Wexler Ruth, Melchior Hanna
Israel Hansen's Disease Centre, Israel Ministry of Health, Jerusalem, Israel.
Lepr Rev. 2007 Dec;78(4):362-8.
Sensory testing in people affected by Hansen's disease is usually performed on palms and soles only. In Israel, both palmar/plantar and dorsal aspects of limbs are routinely tested.
The aim of this study was to describe the magnitude of dorsal sensory impairment (SI) in limbs and compare the frequency of SI on palms and soles with that on the dorsum of hands and feet.
In a cross-sectional study, limbs of 140 patients registered at The Israel Hansen's Disease Centre during the years 1999-2003 were tested for their sensory status. Both palmar/plantar and dorsal aspects were tested using Semmes-Weinstein monofilaments. SI was defined as not feeling stimuli applied with the 2 g monofilament.
SI was detected on the dorsum in 43% of sites on hands and only in 27% on palms. 64% of sites on dorsum of feet had SI compared to 53% on the soles. SI was detected in up to 18% in hands with no palmar SI, and in 6% of feet with no plantar SI. Furthermore, SI on palms and soles was found to be accompanied by dorsal SI in all hands and in 97% of feet.
SI on dorsum of limbs occurs more frequently than SI on palms and soles. Therefore sensory testing should also consider inclusion of the dorsal aspect of hands and feet.
对麻风病患者进行的感觉测试通常仅在手掌和脚底进行。在以色列，四肢的掌侧/跖侧以及背侧都进行常规测试。
本研究的目的是描述四肢背侧感觉障碍（SI）的程度，并比较手掌和脚底SI的频率与手和脚背侧的频率。
在一项横断面研究中，对1999年至2003年期间在以色列麻风病中心登记的140名患者的四肢进行感觉状态测试。使用Semmes-Weinstein单丝对掌侧/跖侧和背侧进行测试。SI定义为未感觉到用2克单丝施加的刺激。
在手部背侧43%的部位检测到SI，而手掌仅为27%。脚背侧64%的部位有SI，而脚底为53%。在无掌侧SI的手中，高达18%检测到SI，在无跖侧SI的脚中，6%检测到SI。此外，在所有手中以及97%的脚中，发现手掌和脚底的SI伴有背侧SI。
四肢背侧的SI比手掌和脚底的SI更频繁发生。因此，感觉测试也应考虑包括手和脚的背侧。
