0% found this document useful (0 votes)
264 views4 pages

Handout 2 Semmes Weinstein Monofilaments

Uploaded by

maryam baraghany
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
0% found this document useful (0 votes)
264 views4 pages

Handout 2 Semmes Weinstein Monofilaments

Uploaded by

maryam baraghany
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
You are on page 1/ 4
ri) CG v4 Noth Coast North Coast Semmes-Weinstein Monofilaments Indications The North Coast Semmes\Weinstein Morioflaments arc used 19 evaluate cutaneous sensation levels thréughout the body. Using ‘monofilaments is indicated in diagnoses including nerve com: ‘Pression syndromes, peripheral neuropathy, thermal injuries, and postoperative nerve repair. 4. Rest the patien’s extremity on a stable, pdded surfce. Testing Should be done ina quiet area to help the patieit fully atend te the testing procedure. stimulus is felt by saying “touch” or yes". Nonverbal patients may. ‘ap the table lightly when the stimulus is fel g These instructions are written for single monofilament used in threshold testing or séreening and for sets of five, six ox wrenty monoflaticnts used in comparative testing. Ifyou have hot ore viously performed an evaluation using Semmes Welnsiery monofilament, please read these instructions thoroughly betes beginning your evaluation, 5. Note any areas of allus, abrasion, scars or other blemish. on the recording form. (Monofilament Pacls for the Hand, NC12750-1, and Monofilament Pads for the Foot, NC12749 sold separately). While testing, proceed from distal to Proximal and from the small to large monofilaments. ar Braco, Bisson we Figure 2 ‘est the litte finger and hypothenar eniinence to evaluate the ulnar nerve; and test the dorsum of the hand to evaluate the radial nerve (See Figure 1), 6. Grasp the monofilament handle and flip open the monofilament so that it clicks in place ata 90° angle to the handle (See Figure 2), When fipping the monofilament into the testing position, do noe cover the channel with your finger. Covering the channel may ‘cause the filament to bend as it ips into the testing position. 1996 North Coa Neda, ie Sune eA DSS ried on, Reged per = North Coast™ Semmes-Weinstein Monofilament Instructions 7. Press the monofilament against the skin until it bows. Hold the ‘monofilament in place for 1.5 seconds, remove for 1.5 seconds and repeat. For monofilaments from 1.65 to 4.08 apply the stim- lulus up to three times to elicit a response. For filaments 4.17 through 6.65, apply the stimulus one time only. 8. Begin with the 2.85 flament. Ifthe patient is able to detect the 2.83 filament, the exam is complete. If the patient does not Fespond to the stimulus, choose the next largest monofilament and repeat the procedure. To maintain the patient's attention during testing, intermittently move the monofilament to test areas known to have sensation, ae Instructions for Care 1. Clean the monofilament handle with a damp sponge or cloth ‘using mild soap. Monofilaments can be disinfected using a cold soak in an instrument disenfectant. 2. When not in use, protect the monoflanent by otatng i into the closed position so that the filament rests into the channel in the handle. A bent monofilamerit may give false results, 5. When placing or removing the monofilament handle into or from the carrying case, grasp the handle at the NCM logo to prevent rotating the filament against the case. 9. Record results using colored pens that correspond to the colors on the filament handle, as noted a the chart below. You also ‘may choose to record the results using icons that note areas of normal, delayed, or absent response. (The