Reliability of the Semmes-Weinstein monofilaments in identifying peripheral neuropathy in the hand: A systematic review




Hoard, Alicia

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Study Design: Systematic Review.

Purpose of the Study: To seek evidence based research regarding reliability of the Semmes-Weinstein Monofilaments in identifying peripheral neuropathy in the hands.

Method: Several databases were searched for research articles dating back 50 years. The American Occupational Therapy Association Guidelines for Systematic Review was used to guide the process.

Results: Twenty-two studies met the inclusion and exclusion criteria. Approximately one third of the eligible studies addressed reliability of the Semmes-Weinstein Monofilaments while testing normal subjects; nearly two-thirds studied reliability of the SWM in subjects with diagnoses known for potential peripheral sensory neuropathy and four studies evaluated the reliability of the Semmes-Weinstein Monofilament material used for testing. Standardized protocols do exist for the SWM but were often altered. Some studies modified protocols with minor changes; others involved major changes to protocol making comparison between studies difficult.



Health and environmental sciences, Physical therapy, Occupational Therapy