Determining the functional sensibility of the hand in patients with peripheral nerve repair: Feasibility of using a novel manual tactile test for monitoring the progression of nerve regeneration

Hsiu Yun Hsu, Li Chieh Kuo, Ta Shen Kuan, Hsiu Ching Yang, Fong Chin Su, Haw Yen Chiu, Shyh Jou Shieh

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3 Citations (Scopus)

Abstract

Study Design Case-controlled cohort study. Introduction Sensory function is difficult to observe during nerve regeneration processes. Traditional sensory tests are limited to identifying the level of functioning hand sensation for sensory stimulus is given passively to the cutaneous surface of the hand. Purpose of the Study To examine the outcome changes in the manual tactile test (MTT), Semmes–Weinstein monofilament (SWM) and 2-point discrimination (2PD) tests for patients with nerve repair and to investigate the concurrent validity of MTT by comparing it with the results of traditional tests. Methods Fifteen patients with nerve injury of the upper limbs were recruited, along with 15 matched healthy controls. The MTT, SWM, and 2PD tests were used to examine the sensory status of the subjects. Results Three subtests (barognosis, roughness differentiation, and stereognosis) in MTT showed that the patients improved with time. A moderate and mild correlation was found between the MTT and 2PD results and between the barognosis and SWM results. Conclusions The MTT provides practical and functional perspectives on detecting nerve progression during the courses of degeneration and regeneration. Level of Evidence IV.

Original languageEnglish
Pages (from-to)65-73
Number of pages9
JournalJournal of Hand Therapy
Volume30
Issue number1
DOIs
Publication statusPublished - 2017 Jan 1

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All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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