Unipedal stance testing in the assessment of peripheral neuropathy

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Unipedal stance testing in the assessment of peripheral neuropathy Edward A. Hurvitz, MD, James K. Richardson, MD, Robert A. Werner, MD  Archives of Physical Medicine and Rehabilitation  Volume 82, Issue 2, Pages 198-204 (February 2001) DOI: 10.1053/apmr.2001.17830 Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 1 ROC curve, Sensitivity vs 1-Specificity. Archives of Physical Medicine and Rehabilitation 2001 82, 198-204DOI: (10.1053/apmr.2001.17830) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 2 Sole of the foot in (A) nonperipheral neuropathy center of mass displaced during inversion or eversion is perceived before it moves outside of the functional base of support. Unipedal stance is maintained. (B) In peripheral neuropathy, afferent deficit allows more displacement without perception because weakness reduces the functional base of support. The center of mass moves past the functional base of support before movement is perceived. Unipedal stance is lost. Archives of Physical Medicine and Rehabilitation 2001 82, 198-204DOI: (10.1053/apmr.2001.17830) Copyright © 2001 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions