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Title: The reliability and applicability of the Ten Test in hand injuries: A systematic review.
Authors: Chua M.;Seth I.;Rozen W.M.
Monash Health Department(s): Monash Doctors Workforce
Institution: (Chua, Seth, Rozen) Central Clinical School, Monash University, Melbourne, VIC, Australia
(Chua) Monash Doctors Workforce, Monash Health, Clayton, VIC, Australia
(Seth, Rozen) Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, VIC, Australia
Issue Date: 6-Feb-2024
Copyright year: 2024
Publisher: SAGE Publications Ltd
Place of publication: United Kingdom
Publication information: Hand Therapy. (no pagination), 2024. Date of Publication: 2024.
Journal: Hand Therapy
Abstract: Introduction: The Ten Test (TT) is a touch threshold test that quantifies sensory discrimination by comparing an injured area with a contralateral uninjured area. It's quick, simple, equipment-free and repeatable. However, as a subjective measure, the TT's reliability and applicability need further investigation. This review aimed to investigate if the TT has superior inter- and intra-examiner reliability compared to the widely accepted Weinstein Enhanced Sensory Test (WEST) in a human population of all ages. Method(s): A systematic search was conducted on major databases from January 1997 to September 2023 and adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol. Outcomes were assessed with a narrative approach. The included articles were critically appraised according to the Quality Assessment of Diagnostic Accuracy Studies two tool. Result(s): This review included five articles. High inter-examiner reliability was demonstrated with intraclass correlation coefficient (ICC) values of 0.91 and 0.95, alongside a kappa statistic of 1, as reported by three distinct studies. Intra-examiner reliability displayed some variance, with one study reporting a significant ICC value in four out of six instances. Two studies corroborated that the TT results corresponded with the findings of WEST, each presenting a Spearman rank coefficient of -0.71. Conclusion(s): Our findings underscore the TT's high inter-examiner reliability, though its intra-examiner reliability exhibited some inconsistencies. Interestingly, certain studies claimed its superiority over the WEST. To validate the TT's use in the clinical setting, more rigorous studies, particularly those comparing pre-operative TT outcomes with intraoperative nerve damage evaluations, are essential.Copyright © The Author(s) 2024.
Type: Review
Subjects: hand injury
nerve injury
Type of Clinical Study or Trial: Systematic review and/or meta-analysis
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