The Neurological Sensory Exam

01 May 2012 / Impairment Physical Exam / Comments Off on The Neurological Sensory Exam

Light touch sensory documentation is adequate if there are no sensory complaints, however, if “numbness” or “tingling” is noted in the history, it is advised to objectively document sensory complaint levels by using the Seims-Weinstein monofilament sets.

 

I begin with the lightest weight in my set which is 0.07gm. Be certain the employee understands what the testing is looking for and how a positive sensation is registered.

 

I do this by showing the employee the set, letting them apply the monofilament themselves (which has been mis understood as a needle by many an employee) and confirming they can relay a positive pre-examination test before closing their eyes and having the testing performed, right vs. left sides.

 

A Seims-Weinstein filament weight is exercised properly when the filament is applied perpendicular and the body of the filament is bent. Do not drag or tickle the filament across the skin area being tested. Also, on hands and feet where there may be callus, apply the filament testing on the flexor creases for best testing results.

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