The moving two-point discrimination test: Clinical evaluation of the quickly adapting fiber/receptor system

Dellon, A. Lee

doi:10.1016/s0363-5023(78)80143-9

Cited by 298 publications

(100 citation statements)

References 31 publications

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“…With few exceptions, hand studies have concentrated on the return of functional sensation defined by patients' ability to manipulate and identify small objects and to use the hands in skilled purposeful manners. (10-15,43) Patients' ability to discriminate two from one point of contact, particularly for moving stimuli (viz., the moving two-point discrimination threshold), is often measured as it correlates most highly with patient's ability to use the hand in a dexterous manner (44,45). Overall, sensory recovery is scored by objective testing using a modified Medical Research Council Scale from no recovery (S0) to complete recovery (S4) (17,30).…”

Section: Discussionmentioning

confidence: 99%

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Phillips

Essick

Preisser

et al. 2007

Journal of Oral and Maxillofacial Surgery

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Purpose-The primary research hypothesis was that the magnitude and duration of the perceived burden from altered sensation reported by patients following bilateral sagittal split osteotomy (BSSO) and trauma to the third division of the trigeminal nerve is lessened when facial sensory retraining exercises are performed in conjunction with standard opening exercises as compared to standard opening exercises alone.Subjects and Methods-186 subjects were enrolled in a multi-center double-blind two parallel group stratified block randomized clinical trial. Oral and facial pain, unusual sensations, numbness and loss of sensitivity, were scored from "no problem" to "serious problem" before surgery, 1,3, and 6 months after surgery.Analysis-A proportional odds model for the ordered multinomial response was used to compare the responses of the two exercise groups.Results-The two exercise groups did not differ significantly at any postsurgical time in the perceived problem level from mouth or face pain. The difference between the two groups at each visit was not statistically significant for unusual sensations although the trend was for the sensory retraining group to have a higher likelihood of reporting fewer problems. By 6 months, the likelihood of a subject reporting lower problem or interference level related to numbness or less lip sensitivity was significantly higher in the sensory-retraining group, approximately twice that of the opening exercise only group.Corresponding Author: Ceib Phillips, Professor, Department of Orthodontics, CB 7450, University of North Carolina, Chapel Hill, NC 27599, Telephone:(919)966-2763, Fax: (919)843-8864, Email: ceib_phillips@dentistry.unc.edu Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Section: Discussionmentioning

confidence: 99%

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Phillips

Essick

Preisser

et al. 2007

Journal of Oral and Maxillofacial Surgery

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“…3. Sensibility testing: We use Semmes-Weinstein monofilament test for detection of a single stimulus (described by Feng et al [12]), Dellon's moving two-point test for discrimination [9], and the modified Moberg test [21] to demonstrate recognition. 4.…”

Section: Testingmentioning

confidence: 99%

Rehabilitation Following Hand Transplantation

Bueno

Benjamin

Sisk

et al. 2013

Hand (New York, N,Y.)

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Background Hand allotransplantation can restore motor, sensory and cosmetic functions to upper extremity amputees. Conclusions Rehabilitation therapy after hand transplantation follows a progressive increase in activity in parallel with wound healing and nerve regeneration. Careful documentation of progress and outcomes is essential to demonstrate the utility of interventions and to optimize therapy protocols.

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“…Sensory function was tested over the autonomous zones (of individual nerves tested. The sensory assessment was made by touch, pain, 3 and two-point discrimination test. For assessment of motor function the respective nerves were examined both above and below the injury site.…”

Section: Methodsmentioning

confidence: 99%

Diagnostic and Prognostic Value of Electromyographic Studies in Peripheral Nerve Injury

Gupta

Kotwal

Bhatiya

et al. 2017

Birat J. Health Sci.

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Introduction Electro diagnostic studies provide the surgeons with critical information regarding the location, severity and nature of a nerve injury and also useful in predicting and assessing improvement during treatment either conservatively or surgically .Objective To evaluate the role of diagnostic and prognostic value of Electromyographic (EMG) studies in Peripheral Nerve injury.Methodology Fifty patients, having peripheral nerve injury were evaluated clinically and electro-physiologically to determine the role played by the latter in the management of such injuries. The study was prospective cohort study conducted at All India Institute of medical sciences, New Delhi.Results The most common mode of nerve injury was transection(54%) and most common nerve involved was radial (38%). The most common types of nerve injury in our study were axonotmesis (42%). Nature of injury was evaluated clinically and electrophysiologically.Consclusions Electromyographic studies in peripheral nerve injury are helpful in diagnosing nerve injury, in localizing the site of injury and in estimating the extent of injury. EMG studies cannot give correct prognostic or quantify the functional recovery, but act as a useful modality to decide for re-exploration in operated cases.Birat Journal of Health Sciences 2016 1(1): 65-70

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The moving two-point discrimination test: Clinical evaluation of the quickly adapting fiber/receptor system

Cited by 298 publications

References 31 publications

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Rehabilitation Following Hand Transplantation

Diagnostic and Prognostic Value of Electromyographic Studies in Peripheral Nerve Injury

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