A Study of the Relative Responsiveness of Five Sensibility Tests for Assessment of Recovery after Median Nerve Injury and Repair

JEROSCH-HEROLD, CHRISTINA

doi:10.1016/s0266-7681(03)00017-2

Cited by 68 publications

(46 citation statements)

References 27 publications

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“…It would be expected that assessing clients with nerve injury would require measurement tools to assess range of motion, strength, sensibility ( 19,23,[29][30][31][32] . However, the respondents in this study used these assessments infrequently or not at all.…”

Section: Discussionmentioning

confidence: 99%

“…However, the respondents in this study used these assessments infrequently or not at all. It is also clear from the literature that sensibility assessment should be graded as recovery progresses and should include threshold testing as well as functional performance tests 31,32 . However, assessment of light touch was used frequently (71.3%) in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Such tools are in demand in South Africa as muscle, bone and peripheral nerves are among the most prominent structures injured and/or affected in hand conditions. Twenty-one articles 19,20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] reporting 11 tools were identified. The tools were framed within the ICF (see Table1).…”

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confidence: 99%

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Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

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Introduction: Assessment is critical for measuring improvement, or lack thereof, and demonstrating the outcome of intervention. In response to the lack of research in this area, this study aimed to determine the assessment practices of occupational therapists working with clients with hand conditions. Methods: A quantitative cross sectional survey design was used. A convenience sample of occupational therapists was recruited from five provinces. Respondents completed a questionnaire developed for the study that comprised demographic information, assessments used, frequency of use and factors influencing assessment choice. Data were analysed with Statistica version 11. Results: Eighty-one respondents (n=114) completed questionnaires representing a 71% response rate. Goniometry (84.0%), manual muscle testing (76.5%) and testing for flexor tendon function (76.3%) were used most frequently. The most common reasons for not using assessments were lack of availability and unfamiliarity. Conclusion: It is of concern that the assessment practices of participants in this study focussed primarily on the assessment of body function and structure with few therapists using activity and participation measures. This could seriously limit the evidence needed to verify the outcomes achieved through occupational therapy intervention in the treatment of hand conditions.evidence of the interventions provided 5 . If therapists do not assess, they will not be able to produce evidence of the effects of the interventions offered which poses a threat to funding of services. This claim is supported in the Western Cape Department of Health Healthcare 2030 plan 6 that states that there will be an increased move towards outcome based intervention with priority being given to interventions aimed at desirable outcomes. At the time of conducting this study, no research to determine the assessment practices of occupational therapists working with hand conditions within South Africa had been published. Assessment practices are understood to encompass the type of assessment used, the frequency of use and the reasons for non-use within a particular area of practice. This study therefore set out to provide an updated account of these practices by South African occupational therapists working with clients with hand conditions. LITERATURE REVIEWA client-centred approach should be applied in assessment to obtain a "careful understanding" of the individual before starting occupational therapy intervention 7:253 . This type of approach is more likely to ensure that the client is engaged in the occupational therapy process which will encourage greater client cooperation 8 . In a client-centred approach, the client and therapist work together to establish the occupational performance problems and to set goals for the required intervention. Assessment has to take place for this to be possible. Standardised assessment provides quantitative information, useful for tracking the client's progress and demonstrating the outcome of therapy 44United Kingdom the au...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Occupational therapy hand assessment practices: Cause for concern?

Klerk

Buchanan

Pretorius

2015

S. Afr. j. occup. ther

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“…16 S-W monofilaments have been shown to detect sensory changes after peripheral nerve repair better than 2-PD. 27,28 Second, filaments produce repeatable stimuli with good intra-and interrater reliability. Thirdly, S-W filament recording is a simple, pain-free, on-and-off test suitable also for children in testing peripheral nerve function.…”

Section: Discussionmentioning

confidence: 99%

Sensory evaluation of the hands in children with brachial plexus birth injury

Palmgren

Peltonen

Linder

et al. 2007

Develop Med Child Neuro

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The aim of this study was to examine sensory changes of the hand in brachial plexus birth injury (BPBI). Ninety‐five patients (43 females, 52 males) comprising two age groups, 6 to 8 years (mean age 7y 6mo) and 12 to 14 years (mean age 13y 2mo), were included. Sixty‐four had upper (cervical [C] 5–6), 19 upper and middle (C5‐7), and 12 had total (C5‐thoracic (Th)1) plexus injury. Obstetric plexus surgery had been performed on 14 patients at the age of 1 to 6 months. The sensibility of 32 palmar areas of both hands was tested with Semmes‐Weinstein filaments (calibres 2.83, 3.61, 4.31, 4.56, and 6.65). In upper plexus injuries, abnormal values (4.31‐4.56) were recorded in seven out of 64 affected hands. In C5‐7 and total plexus‐involvement, decreased sensibility was found in five out of 19 (4.31‐6.65) and in four out of 12 (4.31‐no sensation) affected hands respectively. Conservatively treated patients had better sensation than those treated surgically. Sensory recovery of the hands in BPBI is generally good, especially in upper plexus injuries. Impairment of fine sensation is not uncommon in more extensive permanent BPBI. In total injuries, protective sensation of the hand is not always restored.

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“…The scaphoid is palpable on the floor of the anatomic snuff box, which is formed by the tendons of the m. extensor pollicis longus (EPL, ulnar side) and the m. abductor pollicis longus (APL) and m. extensor pollicis brevis (EPB, radial side). Neurological Evaluation: Cutaneous Sensibility Sensibility can be evaluated by static and moving two-point touch discrimination or the Semmes-Weinstein Aesthesiometer monofi lament testing (SWMT) set (Jerosch-Herold 2003 ;BellKrotoski et al 1993 ). The SWMT testing set includes 20 monofi laments of different thicknesses.…”

Section: Active and Passive Range Of Joint Motionmentioning

confidence: 99%