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Synonym(s): tactometer, aesthesiometer.
aesthesiometerdevice used to determine sensory threshold status (see monofilament; neuraesthesiometer; see Table 1)
|Sensory modality||Tests used to evaluate modality|
|Vibration||128-Hz tuning fork|
Rydel-Seiffer tuning fork
Neurotip (plastic end)
|Pain||Neurotip (metal end)|
Weight of tip of hypodermic needle affixed to a 2-ml plastic syringe filled with water
|Protective pain||Awareness of the contact of the tip of a 10-G |
Semmes-Weinstein monofilament at the majority of the plantar surface
Awareness of the contact of the tip of a 4-G
Semmes-Weinstein monofilament at the majority of the dorsal surface
|Blunt/sharp||Neurotip (plastic end) + Neurotip (metal end)|
|Hot||Test-tube filled with hot water|
|Cold||Test-tube filled with cold water|
Tyne of tuning fork
|Proprioception||The examiner moves a joint and the patient identifies the direction of movement|
Sensory evaluation should be carried out in a systematic manner with the results recorded on an appropriate form that is retained in the patient's case notes. All areas of the foot are tested. The patient should be unable to observe the tester's actions, and lies in a relaxed and comfortable position. Repeat tests should be made and recorded, e.g. every 6-12 months, and where possible retests should be carried out at the same time of day by the same tester.