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Published on: January 29, 2014
The 'Ten Test': application and limitations in assessing sensory function in the paediatric hand
Hank H Sun1, Tanya M Oswald, Neil S Sachanandani
1Washington University in St. Louis, St. Louis, USA.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|January 29, 2010
Summary
The Ten Test effectively assesses hand sensibility in children aged 5 and older. This validated method is reliable and easy to administer for evaluating tactile sensation in pediatric patients.
Area of Science:
- Pediatric neurology
- Hand sensory testing
- Clinical validation studies
Background:
- The Ten Test, developed in 1997, is a recognized tool for assessing adult hand sensibility.
- Its simplicity, speed, reliability, and sensitivity make it a valuable clinical instrument.
Purpose of the Study:
- To validate the Ten Test for assessing hand sensibility in children.
- To determine the reliability and applicability of the Ten Test in a pediatric population.
Main Methods:
- A total of 73 children aged 1-12 years participated in the study.
- Participants rated light moving touch sensation on digits compared to a normal digit.
- Inter-observer reliability was assessed using the kappa statistic.
Main Results:
- The Ten Test demonstrated very strong inter-observer reliability (kappa=1.0, p<0.003).
- Children under 5 years old were less likely to complete the test.
- The test proved reliable and valid for older children.
Conclusions:
- The Ten Test is a validated, non-threatening method for evaluating hand sensibility in children and adolescents.
- Clinical use is recommended for pediatric patients aged 5 years and above.
- This tool aids in the objective assessment of tactile sensation in young individuals.

