Acta Scientific Medical Sciences ( ISSN: 2582-0931)

Research Article Volume 5 Issue 11

Quantitative Sensory Evaluation of Carpal Tunnel Syndrome Using the Semmes-Weinstein Monofilament Test

Mikio Muraoka*, Kumiko Hirono, Yoko Asami and Yoshiaki Murayama

Department of Rehabilitation, Kameda-Daiichi Hospital, Niigata, Japan

*Corresponding Author: Mikio Muraoka, Department of Rehabilitation, Kameda-Daiichi Hospital, Niigata, Japan.

Received: August 30, 2021; Published: October 27, 2021

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Abstract

The Semmes-Weinstein monofilament test (SWT) is useful for diagnosing carpal tunnel syndrome (CTS), but not generally preferred. A newly developed quantitative sensory evaluation method using SWT scoring was applied to 150 preoperative and 23 postoperative CTS hands. For SWT scoring, the median nerve area was divided into 17 segments. Each segment was scored from 0 to 3 points based on minimum pressure sensation, and the sum of each segment was scored using four score-totalling methods. Four different scoring methods were investigated and analysis was done to figure out the best clinical application. All four methods reflected CTS severity and correlated with each other. The method, in which scores distal to the metacarpophalangeal joints for each finger were summed, was simple to perform and clearly reflected not only CTS severity but also postoperative recovery. A newly developed quantitative sensory evaluation method based on SWT scoring seemed to be useful for evaluating both preoperative and postoperative CTS.

Keywords: Carpal Tunnel Syndrome; Semmes-Weinstein Monofilament Test; Sensory Evaluation

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References

  1. Semmes J., et al. “Somatosensory changes after penetrating brain wounds in man”. Cambridge, MA: Harvard University Press (1960): 4-62.
  2. Levin S., et al. “Von Frey’s method of measuring pressure sensibility in the hand: An engineering analysis of the Weinstein-Semmes pressure aesthesiometer”. Journal of Hand Surgery 3 (1978): 211-216.
  3. Bell-Krotoski J., et al. “The repeatability of testing with Semmes-Weinstein monofilaments”. Journal of Hand Surgery (1987): 155-161.
  4. Szabo M., et al. “Sensibility testing in patients with carpal tunnel syndrome”. Journal of Bone and Joint Surgery 66A (1984): 60-64.
  5. Werner L., et al. “Evaluating cutaneous pressure sensation of the hand”. American Journal of Occupational Therapy 24 (1970): 347-356.
  6. Bell JA. “Light touch-deep pressure testing using Semmes-Weinstein monofilaments”. In: Hunter JM, Schneider LH, Mackin EJ, Callahan AD, eds. Rehabilitation of the hand. 2nd ed. St. Louis, MO: Mosby; (1984): 399-406.
  7. Raji P., et al. “Relationship between Semmes-Weinstein monofilaments perception test and sensory nerve conduction studies in carpal tunnel syndrome”. NeuroRehabilitation 35 (2014): 543-552.
  8. Dellon AL. “Evaluation of sensibility and re-education of sensation in the hand”. Baltimore, MD: Williams and Wilkins (1981): 27-46.
  9. Imai H., et al. “Clinical analysis of utility of Semmes-Weinstein aesthesiometer in evaluating carpal tunnel syndrome”. 6 (1989): 364-368.
  10. Tokuhashi Y., et al. “The value of threshold test for carpal tunnel syndrome”. 4 (1987): 124-128.
  11. Callahan AD. “Sensibility testing: clinical methods”. In Hunter JM, Schneider LH, Mackin EJ, Callahan AD, eds. Rehabilitation of the Hand. 2nd ed. St. Louis, MO: Mosby (1984): 407-431.
  12. Muraoka M., et al. “The inter- and intra- reliabilities of a quantitative sensory evaluation method using Semmes-Weinstein monofilament test for carpal tunnel syndrome”. Journal of Musculoskeletal Medicine 29 (2018): 145-148.
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Citation

Citation: Mikio Muraoka., et al. “Quantitative Sensory Evaluation of Carpal Tunnel Syndrome Using the Semmes-Weinstein Monofilament Test".Acta Scientific Medical Sciences 5.11 (2021): 160-163.




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Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.034

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