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, Da-Shen Kuan, Hsiu Ching Yang, Fong-chin Su, Haw Yen Chiu, Shyh-Jou Shieh

研究成果: Article

2 引文 (Scopus)

摘要

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.

原文English
頁(從 - 到)65-73
頁數9
期刊Journal of Hand Therapy
30
發行號1
DOIs
出版狀態Published - 2017 一月 1

指紋

Nerve Regeneration
Touch
Peripheral Nerves
Hand
Stereognosis
Upper Extremity
Regeneration
Cohort Studies
Skin
Wounds and Injuries
Discrimination (Psychology)

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

引用此文

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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.",
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T2 - Feasibility of using a novel manual tactile test for monitoring the progression of nerve regeneration

AU - Hsu, Hsiu Yun

AU - Kuo, Li-Chieh

AU - Kuan, Da-Shen

AU - Yang, Hsiu Ching

AU - Su, Fong-chin

AU - Chiu, Haw Yen

AU - Shieh, Shyh-Jou

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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.

AB - 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.

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