Research Article

The Thermal Sensitivity Test in Evaluating Outcome after Peripheral Nerve Injury

Table 2

The Rosén and Lundborg assessment score.

ScoreTesting areaResult

Sensory domain
Semmes-Weinstein monofilament test0 = not testable
1 = filament 6.65
2 = filament 4.65
3 = filament 4.31
4 = filament 3.61
5 = filament 2.83
Median nerve:
(i) pulp of finger II,
(ii) base of finger II,
(iii) pulp of the thumb
Ulnar nerve:
(i) pulp of finger V,
(ii) base of finger V,
(iii) hypothenar area
0 to 5 for each tested area; the result is the sum of each test
Result: 0–15
Static 2-point discrimination test0 = >15 mm
1 = 11–15 mm
2 = 6–10 mm
3 = <6 mm
Median nerve:
pulp of finger II
Ulnar nerve:
pulp of finger V
0 to 3 for each nerve
Result: 0–3
Shape/texture identification test0 = not testable
Scores 1 to 3 = correct recognition of shapes/textures of different sizes
Median nerve:
pulp of finger II
Ulnar nerve:
pulp of finger V
0 to 6 for each nerve
Result: 0–6
Sollerman test1: doing up 4 buttons of different sizes
2: putting 4 nuts on bolts of different sizes
3: picking 4 coins of different sizes from a purse
Task performed single-handed0–4 for each test
Result: 0–12

Motor domain
Medical Research Council power grading0: no muscle contraction
1: visible muscle contraction but no joint movement
2: active joint movement with gravity eliminated
3: movement against gravity
4: movement against gravity and some resistance
5: full power against resistance
Median nerve: palmar abduction of the thumb
Ulnar nerve:
(i) abduction of fingers II and V
(ii) adduction of finger V
Median nerve: 0–5
Ulnar nerve: 0–15
Grip strengthMean of 3 trials (evaluated with Jamar dynamometer)Grip strength of both handsGrip strength of the uninjured hand is considered normal

Pain/discomfort
Cold intolerance
Pain/hypersensitivity
0: hindering function
1: disturbing
2: moderate
3: none/mild
Patient’s own estimation of the problemResult: 0–3

Each domain is scored as follows: sum of the results for the examined nerve for the domain is divided by the expected normal result for the domain, for example, sensory domain: sum of scores/(15 + 3 + 6 + 12).
The result from every domain is in fact a percentage. Maximal score for each domain is 1; maximal score for the whole assessment is 3.