{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:12:42Z","timestamp":1760217162684},"reference-count":0,"publisher":"American Diabetes Association","issue":"10","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[1990,10,1]]},"abstract":"<jats:p>To find a simple and reliable means to measure vibration sensations, 189diabetic patients and 88 control subjects were tested at different sites with a graduated tuning fork. Within-test variation at big toes reached 8.4% in diabetic patients vs. 2.2% in control subjects. Mean contralateral variation was 7.5% in diabetic patients vs. 2.5% in control subjects. Tuning-fork sensations were inversely correlated with duration of diabetes, whereas no correlation was found with HBA1c levels or the severity of retinopathy. Ninety-nine (52%) patients had vibratory sensation at big toes of &amp;lt;99th percentile of normal values for age. In addition, 51% of the patients with clinical symptoms at extremities (n = 67), 70% of the patients without tendon reflexes (n = 50), and 75% of the patients with abnormal nerve conduction velocities (n = 60) also had low vibration sensations. All patients with lower-limb injuries (n = 7) had values at big toes of &amp;lt;2. Altogether, the graduated tuning fork represents a simple and reliable alternative to quantitate vibration sensations. Long-term follow-up of asymptomatic patients willindicate whether these abnormalities reflect underlying neuropathy. Patientswith abnormal values at screening will necessitate additional investigationsand special foot-care education programs.<\/jats:p>","DOI":"10.2337\/diacare.13.10.1077","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T22:51:27Z","timestamp":1173135087000},"page":"1077-1080","update-policy":"http:\/\/dx.doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":42,"title":["Measuring Vibration Sensations With Graduated Tuning Fork: Simple and Reliable Means to Detect Diabetic Patients at Risk of Neuropathic Foot Ulceration"],"prefix":"10.2337","volume":"13","author":[{"given":"Charles","family":"Thivolet","sequence":"first","affiliation":[{"name":"Endocrinology Branch, Antiquaille Hospital\u2008Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James El","family":"Farkh","sequence":"additional","affiliation":[{"name":"Endocrinology Branch, Antiquaille Hospital\u2008Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoinette","family":"Petiot","sequence":"additional","affiliation":[{"name":"Endocrinology Branch, Antiquaille Hospital\u2008Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal","family":"Simonet","sequence":"additional","affiliation":[{"name":"Endocrinology Branch, Antiquaille Hospital\u2008Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Tourniaire","sequence":"additional","affiliation":[{"name":"Endocrinology Branch, Antiquaille Hospital\u2008Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1167","container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/13\/10\/1077\/439630\/13-10-1077.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/13\/10\/1077\/439630\/13-10-1077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T00:48:28Z","timestamp":1647046108000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/13\/10\/1077\/2132\/Measuring-Vibration-Sensations-With-Graduated"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,10,1]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[1990,10,1]]}},"URL":"https:\/\/doi.org\/10.2337\/diacare.13.10.1077","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,10,1]]}}}