Wrinkling Test: Difference between revisions
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== Purpose<br> == | == Purpose<br> == | ||
Wrinkle or wrinkling or shivel test is a special test for hands. Wrinkle test is used to check the nerve integrity of the hand by assessing the proper nervous response to an environmental stimulus i.e, water immersion for sustained period of time. Wrinkle test is used to diagnose a nerve | Wrinkle or wrinkling or shivel test is a special test for hands. Wrinkle test is used to check the nerve integrity of the hand by assessing the proper nervous response to an environmental stimulus i.e, water immersion for sustained period of time. Wrinkle test is used to diagnose a nerve injury or a digital denervation. | ||
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* Keep it immersed for around 10-30 minutes | * Keep it immersed for around 10-30 minutes | ||
* Take the hand out and look for wrinkles in hand | * Take the hand out and look for wrinkles in hand | ||
* A positive | * A positive sign is not having wrinkle in any digit of the hand. | ||
== Evidence == | == Evidence == | ||
In a study conducted by Rubin et al they mention that wrinkle test have a sensitivity of 69.5%, specificity of 62.5% with a confidence interval of 95% in diagnosing the digital nerve injury. | In a study conducted by Rubin et al they mention that wrinkle test have a sensitivity of 69.5%, specificity of 62.5% with a confidence interval of 95% in diagnosing the digital nerve injury.<ref>Rubin G, Orbach H, Rinat B, Shay R, Rozen N. [https://journals.lww.com/annalsplasticsurgery/Fulltext/2020/01000/The_Utility_of_Diagnostic_Tests_for_Digital_Nerve.12.aspx?casa_token=P85C22KHwb0AAAAA:0BRyzt7P-X7wlPJF5zwTXBOY8P29BByuQ-wdT8eKazb9M0QJtEymXQ3vunxMNZQnbwZn4ZwiLF4S6eQiWEn03A The utility of diagnostic tests for digital nerve injury]. Annals of Plastic Surgery. 2020 Jan 1;84(1):73-5.</ref> | ||
The journal of hand therapy explains the significance that it is quite helpful to denervation in an infant or a young child who have not yet developed enough skill to be able to understand the instructions of other examination.<ref>Packham T, Ahmad A, Huxtable M, Jacob N, Schutten D, Gjertsen D, DeMatteo C, MacDermid JC, Bain J. [https://www.jhandtherapy.org/article/S0894-1130(19)30294-7/fulltext Skin Temperature Asymmetry and Stimulated Skin Wrinkling: Reliability and Validity for Evaluating Obstetrical Brachial Plexus Injuries.] Journal of Hand Therapy. 2019 Oct 1;32(4):550.</ref> Wrinkle test do not require much cognitive understanding. | |||
A research by Kava et al University of Texas at Austin is used to investigate the sympathetic nervous system integrity of the hand. <ref>Kava JL. ''[https://repositories.lib.utexas.edu/handle/2152/89199 Water immersion skin wrinkling: modulatory influences of age, sex, body mass index,] and physical activity status'' (Doctoral dissertation).</ref> | |||
== Resources == | == Resources == | ||
Revision as of 07:56, 26 November 2022
Original Editor - Ehtisham Panhwar
Top Contributors - Ehtisham Panhwar and Kirenga Bamurange Liliane
Top Contributors - Ehtisham Panhwar and Kirenga Bamurange Liliane
Purpose
[edit | edit source]
Wrinkle or wrinkling or shivel test is a special test for hands. Wrinkle test is used to check the nerve integrity of the hand by assessing the proper nervous response to an environmental stimulus i.e, water immersion for sustained period of time. Wrinkle test is used to diagnose a nerve injury or a digital denervation.
Technique
[edit | edit source]
- Patient should be in sitting position
- Take warm water in a bowel
- Immerse patients affected or testing hand in the bucket
- Keep it immersed for around 10-30 minutes
- Take the hand out and look for wrinkles in hand
- A positive sign is not having wrinkle in any digit of the hand.
Evidence[edit | edit source]
In a study conducted by Rubin et al they mention that wrinkle test have a sensitivity of 69.5%, specificity of 62.5% with a confidence interval of 95% in diagnosing the digital nerve injury.[1]
The journal of hand therapy explains the significance that it is quite helpful to denervation in an infant or a young child who have not yet developed enough skill to be able to understand the instructions of other examination.[2] Wrinkle test do not require much cognitive understanding.
A research by Kava et al University of Texas at Austin is used to investigate the sympathetic nervous system integrity of the hand. [3]
Resources[edit | edit source]
add any relevant resources here
References[edit | edit source]
- ↑ Rubin G, Orbach H, Rinat B, Shay R, Rozen N. The utility of diagnostic tests for digital nerve injury. Annals of Plastic Surgery. 2020 Jan 1;84(1):73-5.
- ↑ Packham T, Ahmad A, Huxtable M, Jacob N, Schutten D, Gjertsen D, DeMatteo C, MacDermid JC, Bain J. Skin Temperature Asymmetry and Stimulated Skin Wrinkling: Reliability and Validity for Evaluating Obstetrical Brachial Plexus Injuries. Journal of Hand Therapy. 2019 Oct 1;32(4):550.
- ↑ Kava JL. Water immersion skin wrinkling: modulatory influences of age, sex, body mass index, and physical activity status (Doctoral dissertation).
