Leprosy Mailing List – August 19, 2013
Ref.: (LML) SW monofilaments
From: J Garbino, Bauru, São Paulo, Brazil
Dear Pieter,
About Nerve Function Assessment and specifically the S-W monofilaments (SORRI Kit) we must consider that is the only one among the simple tests that are more appropriate to nerve follow up because it can graduate the nerve sensory impairment, i.e., it is semiquantitative.
We have compared some times to nerve conduction studies in leprosy neuropathy and in diabetes, all of the publications are available in the net :
- MARCIANO LHSC, GARBINO JA. Comparação de Técnicas de Monitoração da Neuropatia Hanseniana: Teste de Sensibilidade e Estudo de Condução Nervosa.. Hansenologia Internationalis, 1994. SciELO.
- SOUZA et al. Avaliação da neuropatia diabética: correlação entre sensibilidade cutânea dos pés, achados clínicos e eletroneuromiográficos. Acta Fisiátrica, 2005. SciELO.
- MARCIANO et al. Avaliação do comprometimento neurológico e da prevalência da síndrome do túnel do carpo em pacientes portadores de diabetes mellitus tipo 2. Acta Fisiátrica, 2007.SciELO.
- GARBINO JA, VIRMOND M, URA S, SALGADO MH, NAAFS B. A randomized clinical trial of oral steroids for ulnar neuropathy in type 1 and type 2 leprosy reactions. Arq Neuro-Psiquiatria, 2008. SciELO/ others
Recently the Department of Neurophysiology - University of Heidelberg Medical School - compared the standard QST (test for pain sensation (fibers C) and temperature (Aδ) respectively, gold pattern for thin fibers, to the SORRI- Bauru Kit showing a good equivalence that enables it to replacement of QST in the clinical daily practice because its competitive cost:
- Comparability of mechanical detection and pain thresholds in Quantitative Sensory Testing (QST) using different devices. Doreen B. Pfau, DMD, Department of Neurophysiology, CBTM, Medical Faculty Mannheim, University of Heidelberg, Germany. 14TH World Congress on Pain, IASP, Milan, 2012.
Because of the S-W monofilaments (SORRI Kit) reliability, its low cost and scientific verified effectiveness it should be supported.
Compliments,
Jose Antonio Garbino
Clinical Neurophysiolgy - ILSL/Brasil
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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