Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Two-Point Discrimination for Upper Extremity and Face in Healthy Young Adults: A Cross-Sectional Study.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • معلومة اضافية
    • المصدر:
      Publisher: Medknow Publications Country of Publication: India NLM ID: 0042005 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1998-4022 (Electronic) Linking ISSN: 00283886 NLM ISO Abbreviation: Neurol India Subsets: MEDLINE
    • بيانات النشر:
      Publication: Mumbai : Medknow Publications
      Original Publication: Bombay : Neurological Society of India
    • الموضوع:
    • نبذة مختصرة :
      Background and Aim: The threshold values of two-point discrimination (TPD) provide a numerical measure of tactile acuity. Normal reference values are needed to decide whether sensory variability is within normal sensorial limits. The study aimed to determine the upper extremity and face threshold values in healthy young adults.
      Materials and Methods: Static TPD thresholds of 67 healthy young adults aged 18-35 years were assessed. Eight skin areas in the face and upper extremity on the dominant side were assessed using a "method of limits" approach with an aesthesiometer. Differences between genders were examined with the Mann-Whitney U test. The Spearman correlation analysis investigated the relationship between age and TPD measurements.
      Results: TPD values ranged between 4.66 and 19.16 mm and 1.33-68.66 mm in the face and upper extremity, respectively, in the participants with a mean age of 23.83 ± 4.66 years. Fingertips and the area over the lateral mandibula showed the greatest sensitivity. The threshold values of TPD showed both interindividual and intraindividual variability. There was no statistical difference in the TPD values according to gender in any of the measured areas, and there was no relationship between age and TPD test values.
      Conclusions: The threshold values of TPD have clinical applicability in various diseases affecting the sensation of the upper extremity and/or face. These data may help the detection of early sensory loss.
      (Copyright © 2024 Copyright: © 2024 Neurology India, Neurological Society of India.)
    • References:
      Gallace A, Spence C. The science of interpersonal touch: An overview. Neurosci Biobehav Rev 2010;34:246–59.
      Roudaut Y, Lonigro A, Coste B, Hao J, Delmas P, Crest M. Touch sense: functional organization and molecular determinants of mechanosensitive receptors. Channels (Austin) 2012;6:234–45.
      Goldstein EB. Encyclopedia of Perception. Thousand Oaks (CA): Sage Publications Inc; 2010. p. 947–52.
      Harvie DS, Kelly J, Buckman H, Chan J, Sutherland G, Catley M, et al. Tactile acuity testing at the neck: A comparison of methods. Musculoskelet Sci Pract 2017;32:23–30.
      Lundborg G, Rosén B. The two-point discrimination test–time for a re-appraisal? J Hand Surg Br 2004;29:418–22.
      Jung JK, Byun JS, Choi JK. The effect of applied force on two-point discrimination threshold in the trigeminal region. J Oral Facial Pain Headache 2019;33:371–76.
      Nolan MF. Two-point discrimination assessment in the upper limb in young adult men and women. Phys Ther 1982;62:965–9.
      Nolan MF. Limits of two-point discrimination ability in the lower limb in young adult men and women. Phys Ther 1983;63:1424–8.
      Lotze M, Moseley GL. Role of distorted body image in pain. Curr Rheumatol Rep 2007;9:488–96.
      Luedtke K, Adamczyk W, Mehrtens K, Moeller I, Rosenbaum L, Schaefer A, et al. Upper cervical two-point discrimination thresholds in migraine patients and headache-free controls. J Headache Pain 2018;19:47.
      Jerosch-Herold C. Assessment of sensibility after nerve injury and repair: a systematic review of the evidence for validity, reliability, and responsiveness of tests. J Hand Surg Br 2005;30:252–64.
      Boesch CE, Fuchsberger T, Beutler K, Bender D, Daigeler A, Medved F. Value of the two-point discrimination test: Evaluation of 238 isolated finger nerve injuries. J Hand Surg Asian Pac Vol 2019;24:477–82.
      Novak CB, Ross B, Mackinnon SE, Nedzelski JM. Facial sensibility in patients with unilateral facial nerve paresis. Otolaryngol Head Neck Surg 1993;109:506–13.
      Wolny T, Saulicz E, Linek P, Myśliwiec A. Two-point discrimination and kinesthetic sense disorders in productive age individuals with carpal tunnel syndrome. J Occup Health 2016;58:289–96.
      Petry NM. A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. Gerontologist 2002;42:92–9.
      Nolan MF. Quantitative measure of cutaneous sensation: Two-point discrimination values for the face and trunk. Phys Ther 1985;65:181–5.
      Etter NM, Miller OM, Ballard KJ. Clinically available assessment measures for lingual and labial somatosensation in healthy adults: Normative data and test reliability. Am J Speech Lang Pathol 2017;26:982–90.
      Portney LG, Watkins MP. Foundations of Clinical Research: Applications to Practice. 3rd ed. Philadelphia (PA): F. A. Davis Company; 2015. p. 525.
