﻿- Another way to test for sensory loss
is to use a 128 hertz tuning fork, c natural.
The way that we use this, again exactly
the same, we test on the patient's
body elsewhere from the foot, so on the back of the hand on the wrist bone.
Then we will apply this to the apex of the first toe.
You hold, the tuning fork between your
thumb and forefinger, you grasp hold of
the limbs, squash them together and gently pull off and it will vibrate.
We will do this now on the patient.
Could I just test this on your hand.
Can you please tell me what you feel.
- I feel the vibration.
- There we are.
Thank you.
Now this was different from saying, "can you
feel", because with a tuning fork a patient can
feel pressure, cold and vibration, so it's important
to ask the patient what they are feeling.
Let me know when you can feel something and tell me what you feel.
So here we go.
Would you mind closing your eyes for me.
Would you let me know when you feel
anything and what it is that you feel.
- I feel you touch me.
I feel it is cold.
I do not feel vibrations.
- Okay.
So we have demonstrated sensory loss with a 10 gram
monofiliament and now with a tuning fork