01623nas a2200385   4500000000100000008004100001260001700042653001000059653001000069653002800079653002800107653001100135653001100146653001200157653000900169653002100178653001600199653002800215653002700243653001300270653001900283653001400302653002300316653001400339100001600353700001400369700001700383700001400400245004700414300001000461490000700471050003200478520071300510022001401223       1990                            d  c1990 Oct-Dec10aAdult10aAnkle10aArthropathy, Neurogenic10aChi-Square Distribution10aFemale10aHumans10aleprosy10aMale10aMechanoreceptors10aMiddle Aged10aNervous System Diseases10aNeurologic Examination10aPressure10aProprioception10aSensation10aSensory Thresholds10aVibration1 aKlenerman P1 aHammond C1 aKulkarni V N1 aMehta J M00aVibration sense and tarsal disintegration.  a422-80 v62  aInfolep Library - available3 a<p>The extent of loss of vibration and pressure sensations was assessed in 21 leprosy patients with disintegration of the tarsus. Feet which had and did not have tarsal disintegration both showed severe impairment of pressure sensation, but the loss of vibration sense was more severe in feet which had undergone the destructive process. It appears that loss of deep sensation is an important factor in the process of tarsal disintegration in feet which are already anaesthetic. Measurement of vibration sense using a biosthesiometer may be a valuable clinical test in the investigation and follow-up of the patient with the insensitive foot to identify those at risk of developing tarsal disintegration.</p>  a0254-9395