Measuring sensory functions of the hand in peripheral nerve injuries

Prince, Von; Butler, Blake E.; Woolf, Robert M.

doi:10.1097/00006534-196809000-00044

Cited by 7 publications

(21 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Light touch perception was measured in the peripheral nerve supply of the hand using Semmes Weinstein monofilaments (Tactile sensory evaluator, Baseline, Elmsford, NY, USA) [20,32,33]. Filaments ranging from 2.83 to 6.65 (0.07 to 330 g force) were applied until they bent and #6.65 was applied just to bending.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Upper extremity impairments, pain and disability in patients with diabetes mellitus

et al. 2015

View full text Add to dashboard Cite

Objectives To determine the severity of, and relationships between, upper extremity impairments, pain and disability in patients with diabetes mellitus, and to compare upper extremity impairments in patients with diabetes with non-diabetic controls. Design Case–control, cross-sectional design. Setting University-based, outpatient diabetes centre and physical therapy research clinic. Participants Two hundred and thirty-six patients with diabetes attending an outpatient diabetes clinic completed the Shoulder Pain and Disability Index (SPADI) questionnaire. A detailed shoulder and hand examination was conducted on a subgroup of 29 volunteers with type 2 diabetes, and 27 controls matched for age, sex and body mass index. Interventions None. Main outcome measures SPADI score, passive shoulder range of motion (ROM) and strength, grip strength, hand sensation, dexterity and limited joint mobility of the hand. Results Sixty-three percent (149/236) of patients with diabetes reported shoulder pain and/or disability [median SPADI score 10.0 (interquartile range 0.0 to 39.6)]. Compared with the control group, the subgroup of patients with diabetes had substantial reductions in shoulder ROM, shoulder muscle strength, grip and key pinch strength (P<0.05). Patients with diabetes had a greater prevalence of decreased sensation (26/27 vs 14/27) and limited joint mobility of the hand (17/27 vs 4/27) compared with the control group. Total SPADI score was negatively correlated (P<0.05) with shoulder ROM (r= −0.42 to −0.74) and strength measures (r= −0.44 to −0.63) in patients with diabetes. Conclusions Upper extremity impairments in this sample of patients with diabetes were common, severe and related to complaints of pain and disability. Additional research is needed to understand the unique reasons for upper extremity problems in patients with diabetes, and to identify preventative treatments.

show abstract

Section: Methodsmentioning

confidence: 99%

“…The smallest perceivable monofilament was noted. The grading for the monofilaments was as follows: intact (2.83), diminished light touch (3.61), diminished protective sensation (4.31), and loss of protective sensation (4.56 to 6.65) [32,33]. …”

Section: Methodsmentioning

confidence: 99%

Upper extremity impairments, pain and disability in patients with diabetes mellitus

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In clinical practice, a two-point discrimination distance for a static stimulus is routinely used as a measure of tactile resolution (VON PRINCE and BUTLER, 1967;WERNER and OMER, 1970;JONES, 1989;JIMENEZ et al, 1993). The classical two-point limen test determines the smallest two-point separation at which the subject feels two points instead of one.…”

Section: Spatial Discriminationmentioning

confidence: 99%

Two-point vibrotactile discrimination related to parameters of pulse burst stimulus

Perez

Holzmann

Jaeschke

2000

Med. Biol. Eng. Comput.

View full text Add to dashboard Cite

Tactile spatial resolution is an important factor in the design of vibrotactile arrays. The two-point discrimination distance is used as a measure of tactile spatial resolution. An experimental study is presented showing the effect of pulse burst stimulus parameters, pulse repetition period and duty cycle on two-point vibrotactile spatial discrimination. An array of piezoceramic vibrators is used to measure two-point spatial discrimination on the index finger. In a group of 14 subjects, the average two-point discrimination distance for a pulse repetition period of 1/25s is 2.1 mm (SD = 1.0), whereas for 1/500 s it is 5.1 mm (SD = 0.9). Differences in discrimination distances are statistically significant according to the ANOVA analysis (p < 0.001). Results show that the two-point discrimination distance is better for longer pulse repetition periods. Therefore the pulse repetition period in an excitatory waveform composed of bursts of pulses is important for tactile resolution. No statistically significant differences in discrimination distances are found between bursts of pulses of 50% duty cycle and those of lower duty cycle. The latter result indicates that, by choosing low-duty cycle waveforms for vibrotactile stimulation, the power can be reduced with no loss in two-point discrimination capacity.