use of icons will fact. itate copying or faxing the recording form). Responses delayed ‘more than three seconds should be recorded as “delayed” on the form. To help screen out false positives, vary the testing, pat. tem, including time intervals between different monofilaments. Monotilament Ste. sentation ‘Threshold 16510283 Green or0O Normale 322t0361 Blue or] Diminished Light Touch 38400431 Purple or AA Diminished Protective Sensation 45610645 Redor¥Y Lass of Protective Sensation 665+ Red lined or // Deep Pressure Sensation only Untestable —Blacklined XX.__Unresponsive to any flaments “exchides the plantar surface ofthe foot that may normally show diminished lighe touch 3.61 due toa thick Kerstin ler ‘Monofiaments, particularly the light monofllaments, may develop a bend ‘with use that prevents them from setling into the channel automatialy. Take care when closing the monofilament handle to genly run your fngee along. the channel to position the monofilament properly. Place your finger over the chinnel s you replace te monofilament in its case, Bibliography Bell Krotosl, JA: Sensibliy testing: Current Concepts. In Hunter, J4HL, Mackin, EJ., Callahan, AD., eds. Rebabilitation of the Hand. Surgery and Therapy, 4th edition, St. Louis, CN Mosby, 1995, 109. 127. (vailable through North Coast Medical, order product number NC74510) Bell-Krotoski, J.A., Tomancik, L.: The Reliability of Testing with ‘Semmes-Weinstein Monofilaments. Journal of Hand Surgery, January 1987. Bell-Krotoski, J.A., et. al.: Threshold Detection and Semmes- Weinsiein Monofilaments. Journal of Hand Therapy, Apriljunc 1995, 82). Olmos, BR, et. al.: The Semmes-Weinstein Monofilament as a Potential Predictor of Foot Ulceration in Patients with Noninsalin. Dependent Diabetes. The American journal of the Medical Sciences, February 1995 3092). 1996 Now Cons Medea, i an jne CAD SIDS ned en QB Ried Paper rsaeli Gael Figure 5—Touch-Test™ Sensory Evaluator Chart » [+ Product Number evaluator Size] Target Forces] Representation Hand & Dorsal Plantar Thresholds | p i ? Foot Treo . | N€12775-01 1.65 0.008 } NCi2775-02 | 2.36 0.02 : . Norma | [oNcia77&03 | 24a] 008 sormat Ne12775-08 | 2.03 | or LEB : i wetarrses | 322 | 036 | cae pieateiiee NC12775-06 3.61 0.4 Touch { Ss NC12773-07 “3.84 Oe rg peers “fj NC12775-08 [4.08 1 Purple Diminished Diminished Light | [Denso poate] Protective Sensation Touch f\ [DNetarsteb 2 _ [Newari 4 ; }So1277 ent Diminished | } 3 [Netarrsa cma ee Protective Sensation | | xerzz7sc3 3 : ° NCTA 70 3 | ! Loss of Protective 4 75 i j Re Sensation 76 toss of Protective | | L Oy sSstnsaton | al | [Leena 700” ~ NC12775-19 180 | + 7 &. L_Ne12775-20 | 300 | Snsatee uy sentoon Bay * Individually calibrated-within a 5% standard deviation. Touch-Test™ Sensory Evaluators and Accessories: / Piet Sanber | __+- Sesesiption (0 [Nevarrs J rouch-test™ 20 Piece Fae ! Nei2774 Touch-Test™ Complete Foot Kit (6 riece Kit, Sereeniag Forms, Colored Pencils) _| [_Nev2az73 Touch-Test™ 6 Piece Foot Kit (2.83, $.61, 4.31, 4.56, 5.07, 6.65) _| \ [oncr97 Touch-Test™ Complete Hand Kit (§ Plfse Kit, Screening Forme, Colnred Panella | Nc12772 | Touch-test™ 5 Piece Hand Kit (2.63, 361,431, 4.36 psp NO1277 5-14 | Touch-Test™ Sensory Evaluator 5.07 (10 grams of force?) CSREES) | [_Nciar4s “"Troot Screening Forms (pad of 100) = | NC12750-1_"| Hand Screening Forms (pad of 100) j NCia756 | Colored Fencils Set NCI2700_—[Toueh-Text™ Training Cee. | : Exe Fe a TT 7 ‘wpa pajonneg “Angueg tas 25 sesoenotet (3807 waLvaHo ~ $100 03NaMuva 34OR) SINIMYS 8EHOT TW ONY NSH ‘03108130 153401 40 400 NDWUVG 3US 1831 HOVE LY ‘shOUOMULSN! YO Woe 335, ov3a sso ‘430 192009

You might also like