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NATIONAL HANSEN 'S DISEASE PROGRAMS PHYSICAL THERAPY FOOT SCREEN Name: Age: ID# Date: / / Diagnosis: LL BL TL Diabetes PVD Venous Insuff. Other Medical Hx: Foot Ulcer: Y N Location: Surgery: Y N Describe:.

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Monofilament testing was found to be useful in detecting peripheral neuropathy in the community setting. If monofilament testing is positive, then peripheral neuropathy is ruled in. If the test is negative but the clinical suspicion is high, then NCS may be warranted.

Abnormal monofilament testing has positive likelihood ratios >7 and negative likelihood ratios ranging from 0.07 to 0.61 for diagnosing neuropathy in patients with diabetes.

The 10 g Semmes–Weinstein monofilament evaluation (SWME) of 4 sites on each foot is recommended for distal symmetric polyneuropathy screening and diagnosis. A similar method has been proposed to diagnose 'high-risk' (for ulceration) feet, using 3 sites per foot.

Hold the filament perpendicular to the skin and use a smooth motion when testing. Use a 3 step sequence that includes (1) touch the skin, (2) bend the filament, and (3) lift from the skin. Do not use rapid movement.

Show the monofilament to the patient and touch it to his/her hand or arm so that he/she knows it does not hurt. Use the 10 gram monofilament to test sensation at the indicated sites on each foot as shown. Apply the monofilament along the perimeter of and NOT on an ulcer, callous, scar, or necrotic tissue.

Routine foot examinations, including the Semmes-Wenstein monofilament, should be performed on all diabetics to detect possible PN (ADA, 2012). Any healthcare provider, including nurses, can perform this test.

A monofilament test is done to test for nerve damage (peripheral neuropathy), which may be caused by conditions such as diabetes. The monofilament is a small strand of nylon attached to a plastic base. The provider uses this monofilament to check for loss of feeling on your foot.

The normal monofilament was 2 g (Filament Index Number (FIN) 4·31) for the radial cutaneous and 4 g (FIN 4·56) for the sural nerve, although heavy manual laborers demonstrated a threshold of 10 g (FIN 5·07) for the sural nerve.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232