Table 1.
Type of Fibers | Stimulus | Screening Scores | Quantitative Sensory Testing and Neurological Tools | Nerve Conduction Studies/Others | Sensitivity/Specificity |
---|---|---|---|---|---|
Large
(sensory axons) - myelinated α - myelinated β |
Tactile Vibration Position |
DN4, MNSI, mTCNS, NDS MNSI, mTCNS MNSI, NDS |
10 g monofilament, IpTT Neurothesiometer/biothesiometer VibraTip |
NCS NCS |
DN4 (80/91%) MNSI (40/92%) 10 g monofilament (62.5%) IpTT (50–100/90–98%) Neurothesiometer/biothesio meter (reliability; κ = 0.58–0.65; k = 0.51–0.61) VibraTip (50–62.5/84.2%) NCS (85/95%) |
Small
(sensory axons) - Aδ-fibers - Unmyelinated C-fibers |
Tactile Cold Pressure Warm thermal Pain Sweating |
SFN-SIQ SFN-SIQ DN4, mTCNS, SFN-SIQ MNSI, mTCNS, SFN-SIQ |
NCM NCM NCM Neuropad, Sudoscan |
CCM, IENFD, LEPs CCM, IENFD, LEPs |
Neuropad (~90/~70%) Sudoscan (~90%) NCM (AUC 60–85%) CCM (67/71%) IENFD (90/87%) LEPs (91/83%) |