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Semmes-weinstein monofilaments: influence of temperature, humidity, and age.

Abstract

PURPOSE: To determine whether the buckling force of Semmes-Weinstein monofilaments is influenced by changes in temperature, humidity, and aging.

METHODS: We tested 16 Semmes-Weinstein monofilaments from North Coast Medical, varying in age from new to 12 years old. From each kit, we used the 2.83/0.07 g, 3.61/0.4 g, 4.31/2g, and 4.56/4 g filaments. Four observers tested the filaments under temperature/humidity conditions of 26°C/33%, 26°C/80%, 37°C/33%, and 37°C/80%.

RESULTS: Air temperature and humidity both significantly influence buckling force. At 26°C/33% the buckling force varies by an average of 2% from the standard data supplied by the manufacturer, whereas in the other 3 conditions (26°C/80%, 37°C/33%, and 37°C/80%), the buckling force can decrease by as much as 39%. Effect of age was small and not clinically relevant.

CONCLUSIONS: The significant changes in buckling force of the Semmes-Weinstein monofilaments in different temperature and humidity conditions might lead to a potential misinterpretation by the examiner regarding the level of peripheral nerve function loss. This could lead to incorrect diagnosis and treatment.

CLINICAL RELEVANCE: Examiners should be aware when using Semmes-Weinstein monofilaments that the environmental effects of temperature and humidity can affect the accuracy of measurement.

More information

Type
Journal Article
Author
Haloua MH
Sierevelt I
Theuvenet WJ
Year of Publication
2011
Journal
The Journal of hand surgery
Volume
36
Issue
7
Number of Pages
1191-6
Date Published
2011 Jul
Language
eng
ISSN Number
1531-6564
Call Number
HALOUA 2011
DOI
10.1016/j.jhsa.2011.04.009
Alternate Journal
J Hand Surg Am
Publication Language
eng