      Vriens JPM, Van der Glas HW. Extension of normal values on sensory function for facial areas using clinical tests on touch and two-point discrimination. Int J Oral Maxillofac Surg 2009;38:1154–8.
      Koo JP, Kim SH, An HJ, Moon OG, Choi JH, Yun YD, et al. Two-point discrimination of the upper extremities of healthy Koreans in their 20’s. J Phys Ther Sci 2016;28:870–4.
      Won SY, Kim HK, Kim ME, Kim KS. Two-point discrimination values vary depending on test site, sex, and test modality in the orofacial region: A preliminary study. J Appl Oral Sci 2017;25:427–35.
      Posnick JC, Zimbler AG, Grossman JA. Normal cutaneous sensibility of the face. Plast Reconstr Surg 1990;86:429–33.
      Shibukawa Y. Cortical mechanism of oral sensation in human. Int J Oral-Med Sci 2009;8:65–73.
      Alsaeed S, Alhomid T, Zakaria H, Alwhaibi R. Normative values of two-point discrimination test among students of Princess Noura Bint Abdulrahman University in Riyadh. Int J Adv Physiol Allied Sci 2014;1:42–52.
      Oparah SK, Ubani CD, Osim EE. Assessment of two-point discrimination threshold on the thumbs of healthy adult Nigerians. Sch J App Med Sci 2016;4:15–9.
      Dane AB, The E, Reckelhoff KE, Ying PK. Differences of cutaneous two-point discrimination thresholds among students in different years of a chiropractic program. J Manipulative Physiol Ther 2017;40:511–6.
      Erçalık C, Özkurt S. Two-point discrimination assessment of the upper extremities of healthy young Turkish individuals. Turk J Phys Med Rehabil 2022;68:136–41.
      Bear MF, Connors BW, Paradiso MA. Neuroscience: Exploring the Brain. 3rd ed. Philadelphia (PA): Lippincott Williams and Wilkins; 2007. p. 392.
      Abraira VE, Ginty DD. The sensory neurons of touch. Neuron 2013;79:618–39.
      Kandel ER, Schwartz JH, Jessell TM, Siegelbaum SA, Hudspet AJ. Principles of Neural Science. 5th ed. Newyork (NY): The McGraw-Hill Companies Inc; 2013. p. 498–508.
      Van Nes SI, Faber CG, Hamers RM, Harschnitz O, Bakkers M, Hermans MCE, et al. Revising two-point discrimination assessment in normal aging and in patients with polyneuropathies. J Neurol Neurosurg Psychiatry 2008;79:832–4.
      Brill N, Tryde G, Morgan G, Rees DA. Age changes in the two‐point discrimination threshold in skin innervated by the trigeminal nerve. J Oral Rehabil 1974;1:149–57.
      Bowden JL, McNulty PA. Age-related changes in cutaneous sensation in the healthy human hand. Age 2013;35:1077–89.
      Catley MJ, Tabor A, Wand BM, Moseley GL. Assessing tactile acuity in rheumatology and musculoskeletal medicine—how reliable are two-point discrimination tests at the neck, hand, back and foot? Rheumatology (Oxford) 2013;52:1454–61.
      Wand BM, Catley MJ, Luomajoki HA, O’Sullivan KJ, Di Pietro F, O’Connell NE, et al. Lumbar tactile acuity is near identical between sides in healthy pain-free participants. Man Ther 2014;19:504–7.
      Wikstrom EA, Allen G. Reliability of two-point discrimination thresholds using a 4-2-1 stepping algorithm. Somatosens Mot Res 2016;33:156–60.
      Falling C, Mani R. Ageing and obesity indices influences the tactile acuity of the low back regions: A cross-sectional study. Man Ther 2016;23:25–31.
      Adamczyk W, Sługocka A, Saulicz O, Saulicz E. The point-to-point test: A new diagnostic tool for measuring lumbar tactile acuity? Inter and intra-examiner reliability study of pain-free subjects. Man Ther 2016;22:220–6.
      Ehrenbrusthoff K, Ryan CG, Grüneberg C, Wolf U, Krenz D, Atkinson G, et al. The intra-and inter-observer reliability of a novel protocol for two-point discrimination in individuals with chronic low back pain. Physiol Meas 2016;37:1074–88.
      Zimney K, Dendinger G, Engel M, Mitzel J. Comparison of reliability and efficiency of two modified two-point discrimination tests and two-point estimation tactile acuity test. Physiother Theory Pract 2020;38:235–44.
      Svensson P, Baad‐Hansen L, Pigg M, List T, Eliav E, Ettlin D, et al. Guidelines and recommendations for assessment of somatosensory function in oro‐facial pain conditions – A taskforce report. J Oral Rehabil 2011;38:366–94.
    • الموضوع:
      Date Created: 20240723 Date Completed: 20240723 Latest Revision: 20240723
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.4103/ni.ni_1286_21
    • الرقم المعرف:
      39041970