show abstract

“…They obtained thresholds with the filament markings 3.26 and 3.21 for the right (R) and left (L) palms, respectively, while the results for the thumbs were 3.18 (K) and 3.02 (1.). Other studies have led to the elaboration of an interpretation scale which divides the monofilaments into different categories related to expected levels of function o f the patients (von Prince and. Butler 1967, Werner and Omer 1970, Bell-Krotoski 1990.…”

Section: Touch-pressure Measurementmentioning

confidence: 99%

“…It has been shown that a patient with a functional foot, but no touch or thermal discrimination sensation, can inflict severe wounds on himself without his knowledge, hence greatly limiting his capacity to move about safely in his surroundings (Bergtholdt 1979). Furthermore, many patients with severe sensory deficits to a limb tend to neglect it (Werner andOmer 1970, Dannenbaum andDykes 1990). According to Taub (1980).…”

mentioning

confidence: 99%

Evaluation of Cutaneous and Proprioceptive Sensation in Children: A Reliability Study

Thibault

Forget

Lambert

1994

Develop Med Child Neuro

View full text Add to dashboard Cite

SUMMARY Forty‐three healthy children aged between six and 12 years were tested to determine the. intra‐rater reliability of four clinical cutaneous and proprioceptive sensory assessment tools: touch pressure, vibration perception, thermal discrimination and kinaesthesis. The tests were carried out bilaterally on proximal and distal upper‐ and lower‐ extremity sites. The mean intraclass coefficients represented good to excellent reliability, which suggests that these assessment tools allow objective and reproducible measurements of cutaneous and proprioceptive sensation in children. The results were compared with existing data in the literature: in general, children and adults obtain similar sensory scores, and sex, age and laterality have no significant effect on the results for any test. However, the touch‐pressure and vibration scores were significantly influenced by the site tested, the index fingerpad being the most sensitive area in both tests. RÉSUMÉ :Evaluation des sensations cutanees et proprioceptive chez l' enfant: étude de fidélité Une mesure de la fidélité intra‐examinateur a été effectuée pour quatre outils d' évaluation clinique de sensations cutanees et proprioceptives, chez 43 enfants en bonne santés, ages de six a 12 ans: le tact a la pression, la perception de vibration, la discrimination thermique et les cinesthesies. Les tests furent pratiques bilateralement sur les regions proximales et distales des extremites des membres superieurs et inferieurs. Les coefficients moyens intra‐classe traduisaient une fidélité de bonne a excellente, ce qui suggere que ces outils devaluation permettent des mesures objectives et reproductibles dc la sensibilite cutanee et proprioceptive chez I'enfant. Les resultats furent compares avec les donnees existantes de la litterature: en general, les enfants et les adultes presentent des scores de sensibilite identiques et ni le sexe, ni I'age, ni la lateralite n'ont d' influence significative sur les résultats aux tests. Cependant, les scores de tact a la pression et de vibration étaient significativement marques par le site testé, la pulpe de I'index étant la zonela plus sensible pour les deux tests. ZUSAMMENFASSUNG Beurteilung der kundanen und propriozeptiven Wahrnehmung bet Kindern: eine Reliabilitatsstudie Drei und vierzig gesunde Kinder von im Alter zwischen sechs und 12 Jahren wurden getestel, urn die intra‐rater Reliabilitat von vier klinischen kutanen und propriozeptiven sensiblen Untersuchungsparametern zu beurteilen: Berührungsdruck, Vibrationswahrnehmung, Temperaturunterscheidung und Kinasthesie. Die Tests wurden bilateral an proximalen und distalen Punkten der oberen und unteren Extremitäten durchgeführt. Die mittleren Koeffizicnten ergaben eine gute bis sehr gute Reliabilitat, was vermuten laßt, daß durch diese Untersuchungen objektive und reproduzierbare Messungen der kutanen und propriozeptiven Wahrnehmung bei Kindern moglich sind. Die Ergebnisse werden mit vorhandenen Daten aus der Literatur verglichen: im allgemcinen haben Kinder und Erwachsene ahnlich...

show abstract

Measuring sensory functions of the hand in peripheral nerve injuries

Cited by 7 publications

References 0 publications

Upper extremity impairments, pain and disability in patients with diabetes mellitus

Upper extremity impairments, pain and disability in patients with diabetes mellitus

Two-point vibrotactile discrimination related to parameters of pulse burst stimulus

Evaluation of Cutaneous and Proprioceptive Sensation in Children: A Reliability Study

Contact Info

Product

Resources

About