Pressure from the 10 g monofilament was perceived by 53 patients of whom 51 also felt VibraTip®. Of the 100 patients 55 felt both the vibrating tuning fork and VibraTip, the remaining 45 patients felt neither.
Patients were tested sequentially with the three devices in random order on either the left or right foot. One hundred consecutive patients attending diabetic annual review and podiatry clinics were enrolled in a study to compare a 10 g Semmes-Weinstein monofilament and a 128Hz tuning fork with VibraTip®, a novel, key-fob-sized source of fixed amplitude vibration for the identification of peripheral neuropathy. Testing vibration sense is a recognised component of neuropathy assessment. Upper extremity strengthening and sensorial training of the hand may contribute to the upper extremity function in patients with MS. Additionally upper extremity functions seem to be related with light touch-pressure and two-point discrimination sensations of the hand and elbow flexion strength. These results indicate that the hand sensation, upper extremity strength and function were affected in MS patients.
Light touch-pressure sensation of thumb and index fingers, two-point discrimination of index finger and elbow flexion strength were found to be related with upper extremity function in patients with MS (p< 0.05). Strength and functional level of the upper extremity, light touch-pressure, two-point discrimination, vibration sensations of the hand were lower in patients with MS compared with healthy controls (p < 0.05).
#512 hz tuning fork manual#
Upper extremity function was measured with the Nine-hole peg test, upper extremity strength (shoulder flexion-abduction, elbow flexion, pinch and grip) with hand-held dynamometer, hand grip dynamometer and manual pinch meter, threshold of light touch-pressure with Semmes-Weinstein monofilament, duration of vibration with 128-Hz frequency tuning fork, and distance of two-point discrimination with an aesthesiometer. Twenty-two patients with MS (mean age: 38.5 ± 8.31 years, median Expanded Disability Status Scale (EDSS): 2) and 10 healthy subjects were included. The purpose of this study was to investigate the relationships between the upper extremity functions, upper extremity strength and hand sensation in patients with Multiple Sclerosis (MS).
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