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Normal digit tip values for the Weinstein Enhanced Sensory Test

L A Schulz1, R W Bohannon, W J Morgan

  • 1Department of Hand Therapy, University of Massachusetts Medical Center, Worcester 01655, USA.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|September 8, 1998
PubMed
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The Weinstein Enhanced Sensory Test (WEST) establishes normal digit tip sensibility values. Age and gender significantly impact WEST results, requiring interpretation based on these demographics for accurate assessment.

Area of Science:

  • Neurology
  • Sensory Physiology

Background:

  • The Weinstein Enhanced Sensory Test (WEST) utilizes a calibrated monofilament esthesiometer to assess tactile sensibility.
  • Establishing normative data is crucial for interpreting WEST results in clinical and research settings.

Purpose of the Study:

  • To determine normal values for the Weinstein Enhanced Sensory Test (WEST) in evaluating digit tip sensibility.
  • To investigate the influence of age, gender, and hand side on WEST values.

Main Methods:

  • The WEST was administered to 120 healthy subjects without evidence of neuropathy or sensory changes.
  • Subjects completed questionnaires and underwent neurometric testing of the median nerve and a clinical examination.

Main Results:

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  • Age significantly affected WEST values (p = 0.0002), with a notable age-gender interaction (p = 0.018).
  • Strong correlations were observed between WEST values across individual digits and between WEST and electroneurometer measurements.
  • Normal WEST values, representing 80% of the population, were defined for different age and gender categories.

    • Conclusions:

    • Normal WEST values for digit tip sensibility are influenced by both age and gender.
    • Reference ranges for the WEST must account for demographic factors, specifically age and gender, for accurate clinical application.