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Hand sensibility measures used by therapists
K Mielke1, C B Novak, S E Mackinnon
1Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Annals of Plastic Surgery
|March 1, 1996
Summary
Standardizing sensory evaluations for nerve injury is crucial. This study highlights the need for consistent application of tests like two-point discrimination and Semmes-Weinstein monofilaments for reliable patient assessments.
Area of Science:
- Hand surgery
- Neurology
- Physical therapy
Background:
- Sensory evaluations are vital for assessing nerve injury and guiding treatment decisions.
- Current literature shows variability in the application of specific sensory tests.
- Standardized testing is essential for accurate patient evaluation and outcome assessment.
Purpose of the Study:
- To identify the sensory evaluation tests currently used by hand therapists.
- To determine the techniques employed in applying these tests.
- To highlight the need for standardized protocols in hand sensibility assessments.
Main Methods:
- A survey was distributed to 200 randomly selected members of the American Society of Hand Therapists.
- The survey focused on the types of sensory tests used and their administration methods.
- Data analysis identified common practices and variations in sensory testing.
Main Results:
- Significant variation exists in the application of sensory evaluation tests among hand therapists.
- Specific tests like moving and static two-point discrimination and Semmes-Weinstein monofilaments show inconsistent administration.
- The study underscores a lack of standardized protocols in current practice.
Conclusions:
- There is a clear need for standardized protocols for sensory evaluations in hand therapy.
- Therapists must adhere to standardized methods for tests such as two-point discrimination and Semmes-Weinstein monofilaments.
- Standardization is critical for meaningful comparison of results across different clinical settings.