II. Indications
- Diabetic Neuropathy Screening in Diabetes Mellitus
III. Exam: Monofilament
- Sensation triggered by 10-g Monofilament correlates with protective Sensation
- Technique
- Monofilament applied to at least 4 sites on each foot
- Apply just enough pressure to bend monofilament
- Interpretation: Unable to feel 4 sites on foot
- Suggests significant Peripheral Neuropathy
- Risk of Foot Ulcer or Charcot Joint
- Efficacy (low Test Sensitivity)
- Test Sensitivity: 53%
- Test Specificity: 88%
- References
IV. Exam: Tuning Fork Test (alternative)
- Tuning fork (128 hz) applied to malleolus
- Lack of Sensation suggests Peripheral Neuropathy
- Less sensitive than 10-g monofilament
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Related Studies
| Concepts | Diagnostic Procedure (T060) |
| SnomedCT | 366758008, 366834002, 134388005 |
| English | monofilament wire test of the foot, monofilament wire test of the foot (physical finding), tactile decrease monofilament wire test foot, Monofilament foot sensation test (procedure), Monofilament foot sensation test |
| Spanish | prueba de sensibilidad del pie con monofilamento (procedimiento), prueba de sensibilidad del pie con monofilamento |
Ontology: Monofilament pressure perception test (C1609492)
| Concepts | Diagnostic Procedure (T060) |
| Dutch | monofilament drukperceptietest |
| French | Test de perception de pression au monofilament |
| German | Monofilament-Test |
| Italian | Test di percezione della pressione di monofilamento |
| Portuguese | Teste de percepção de pressão de monofilamento |
| Spanish | Prueba de percepción por presión con monofilamento |
| Japanese | モノフィラメント圧力知覚検査, ﾓﾉﾌｨﾗﾒﾝﾄｱﾂﾘｮｸﾁｶｸｹﾝｻ |
| Czech | Test percepce jednovláknového tlaku |
| Hungarian | Monofilament nyomás érzékelési vizsgálat |
| English | Monofilament pressure perception test |
