The Ten Test Revisited

Strauch, Berish; Lang, Ann

doi:10.1097/01.prs.0000070680.25190.e6

Cited by 24 publications

(10 citation statements)

References 3 publications

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“…The child is asked to rate the feeling on the affected digit out of 10. 66 This test has been found to be valuable in the adult population due to it's ease of administration and reported good sensitivity. 21 It has been reported that children over 5 years of age can reliably complete this test.…”

Section: Diagnosis Of Traction and Compression Injuriesmentioning

confidence: 98%

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Evaluation of pediatric upper extremity peripheral nerve injuries

2015

Journal of Hand Therapy

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Section: Diagnosis Of Traction and Compression Injuriesmentioning

confidence: 98%

“…The Ten Test is a patient report test of moving light touch that was introduced by Strauch 66 with an evaluation study in the literature. 42 In this test, a finger with normal sensation is first lightly stroked by the examiner.…”

Section: Diagnosis Of Traction and Compression Injuriesmentioning

confidence: 99%

Evaluation of pediatric upper extremity peripheral nerve injuries

2015

Journal of Hand Therapy

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“…We use both two point discrimination as well as ten/ten testing (4, 5) for documentation of sensation. Having the patients draw the areas of decreased sensation (using the pain diagram) can also be helpful in expeditiously assessing areas of diminished sensation.…”

Section: Essentials Of Preoperative Assessment and Managementmentioning

confidence: 99%

Adult Peripheral Nerve Disorders: Nerve Entrapment, Repair, Transfer, and Brachial Plexus Disorders

Fox

Mackinnon

2011

Plastic and Reconstructive Surgery

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Learning Objectives After reviewing this article the reader should be able to: 1. Describe the pathophysiologic bases for nerve injury and how it applies to patient evaluation and management. 2. Realize the wide variety of injury patterns and associated patient complaint and physical findings associated with peripheral nerve pathology. 3. Evaluate and recommend further tests to aid in defining the diagnosis. 4. Specify treatment options and potential risks and benefits. Summary Peripheral nerve disorders comprise a gamut of problems ranging from entrapment neuropathy, to direct open traumatic injury and closed brachial plexus injury. The pathophysiology of injury defines the patient symptoms, exam findings and treatment options and is critical to accurate diagnosis and treatment. Goals of treatment include management of often associated pain and improvement of sensory and motor function. Understanding peripheral nerve anatomy is critical to adopting novel nerve transfer procedures, which may provide superior options for a variety of injury patterns.

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“…During the 10 test, the patient is instructed that the reference site is normal (10 on a range of 0 to 10, with a 0 being no feeling and 10 normal feeling) in terms of feeling, and the examiner then asks the patient to report the feeling in the median nerve innervated site. 130,131 This approach might be useful in both diagnosis 106 and monitoring response to interventions, although further investigation of this test is warranted.…”

Section: Sensory Evaluationmentioning

confidence: 99%

Clinical and Electrodiagnostic Testing of Carpal Tunnel Syndrome: A Narrative Review

MacDermid¹,

Doherty²

2004

J Orthop Sports Phys Ther

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Carpal Tunnel Syndrome (CTS) is a pressure-induced neuropathy that causes sensorimotor disturbances of the median nerve, which impair functional ability. A clear history that elicits relevant personal and work exposures and the nature of symptoms can lead to a high probability of a correct diagnosis. Hand diagrams and diagnostic questionnaires are available to provide structure to this process. A variety of provocative tests have been described and have variable accuracy. The Phalen's wrist flexion and the carpal compression tests have the highest overall accuracy, while Tinel's nerve percussion test is more specific to axonal damage that may occur as a result of moderate to severe CTS. Sensory evaluation of light touch, vibration, or current perception thresholds can detect early sensory changes, whereas 2-point discrimination changes and thenar atrophy indicate loss of nerve fibers occurring with more severe disease. Electrodiagnosis can encompass a variety of tests and is commonly used to assess the presence/severity of neuropathic changes and to preclude alternative diagnoses that overlap with CTS in presentation. The pathophysiologic changes occurring with different stages of nerve compression must be considered when interpreting diagnostic test results and predicting response to physical therapy management.

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The Ten Test Revisited

Cited by 24 publications

References 3 publications

Evaluation of pediatric upper extremity peripheral nerve injuries

Evaluation of pediatric upper extremity peripheral nerve injuries

Adult Peripheral Nerve Disorders: Nerve Entrapment, Repair, Transfer, and Brachial Plexus Disorders

Clinical and Electrodiagnostic Testing of Carpal Tunnel Syndrome: A Narrative Review

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