Table 2.
The Rosén and Lundborg assessment score.
| Score | Testing area | Result | |
|---|---|---|---|
| Sensory domain | |||
| Semmes-Weinstein monofilament test | 0 = not testable 1 = filament 6.65 2 = filament 4.65 3 = filament 4.31 4 = filament 3.61 5 = filament 2.83 |
Median nerve: (i) pulp of finger II, (ii) base of finger II, (iii) pulp of the thumb Ulnar nerve: (i) pulp of finger V, (ii) base of finger V, (iii) hypothenar area |
0 to 5 for each tested area; the result is the sum of each test Result: 0–15 |
| Static 2-point discrimination test | 0 = >15 mm 1 = 11–15 mm 2 = 6–10 mm 3 = <6 mm |
Median nerve: pulp of finger II Ulnar nerve: pulp of finger V |
0 to 3 for each nerve Result: 0–3 |
| Shape/texture identification test | 0 = not testable Scores 1 to 3 = correct recognition of shapes/textures of different sizes |
Median nerve: pulp of finger II Ulnar nerve: pulp of finger V |
0 to 6 for each nerve Result: 0–6 |
| Sollerman test | 1: doing up 4 buttons of different sizes 2: putting 4 nuts on bolts of different sizes 3: picking 4 coins of different sizes from a purse |
Task performed single-handed | 0–4 for each test Result: 0–12 |
|
| |||
| Motor domain | |||
| Medical Research Council power grading | 0: no muscle contraction 1: visible muscle contraction but no joint movement 2: active joint movement with gravity eliminated 3: movement against gravity 4: movement against gravity and some resistance 5: full power against resistance |
Median nerve: palmar abduction of the thumb Ulnar nerve: (i) abduction of fingers II and V (ii) adduction of finger V |
Median nerve: 0–5 Ulnar nerve: 0–15 |
| Grip strength | Mean of 3 trials (evaluated with Jamar dynamometer) | Grip strength of both hands | Grip strength of the uninjured hand is considered normal |
|
| |||
| Pain/discomfort | |||
| Cold intolerance Pain/hypersensitivity |
0: hindering function 1: disturbing 2: moderate 3: none/mild |
Patient's own estimation of the problem | Result: 0–3 |
Each domain is scored as follows: sum of the results for the examined nerve for the domain is divided by the expected normal result for the domain, for example, sensory domain: sum of scores/(15 + 3 + 6 + 12).
The result from every domain is in fact a percentage. Maximal score for each domain is 1; maximal score for the whole assessment is 3.