Timely Neuropathy Testing   

                                                                            

 Levels of Loss
2.83 [green] Within Normal Limits 50 milligram level HAND/BODY
3.61 [blue] Diminished Light Touch 200 milligram level HAND/Normal FOOT
4.31 [purple] Diminished Protective Sensation 2 gram level
4.56 [red] Loss of Protective Sensation 4 gram level                              
6.65  [Light red} Residual Deep Pressure 300 gram level /
Untestable if subject does not detect                                                  

                      10 gram Monofilament as Used in Diabetic Testing
5.07 [orange] Protective Sensation 10 gram level plantar FOOT    

                     
                          What Do These Levels Mean?    
 

Bell-Krotoski JA: "Sensibility Testing", In Skirven TM, Osterman AL, Fedorczyk J, and Amadio PC (eds), Rehabilitation of the Hand, 6th ed, Elsevier, Feb, 2011.

Bell-Krotoski JA, Fess EE, Hiltz D, Figarola J: Threshold Detection and Semmes Weinstein Monofilaments: A Comparative Study, J Hand Ther, 8:155-162, 1995.

Imai HT, Tajima, et al: Interpretation of cutaneous pressure thresholds (Semmes-Weinstein monofilament measurement) following median nerve repair and sensory reeducation in the adult. Microsurgery 10(2): 142-4 ,1989.

Bell JA: "Sensibility Testing" , In Hunter JM, Schneider LH, Mackin EJ, and Bell JA (eds), Rehabilitation of the Hand, Philadelphia, CV Mosby:269-291, 1978.

von Prince K, Butler B: Measuring Sensory Function of the Hand in Peripheral Nerve Injuries, American J Occup Ther, 21:385-396, 1967.

Werner J, Omer GE: Evaluating Cutaneous Pressure Sensation of the Hand, Am J Occup Ther, 24:347-356, 1970.

 

References