Sensibility Evaluation and Rehabilitation

Waylett-Rendall, Janet

doi:10.1016/s0030-5898(20)30329-1

Cited by 49 publications

(3 citation statements)

References 28 publications

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“… ⁎ Data extracted from secondary analysis by Marsh. 11 † Versions used indicated by the studies, in the order of presentation: unspecified, version by Waylett-Rendall, 53 version by Mackinnon and Dellon. 54 …”

Section: Resultsmentioning

confidence: 99%

Relationship Between Sensibility Tests and Functional Outcomes in Patients With Traumatic Upper Limb Nerve Injuries: A Systematic Review

Chen¹,

Ogalo

Haldane

et al. 2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate which tests of hand sensibility correlate with functional outcomes in patients with upper limb traumatic nerve injuries and to assess if composite scales of sensibility correlate with functions. Data Sources MEDLINE, Embase, and Cochrane Central Register of Controlled Trials were searched in May 2020, with a supplementary search in July 2020. Reference lists of the included publications were hand searched. Study Selection Database search found 2437 records. Eligible studies reported on inferential association between sensibility tests and functions pertaining to adults after upper limb nerve repair. Two reviewers independently assessed eligibility. Fifteen publications were included. Data Extraction Extracted data contain patient characteristics, surgical procedure, follow-up duration, sensibility tests, and functional assessments. Two reviewers independently assessed data quality. Data Synthesis Fifteen publications involving 849 patients were reviewed. All publications reported on median and/or ulnar nerve injuries. Monofilament tests correlated with Short-Form Health Survey ( r =0.548, P <.05), pick-up test ( r =0.45, P <.05), and function domain of Patient-Rated Wrist and Hand Evaluation Questionnaire (PRWHE) ( r =0.58, P <.05). The 8 studies of static and moving 2-point discrimination provided conflicting correlations with activities of daily living (ADL) and/or the pick-up test. Data for area localization and object/shape identification were equivocal as well. No data were found for Ten test and vibration tests. Rosén score sensory domain correlated with ADL ( r =0.59; 95% confidence interval [CI], 0.41-0.72) and PRWHE function domain ( r =−0.56, P <.05). Medical Research Council sensory scale was related to pick-up test; return to work status; and Disabilities of the Arm, Shoulder, and Hand questionnaire. Conclusions Monofilament tests allow practitioners to gather sensibility data meaningful to patients’ overall recovery of functions after upper limb nerve trauma. For 2-point discrimination and other sensibility tests, practitioners should be aware that improvement in test performance does not necessarily translate to improved hand function. Findings from the composite scales indicate that hand sensibility, in general, is related to functions. Future research on other common sensibility tests is recommended to explore how the test relates to patients’ functions.

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Section: Resultsmentioning

confidence: 99%

Relationship Between Sensibility Tests and Functional Outcomes in Patients With Traumatic Upper Limb Nerve Injuries: A Systematic Review

Chen¹,

Ogalo

Haldane

et al. 2021

Archives of Rehabilitation Research and Clinical Translation

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“…Three time-dependent levels of instruction for the sensory-retraining and opening-only exercise programs were given during training sessions held at 1 wk, 1 mo (4 to 6 wks), and 3 mos after surgery (Phillips et al, in press). The three levels were designed to challenge patients increasingly in a manner similar to that of the early and late phases of sensory education commonly used after injuries to the hand nerves (Dellon et al, 1974;Dellon, 1988;Waylett-Rendall, 1988;Gregg, 1992). Specifically, individuals learned to discriminate moving from non-moving touch, the orientation of moving touch, and the direction of moving touch, in turn.…”

Section: Exercise Programs and Trainingmentioning

confidence: 99%

Effect of Facial Sensory Re-training on Sensory Thresholds

2007

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Nearly 100% of patients experience trauma to the trigeminal nerve during orthognathic surgery, impairing sensation and sensory function on the face. In a recent randomized clinical trial, people who performed sensory re-training exercises reported less difficulty related to residual numbness and decreased lip sensitivity than those who performed standard opening exercises only. We hypothesized that re-training reduces the impaired performance on neurosensory tests of tactile function that is commonly observed post-surgically. We analyzed thresholds for contact detection, two-point discrimination, and two-point perception, obtained during the clinical trial before and at 1, 3, and 6 months after surgery, to assess tactile detection and discriminative sensitivities, and subjective interpretation of tactile stimulation, respectively. Post-surgery, the retrained persons exhibited less impairment, on average, than non-retrained persons only in two-point perception (P < 0.025), suggesting that retrained persons experienced or interpreted the tactile stimuli differently than did non-retrained persons.

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“…A ênfase estava em se estimar a dor, a vibração, e o ponto em que a pressão de um toque produz sensação. 24 A avaliação de sensibilidade possui um papel fundamental no diagnóstico e tratamento de lesões dos nervos periféricos. A detecção precoce dos distúrbios da função nervosa tem demonstrado ser de extrema importância para uma oportuna intervenção da equipe médica para evitar uma perda progressiva e permanente da funcionalidade do nervo.…”

Section: Introductionunclassified

Utilização dos monofilamentos de Semmes-Weisntein na avaliação de sensibilidade dos membros superiores de pacientes hansenianos atendidos no Distrito Federal

Moreira,

Alvarez

1999

Hansen. Int.

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O presente trabalho teve como objetivo identificar a prevalência das alterações de sensibilidade nos membros superiores dos pacientes hansenianos inscritos no Programa de Controle de Hanseníase do Distrito Federal. Tratase de um estudo descritivo de delineamento transversal cuja amostra constou de 80 pacientes e o instrumento utilizado na coleta de dados foram os monofilamentos de Semmes-Weinstein, também conhecidos como estesiômetro (modelo de bolso — "Sensikit"). O estesiômetro consiste em um instrumento de grande importância na prática clínica. As informações evidenciaram que a grande maioria (acima de 50%) dos pacientes em todas as formas clínicas responderam ao estímulo do monofilamento verde, indicando com isso que a sensibilidade na mão encontrava-se normal. O trabalho conclui, e concorda com a literatura, que a perda da sensibilidade consiste no principal fator fisiopatogênico das deficiências físicas nos membros superiores dos pacientes hansenianos. Os parâmetros utilizados durante o exame da sensibilidade devem ser padronizados a fim de que as in formações obtidas sejam con fiáveis e possam ser reproduzidas. Recomenda-se o uso dos monofilamentos de Semmes-Weinstein como rotina na prática clínica e no auxílio do diagnóstico precoce do dano neural depacientes hansenianos. É um teste essencial, porém não deve ser realizado de maneira isolada durante o exame físico.

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Sensibility Evaluation and Rehabilitation

Cited by 49 publications

References 28 publications

Relationship Between Sensibility Tests and Functional Outcomes in Patients With Traumatic Upper Limb Nerve Injuries: A Systematic Review

Relationship Between Sensibility Tests and Functional Outcomes in Patients With Traumatic Upper Limb Nerve Injuries: A Systematic Review

Effect of Facial Sensory Re-training on Sensory Thresholds

Utilização dos monofilamentos de Semmes-Weisntein na avaliação de sensibilidade dos membros superiores de pacientes hansenianos atendidos no Distrito Federal

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