 10-g monofilament (MF) were compared with a vibration perception threshold of ≥25 V indicating at-risk feet in 265 individuals. The IpTT and MF were also directly compared. RESULTS:With ≥2 of 6 insensate areas signifying at-risk feet, sensitivities and specificities, respectively, were IpTT (77 and 90%), MF (81 and 91%); positive predictive values were IpTT (89%), MF (91%); and negative predictive values were IpTT (77%), MF (81%). Directly compared, agreement between the IpTT and MF was almost perfect (κ=0.88, P<0.0001). Interrater agreement for the IpTT was substantial (κ=0.68). CONCLUSIONS:The IpTT performs well against a recognized standard for ulcer prediction. Simple to teach, reliable, without expense, and always at hand, it should encourage uptake of screening and detection of high-risk inpatients requiring foot protection.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Rayman G,Vas PR,Baker N,Taylor CG Jr,Gooday C,Alder AI,Donohoe Mdoi
10.2337/dc11-0156subject
Has Abstractpub_date
2011-07-01 00:00:00pages
1517-8issue
7eissn
0149-5992issn
1935-5548pii
dc11-0156journal_volume
34pub_type
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