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Interpretation of cutaneous pressure threshold (Semmes‐Weinstein monofilament measurement) following median nerve repair and sensory reeducation in the adult
Author(s) -
Imai Haruo,
Tajima Tatsuya,
Natsuma Yaemi
Publication year - 1989
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920100216
Subject(s) - medicine , sensation , median nerve , sensory system , sensory threshold , wrist , surgery , microsurgery , neuroscience , cognitive science , psychology , biology
Semmes‐Weinstein nylon monofilaments are used to evaluate recovery of cutaneous pressure threshold in adults recovering from median nerve repair at the wrist level. Of the 46 patients studied, 22 received a program of sensory reeducation. The nylon monofilament measurements accurately described the improvement in recovered sensation following nerve repair. There was a statistically significant better recovery (lower threshold) in patients receiving sensory reeducation, which was present in those less than 30 years old (P <.003) as well as those greater than 30 years old (P <.05). However, normal thresholds were not recovered in these patient populations.