![]() ![]() We conclude that the Rydel-Seiffer graduated tuning fork is a suitable tool for screening for sensation loss and that diabetic patients with a tuning-fork score of less than or equal to 4.0 are vulnerable to ulceration. The tuning fork score was less than or equal to 4.0 in 95% of the ulcerated feet. While most clinicians do not have access to vibration perception threshold testing, most have access to the tuning fork. Age-related Rydel-Seiffer tuning fork vibration sensation was impaired in 79% of 38 ulcerated feet of 26 patients. It correlated well (r = -0.90, p less than 0.001) with the thresholds obtained with an electromagnetic instrument (Vibrameter) in diabetic patients, in whom vibration perception score was impaired compared with control subjects (4.0 +/- 1.8 (+/- SD) vs 5.4 +/- 1.4, p less than 0.001). VibraTip was selected by the Medical Technologies Advisory Committee (MTAC) to undergo evaluation through the National Institute for Health and Care Excellence (NICE). With the tuning fork, four patients stated that they could feel ‘some’ vibration from the non-vibrating tuning. 10, 27, 28 Three-site testing does not have a significant difference in performance compared to four-site testing, but is a faster and even simpler test to conduct. Temperature perception may also be checked with a tuning fork, which is more precise than touch pressure in. Reliability is equivalent to 10g monofilament and 128-Hz tuning fork, with a sensitivity of 51100 and specificity of 6898. The vibrations of the tuning-fork I have used also produce a vibrating feeling in all healthy. Vibration perception score measured with the tuning fork declined with age (p less than 0.001) in the control subjects. diabetes might not feel heat, cold, or pain. its vibrations are not always felt, even in the normal state. The performance of the Rydel-Seiffer graduated tuning fork was examined in healthy subjects and in various groups of diabetic patients in order to evaluate its efficacy for identifying patients whose loss of vibration sensation may expose them to the risk of foot injury. ![]()
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