Monofilament Test Documentation Form
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People also ask
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What is the normal range for monofilament test?
The normal monofilament was 2 g (Filament Index Number (FIN) 4·31) for the radial cutaneous and 4 g (FIN 4·56) for the sural nerve, although heavy manual laborers demonstrated a threshold of 10 g (FIN 5·07) for the sural nerve. -
What does a positive monofilament test mean?
Monofilament testing was found to be useful in detecting peripheral neuropathy in the community setting. If monofilament testing is positive, then peripheral neuropathy is ruled in. If the test is negative but the clinical suspicion is high, then NCS may be warranted. -
How do you write monofilament test results?
Record the results on the screening form, noting a “+” for sensation felt, and a “-” for no sensation felt. The patient is said to have an insensate foot if they fail on retesting at just one or more sites on either foot. Injury is much more likely to occur in these insensate areas and we must take protective measures. -
What are the scores for monofilament testing?
The more the labeled number increases, the thicker the filament becomes, and the more pressure is necessary to bend the filament. The filaments are classified from grade 1 to 5 ing to their thickness: 1.65–2.83 = grade 5, 3.22–3.61 = grade 4, 3.84–4.31 = grade 3, 4.56–6.45 = grade 2, and 6.65 = grade 1 (Table 1). -
What does a positive monofilament test mean?
Monofilament testing was found to be useful in detecting peripheral neuropathy in the community setting. If monofilament testing is positive, then peripheral neuropathy is ruled in. If the test is negative but the clinical suspicion is high, then NCS may be warranted. -
What is normal sensation to monofilament?
Monofilament testing must be carried out in a quiet/relaxed setting to allow the client to fully participate in the test. normal sensation is expected, (e.g., hand). Doing the demonstration n the client's hands allows the client to experience the feeling before the test is done on their feet. 3. -
What is an abnormal result for monofilament test?
Abnormal monofilament testing has positive likelihood ratios >7 and negative likelihood ratios ranging from 0.07 to 0.61 for diagnosing neuropathy in patients with diabetes. -
What are the values of monofilaments?
The higher the value of the monofilament, the stiffer and more difficult it is to bend. Three monofilaments commonly used to diagnose peripheral neuropathy are the 4.17, 5.07 and 6.10. -
How do I document monofilament test results?
Record the results on the screening form, noting a “+” for sensation felt, and a “-” for no sensation felt. The patient is said to have an insensate foot if they fail on retesting at just one or more sites on either foot. Injury is much more likely to occur in these insensate areas and we must take protective measures. -
What does 5.07 monofilament mean?
They concluded that the 5.07 monofilament is the threshold for detecting protective sensation as no patients with ulceration could sense the monofilament.
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