Challengeĭiabetes can lead to disease of the foot in up to 40 per cent of patients. In addition, the test also serves as educational tool to teach patients and relatives about diabetes foot disease, with 96.8 per cent of respondents claiming their awareness levels increased. With clearly written instructions, this is a simple test can be used by non-professionals to assess for loss of protective sensation accurately. The likelihood that a positive test meant a person had neuropathy was 81.2 per cent, while the likelihood that a negative test meant someone didn’t have neuropathy was 92.8 per cent. When used at home, the IpTT had a sensitivity of 78.3 per cent and specificity of 93.9 per cent.
The test involves lightly and briefly (1-2 seconds) touching the tips of the first, third and fifth toes of both feet with the index finger to detect a loss in sensation, and can be performed by patients and relatives alike in the comfort of their own home. The Ipswich Touch Test (IpTT) is a novel test for neuropathy that is simple, safe and easily taught.
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