Relation between limited joint mobility and peripheral nerve function in diabetic children

In order to assess the relation between limited joint mobility (LJM) and peripheral nerve function in diabetic children, peroneal nerve amplitude and motor conduction velocity as well as sural nerve amplitude and distal latency were measured with a Medelec MSG electromyograph. LJM was examine...

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Main Authors: C Fiçicioğlu, M Kiziltan, A Aydin, P Baslo
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 1996-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/3515
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author C Fiçicioğlu
M Kiziltan
A Aydin
P Baslo
author_facet C Fiçicioğlu
M Kiziltan
A Aydin
P Baslo
author_sort C Fiçicioğlu
collection DOAJ
description In order to assess the relation between limited joint mobility (LJM) and peripheral nerve function in diabetic children, peroneal nerve amplitude and motor conduction velocity as well as sural nerve amplitude and distal latency were measured with a Medelec MSG electromyograph. LJM was examined by observing the hands in the prayer position of 60 unselected diabetic children (average age 11.2 +/- 3.1 years; mean duration of diabetes 4.1 +/- 3 years) and 31 healthy controls. Of 60 patients, 38.3 percent had limited joint mobility. no influence of sex on expression of LJM was found. Its appearance was influenced by age, duration of diabetes and metabolic control (HbA1c) (p < 0.001, p < 0.001, p < 0.001, respectively). The mean amplitude, nerve conduction velocity and distal latency values in diabetic children with LJM were slower than those in the normal control group (peroneal amplitude p < 0.01), peroneal MCV p < 0.001, sural amplitude p < 0.001, sural distal latency p < 0.001). Of four patients with stage IV LJM, three had symptomatic neuropathy diagnosed using the criteria suggested by Dyck. Consequently, LJM identifies a population at risk for development of diabetic neuropathy. Thus, being easy and sensitive, LJM determination may provide both the physician and the patient himself with an important motivation to improve diabetic control in an effort to prevent diabetic neuropathy.
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spelling doaj-art-c5edcbb88e3e458dacba8997b3b2412a2025-08-20T02:58:14ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64211996-10-01384Relation between limited joint mobility and peripheral nerve function in diabetic childrenC Fiçicioğlu0M KiziltanA AydinP BasloDepartment of Pediatrics, Istanbul University Cerrahpaşa Faculty of Medicine, Istanbul. In order to assess the relation between limited joint mobility (LJM) and peripheral nerve function in diabetic children, peroneal nerve amplitude and motor conduction velocity as well as sural nerve amplitude and distal latency were measured with a Medelec MSG electromyograph. LJM was examined by observing the hands in the prayer position of 60 unselected diabetic children (average age 11.2 +/- 3.1 years; mean duration of diabetes 4.1 +/- 3 years) and 31 healthy controls. Of 60 patients, 38.3 percent had limited joint mobility. no influence of sex on expression of LJM was found. Its appearance was influenced by age, duration of diabetes and metabolic control (HbA1c) (p < 0.001, p < 0.001, p < 0.001, respectively). The mean amplitude, nerve conduction velocity and distal latency values in diabetic children with LJM were slower than those in the normal control group (peroneal amplitude p < 0.01), peroneal MCV p < 0.001, sural amplitude p < 0.001, sural distal latency p < 0.001). Of four patients with stage IV LJM, three had symptomatic neuropathy diagnosed using the criteria suggested by Dyck. Consequently, LJM identifies a population at risk for development of diabetic neuropathy. Thus, being easy and sensitive, LJM determination may provide both the physician and the patient himself with an important motivation to improve diabetic control in an effort to prevent diabetic neuropathy. https://turkjpediatr.org/article/view/3515
spellingShingle C Fiçicioğlu
M Kiziltan
A Aydin
P Baslo
Relation between limited joint mobility and peripheral nerve function in diabetic children
The Turkish Journal of Pediatrics
title Relation between limited joint mobility and peripheral nerve function in diabetic children
title_full Relation between limited joint mobility and peripheral nerve function in diabetic children
title_fullStr Relation between limited joint mobility and peripheral nerve function in diabetic children
title_full_unstemmed Relation between limited joint mobility and peripheral nerve function in diabetic children
title_short Relation between limited joint mobility and peripheral nerve function in diabetic children
title_sort relation between limited joint mobility and peripheral nerve function in diabetic children
url https://turkjpediatr.org/article/view/3515
work_keys_str_mv AT cficicioglu relationbetweenlimitedjointmobilityandperipheralnervefunctionindiabeticchildren
AT mkiziltan relationbetweenlimitedjointmobilityandperipheralnervefunctionindiabeticchildren
AT aaydin relationbetweenlimitedjointmobilityandperipheralnervefunctionindiabeticchildren
AT pbaslo relationbetweenlimitedjointmobilityandperipheralnervefunctionindiabeticchildren