Nakada M, Dellon A L
Division of Occupational Therapy, Tokyo Metropolitan College of Allied Medical Sciences, Japan.
Microsurgery. 1989;10(2):138-41. doi: 10.1002/micr.1920100215.
Twenty-five vision-impaired diabetics received an evaluation of sensibility. Each subject had received 2 years of instruction in braille reading at the Konan Rehabilitation Center prior to the sensibility testing. Sensibility evaluation consisted of cutaneous pressure threshold measurements with the Semmes-Weinstein monofilament and evaluation of moving and static two-point discrimination with Disk-Criminator. The ability to read braille was graded by the braille-teaching instructors as good, fair, and unable. The results of the evaluation of sensibility demonstrated that the value of the cutaneous pressure threshold did not correlate with the ability to read braille. Moving and static two-point discrimination were found to correlate highly (P less than .001) with the ability to read braille at a level of fair or good. No patient in this study with a moving two-point discrimination value of 4 or more or a static two-point discrimination value of 5 or more was able to read braille even at the fair level of ability.
25名视力受损的糖尿病患者接受了感觉功能评估。在进行感觉功能测试之前,每位受试者都在小南康复中心接受了2年的盲文阅读指导。感觉功能评估包括使用Semmes-Weinstein单丝测量皮肤压力阈值,以及使用Disk-Criminator评估动态和静态两点辨别能力。盲文阅读能力由盲文教师评定为良好、中等和无法阅读。感觉功能评估结果表明,皮肤压力阈值与盲文阅读能力无关。动态和静态两点辨别能力与中等或良好水平的盲文阅读能力高度相关(P小于0.001)。在本研究中,没有一位动态两点辨别值为4或更高或静态两点辨别值为5或更高的患者能够达到中等水平的盲文阅读能力。