Table 1.
Method | Advantage | Disadvantage |
---|---|---|
Clinical/neurological examination | Simple, easy to use | Not sensitive or reproducible |
Electrophysiology | Sensitive, objective | Assesses only large fibres Requires special equipment |
Quantitative sensory tests (QST) | Evaluates both large and small nerve fibres | Subjective, low reproducibility, requires special equipment |
Sympathetic skin response (SSR) | Simple, fast, objective | Semi quantitative, low sensitivity |
Quantitative sudomotor axon reflex test (QSART) | Sensitive, objective, reproducible | Requires special equipment, time-consuming |
Autonomic testing | Objective, quantitative | Moderate sensitivity, requires special equipment |
Nerve/skin biopsy | Quantitative, sensitive | Invasive, problems with wound healing, specialist histological technique to quantify intraepidermal nerve fibre. |
Corneal confocal microscopy/Corneal aesthesiometry | Rapid, noninvasive, reiterative and quantitative | Requires special equipment and expertise |