Code : 9822-352194      Created Date : Wednesday, December 28, 2016   Visit : 2432

10th World Congress of International Physical and Rehabilitation Medicine (ISPRM)

The report of 10th World Congress of International Physical and Rehabilitation Medicine (ISPRM) by Mostafa Azimi
Application Code :
306-0216-0108
 
Created Date : Monday, May 23, 2016-23:53 23:53:33Update Date : Friday, September 30, 2016-11:36 11:36:16
IP Address : 151.240.42.125Submit Date : Friday, September 30, 2016-11:37 11:37:26Email : DR.m.azimi@gmail.com
Personal Information
Name : Mostafa
Surname : Azimi
School/Research center : School of Medicine
If you choose other, please name your Research center :  
Position : student
Tel : +98-21-44270621
Information of Congress
Title of the Congress : 10th World Congress of International Physical and Rehabilitation Medicine (ISPRM)
Title of your Abstract : Comparing clinical indicators and neurophysiological findings of Sural and Peroneal nerves in detection of diabetic neuropathy
Destination Country : Malaysia
From : Sunday, May 29, 2016
To : Thursday, June 2, 2016
Abstract(Please copy/paste the abstract send to the congress) : Abstract title :

Comparing clinical indicators and neurophysiological findings of Sural and Peroneal nerves in detection of diabetic neuropathy

M. Azimi 1, S.P. Madani 2, B. Forogh 2
1. Sports Medicine Research Center- Neuroscience Institute, Sports Medicine Department- Tehran University of Medical Sciences, Tehran, Iran, 
2. Physical Medicine and Rehabilitation, Department of
Physical Medicine and Rehabilitation- Iran University of Medical
Sciences, Tehran, Iran

Introduction/Background :

Some clinical scoring systems as the quantitative tools have been developed to assess presence and severity of diabetic neuropathy based on both the patient’s complaints and the physician’s findings. The present study goaled to assess the presence and severity of the sural and peroneal nerve abnormalities using the Michigan Neuropathy Screening Instrument (MNSI) and the United Kingdom (UK) questionnaire compared with the electrophysiological assessments.

Material and Methods :

This cross-sectional study was conducted on 148 patients who suffered diabetes mellitus type I or II referred to Physical medicine and rehabilitation clinic. The findings of electrophysiological study such as Deep Peroneal and sural nerves conduction delay, velocity and amplitude were gathered. The patients were also assessed regarding clinical neuropathy status using the two instruments of MNSI and UK.

Results:

Our study showed a significant agreement between electrophysiological assessment and both MNSI and UK tools in diagnosis of sural nerve neuropathy, however diagnostic agreement was not found between these tools and electrophysiological study in detection of Deep peroneal nerve neuropathy which is due to the weakness of screening questionnaires in detection of motor neuropathies.Based on the MNSI questionnaire, the main determinants of diabetic neuropathy included age higher than 50 years and disease duration longer than 10 years. Based on the UK questionnaire, female gender and diabetes duration longer than 10 years could predict diabetic neuropathy. According to electrophysiological assessment, age higher than 50 years was more prevalent with sural nerve neuropathy.

Conclusion :

EDx particularly Peroneal nerve conductive status are helpful methods to assess peripheral diabetic neuropathy. Clinical assessment using MNSI and UK questionnaire are also cost-benefit and available tools in screening suspected patients to neuropathy, especially predominantly sensory distal polyneuropathic processes.

Due to weakness of screening tools in early detection of motor neuropathic process, routine electrodiagnostic evaluation of such patients, in spite of normal screening, is recommended.
Keywords of your Abstract : Diabetic neuropathy 
Electrodiagnosis
Neuropathy screening
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/30435/Forms/306/Accept_letter.pdf
The presentation : Poster
The Cover of Abstract book : http://gsia.tums.ac.ir/images/UserFiles/30435/Forms/306/front1.pdf
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/30435/Forms/306/article.pdf
Where has your abstract been indexed? : ISI
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : 1,600 participants
Delegates from which countries presented in the congress? : USA, Australia, Spain, Italy, Japan, Sweden, Belgium, Singapore, Iran, Canada, Germany, United Kingdom, Netherlands ...
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : International Society of Physical and Rehabilitation Medicine, American Academy of Physical Medicine and Rehabilitation, Foundation for Physical Medicine and Rehabilitation, malaysian association of rehabilitation physicians, European Society of Physical and Rehabilitation Medicine
What were the responses to your talking points? Were specific questions or concerns raised? : They interested that a Resident participate in PM&R Specialist congress and presenting an article and also I were the only resident from all 7 Iranian participants. my article is about good screening in early detection of diabetic neuropathy,I get positive feedback because last year was named for diabetic neuropathy and they welcome any idea to early diagnosing and preventing it
If you met staff members, please list their full names & positions. : Prof. Zaliha Omar (Congress President)
Prof. David Cifu (Editor-in-Chief of Braddom’s Physical Medicine and Rehabilitation textbook)
Dr. Mark Hurdle (Departments Pain Medicine Physical Medicine and Rehabilitation,Mayoclinic)
Prof. Levent Özçakar (founder of WORLD-MUSCULUS and USPRM regarding musculoskeletal ultrasonography)
Please inform us if there are any follow up actions we need to talk with the members of the congress : Musculoskeletal ultrasonography in diagnosing and treating MSK patients raising rapidly nowadays,and become better than MRI because of easy accessibility and having lower prices, but there isn't good courses in Iran , you can talk the MSK sonography Handeler to arrange courses in this field for residents
Your experiences about the travel processes(Providing ticket, accommodation,...) : I bought tour package for ticket and hotel, 
I choose hotel near the convention center because I went Congress everyday from 8 AM to 7PM and in formal dress in really hot wheater
Please give a briefing of your own observations and outcomes of the congress: : * I visited Malaysia last year and it's my second travel just because of ISPRM congress, so I spend most of time in congress panels and presentations
* In General please more facilitate Participation of Residents ( Students) in international congress and give them financial support and free time in their residency 
* Improving resident exchange system can help to Import uptodate knowledge and practical experience to our country
* Connection with international scientific person can bright new and different idea in mind 
* International communication is very good opportunity to improve English language better than any English classes

 

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