Technique for Recording Semmes Weinstein Monofilament Response,
Clinical Pearl No. 6 – August 2009

HandLab Clinical Pearls

August 2009                                No. 6

 TECHNIQUE FOR RECORDING SEMMES WEINSTEIN MONOFILAMENT RESPONSE

 

Although color illustrations give an excellent visual image of levels of sensibility, having the right color pen/s immediately available and the inability to photocopy the color makes it a less than ideal technique for recording. The colors can be substituted by an increasingly dense black and white graphic pattern. This allows documentation to be created in any color ink and when it is photocopied, it retains visual density. The illustrations below show how this technique is used and how one can determine improvement or lack of by the visual image.

scale of Intrepretation

sensory mapping

This illustration shows progressive return of sensibility in the median nerve distribution at three different examinations.

Download Clinical Pearl No. 6, Technique for Recording Semmes Weinstein Monofilament Response, August 2009

 

ADDITIONAL SUGGESTED READING

Clinical Pearl No. 29 – The Hoffman-Tinel Sign

Clinical Pearl No. 25 – Froment’s Sign & Jeanne’s Sign in Ulnar Palsy

Clinical Pearl No. 10 – The Linburg-Comstock Anomaly

Clinical Pearl No. 8 – Finkelstein’s Test: Do We Do It the Same and Who Is Doing it Correctly?

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Disclaimer: HandLab Clinical Pearls are intended to be an informal sharing of practical clinical ideas; not formal evidence-based conclusions of fact.