Postepy Dermatol Alergol. 2014 Jun;31(3):139-45. doi: 10.5114/pdia.2014.40933. Epub 2014 Jun 13.
Tactile sensitivity on the hands skin in rheumatic patients.
Postepy dermatologii i alergologii
Elżbieta Kaluga, Anna Kostiukow, Włodzimierz Samborski, Elżbieta Rostkowska
Affiliations
Affiliations
- Department of Physiotherapy and Knowledge about Health, The State School of Higher Professional Education, Konin, Poland. Head of Department: Prof. Jacek Lewandowski PhD.
- Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poznan, Poland. Head of Department: Prof. W?odzimierz Samborski MD, PhD.
PMID: 25097484
PMCID: PMC4112261 DOI: 10.5114/pdia.2014.40933
Abstract
INTRODUCTION: Clinical symptoms of rheumatic diseases can cause changes in the level of skin tactile sensitivity.
AIM: To determine the tactile threshold of the hands in female patients with rheumatic diseases. It also attempted to determine correlations between rheumatic patients' tactile sensitivity and the degree of articular movement limitations, the Barthel Index (BI) and Edinburgh Handedness Inventory (EHI) results, the level of disability of the right hand and the left hand as well as age, education and eyesight.
MATERIAL AND METHODS: Ninety-nine female rheumatic patients aged 19-87 years took part in the study. The control group comprised 45 healthy women aged 23-80 years. The measurement of the tactile threshold was performed using the Touch-Test™ Sensory Evaluators (Semmes-Weinstein Monofilaments Test). The tactile threshold was measured at three sites on the hand: the little finger, the index finger and the metacarpus.
RESULTS: The patients' tactile sensitivity ranges were classified as normal, diminished light touch and diminished protective touch. The degree of their disability was correlated with tactile sensitivity. The patients' tactile sensitivity worsens with age, but it is not correlated with the level of education. The lateralization was similar to that of the control group and was not correlated with tactile sensitivity. The worsening eyesight, independent of rheumatic disease, corresponds, however, with decreasing tactile sensitivity.
CONCLUSIONS: The patients represented a group with a medium level of functional disability and lower tactile sensitivity.
Keywords: esthesiometer (Semmes-Weinstein Monofilaments); rheumatic diseases; skin; tactile threshold; touch
References
- Eur J Neurosci. 2004 Nov;20(10):2733-6 - PubMed
- J Am Geriatr Soc. 1996 Aug;44(8):974-8 - PubMed
- Disabil Rehabil. 2007 Apr 15;29(7):567-75 - PubMed
- Arthritis Rheum. 1998 Jul;41(7):1196-202 - PubMed
- Dermatologica. 1984;168(6):279-82 - PubMed
- J Gerontol. 1986 Nov;41(6):732-42 - PubMed
- J Hand Surg Br. 1995 Feb;20(1):44-8 - PubMed
- J Physiol. 1979 Jan;286:283-300 - PubMed
- Somatosens Mot Res. 2002;19(3):238-44 - PubMed
- Somatosens Mot Res. 1998;15(2):93-108 - PubMed
- Somatosens Mot Res. 1994;11(4):345-57 - PubMed
- Neurorehabil Neural Repair. 2010 Jun;24(5):420-7 - PubMed
- Int Disabil Stud. 1988;10(2):64-7 - PubMed
- Electromyogr Clin Neurophysiol. 1999 Oct-Dec;39(7):387-91 - PubMed
- Int Disabil Stud. 1988;10(2):61-3 - PubMed
- J Hand Ther. 1997 Jan-Mar;10(1):24-8 - PubMed
- Foot Ankle Int. 2009 Jan;30(1):1-9 - PubMed
- J Physiol. 1978 Aug;281:101-25 - PubMed
- J Physiol. 1977 Feb;265(2):521-35 - PubMed
- Q J Med. 1991 Aug;80(292):661-75 - PubMed
- J Gerontol. 1981 Jan;36(1):34-9 - PubMed
- Rheumatology (Oxford). 2006 Feb;45(2):212-4 - PubMed
- Lepr Rev. 1997 Mar;68(1):25-37 - PubMed
- J Orthop Sci. 2002;7(2):188-93 - PubMed
- Clin Rheumatol. 1998;17(5):416-8 - PubMed
- Cogn Process. 2011 Feb;12(1):127-33 - PubMed
- Somatosens Mot Res. 1997;14(3):181-8 - PubMed
Publication Types