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Research Article| Volume 11, ISSUE 1, P27-31, January 1998

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The effect of wrist position on testing light touch sensation using the Semmes-Weinstein pressure aesthesiometer: A preliminary study

  • Author Footnotes
    * At the time of this study, Sally Gillenson and Norma Parets were masters students in occupational therapy at the College of Physicians and Surgeons, Columbia University, New York, NY.
    Sally Piermont Gillenson
    Footnotes
    * At the time of this study, Sally Gillenson and Norma Parets were masters students in occupational therapy at the College of Physicians and Surgeons, Columbia University, New York, NY.
    Affiliations
    Sundance Rehabilitation Corporation, Oradell, NJ
    Search for articles by this author
  • Author Footnotes
    * At the time of this study, Sally Gillenson and Norma Parets were masters students in occupational therapy at the College of Physicians and Surgeons, Columbia University, New York, NY.
    Norma Parets
    Footnotes
    * At the time of this study, Sally Gillenson and Norma Parets were masters students in occupational therapy at the College of Physicians and Surgeons, Columbia University, New York, NY.
    Affiliations
    Burke Rehabilitation, White Plains, NY
    Search for articles by this author
  • Jane Bear-Lehman
    Correspondence
    Correspondence and reprint requests to Jane Bear-Lehman, MS, OTR, FAOTA, Assistant Professor of Clinical Occupational Therapy, College of Physicians and Surgeons, Columbia University, 710 West 168 th Street, 8th Floor, New York, NY 10032.
    Affiliations
    College of Physicians and Surgeons Columbia University New York, NY
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  • Donna Breger Stanton
    Affiliations
    Davis Medical Center, University of California, Sacramento, CA
    Search for articles by this author
  • Author Footnotes
    * At the time of this study, Sally Gillenson and Norma Parets were masters students in occupational therapy at the College of Physicians and Surgeons, Columbia University, New York, NY.
Open AccessDOI:https://doi.org/10.1016/S0894-1130(98)80057-4
The effect of wrist position on testing light touch sensation using the Semmes-Weinstein pressure aesthesiometer: A preliminary study
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      Abstract

      The objective of the study was to determine the normative values for light touch sensation measured by the Semmes-Weinstein pressure aesthesiometer when the wrist is held in the maximal flexed position and when the wrist is held in the maximal extended position. Currently, normative values exist only for measurements taken when the wrist is held in a neutral position. Thirty-one subjects with no previous hand injury or pathology participated in this preliminary study. Each subject served as his or her own control; i.e., each finger with the wrist in a neutral position served as the control for the same finger when the wrist was positioned in maximal flexion and then in maximal extension. The neutral position was used as the control, because normative values already exist for that position. The results revealed no consistent differences between measurements taken when the wrist was held in a neutral position and those taken with the wrist held in the maximal, or complete, flexed or extended position. This suggests that any difference in sensation found when hands are placed in a provocative position—i.e., when wrists are flexed or extended rather than placed in a neutral resting position—may be due to pathology and not to position.

      References

        • Blair SJ
        • Bear-Lehman J
        • McCormick E
        Industrial hand injuries: prevention and rehabilitation.
        in: Hunter JH Schneider LH Mackin EJ Callahan AD Rehabilitation of the Hand: Surgery and Therapy. 3rd ed. C. V. Mosby, St. Louis, MO1990: 1218-1222
        • Szabo RM
        • Chidgey LK
        Stress carpal tunnel pressures in patients with carpal tunnel syndrome and normal patients.
        J Hand Surg. 1989; 14A(4): 624-627
        • Bureau of Labor Statistics
        Survey of occupational injuries and illnesses. U.S. Department of Labor, Washington, DC1995 (1995)
        • CTD News
        Online Edition. June 1996; Vol. 5 (http://ctdnews.com/month.html)
        • Phalen GS
        The carpal tunnel syndrome.
        J Bone Joint Surg. 1966; 48-A: 211-228
        • Tinel J
        The “tingling” sign in peripheral nerve lesions.
        Presse Med. 1915; 47 (Translated by Kaplan in: Spinner M (ed): Injuries to the Major Branches of Peripheral Nerve of the Forearm. 2nd ed. Philadelphia, PA: W.B. Saunders, 1978): 388
        • Bell-Krotoski JA
        Advances in sensibility evaluation.
        in: Mackin EJ Callahan AD Hand Clinics. W.B. Saunders, Philadelphia, PA1991: 527-546 (pp. 527–546)
        • Brand PW
        • Hollister A
        Clinical Mechanics of the Hand. 2nd ed. C. V. Mosby, St. Louis, MO1993
        • Szabo RM
        • Gelberman RH
        • Williamson RV
        • Dellon AL
        • Yaru NC
        • Dimick MP
        Vibratory sensory testing in acute peripheral nerve compression.
        J Hand Surg. 1984; 9A (1984): 104-109
        • Koris M
        • Gelberman RH
        • Duncan K
        • Boublick M
        • Smith B
        Carpal tunnel syndrome: evaluation of a quantitative provocational diagnostic test.
        Clinical Orthop. 1990; 251: 157-161
        • Borg K
        • Lindblom U
        Increase of vibration threshold during wrist flexion in patients with carpal tunnel syndrome.
        Pain. 1986; 26: 211-219
        • Bell-Krotoski JA
        • Fess EE
        • Figarola JH
        • Hiltz D
        Threshold detection and Semmes-Weinstein monofilaments.
        J Hand Ther. 1995; 8: 155-162
        • Bell-Krotoski JA
        Light touch-deep pressure testing using Semmes-Weinstein monofilaments.
        in: Hunter JH Mackin EJ Callahan AD Rehabilitation of the Hand: Surgery and Therapy. 4th ed. C. V. Mosby, St. Louis, MO1995: 585-593
        • Bell-Krotoski JA
        Sensibility testing: current concepts.
        in: Hunter JH Mackin EJ Callahan AD Rehabilitation of the Hand: Surgery and Therapy. 4th ed. C. V Mosby, St. Louis, MO1995: 109-128
        • Cambridge-Keeling CA
        Range-of-motion measurement of the hand.
        in: Hunter JH Mackin EJ Callahan AD Rehabilitation of the Hand: Surgery and Therapy. 4th ed. C.V. Mosby, St. Louis, MO1995: 93
        • Szabo RM
        • Gelberman RH
        • Dimick MP
        Sensibility testing in patients with carpal tunnel syndrome.
        J Bone Joint Surg. 1984; 66A: 60-64
        • Bell JA
        • Tomancik E
        Repeatability of testing with Semmes-Weinstein monofilaments.
        J Hand Surg. 1987; 12A: 155-161
        • Berger-Stanton D
        personal communication. 1986

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      DOI: https://doi.org/10.1016/S0894-1130(98)80057-4

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      © 1998 Hanley & Belfus, Inc. Published by Elsevier Inc.

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