10/31/2023 0 Comments Hertz tuning fork testSeveral recent articles advocate strongly for the use of tuning forks to detect sensory neuropathy. We have a step-by-step guide further down in this chapter. The patient is supposed to feel the vibration in the bone and not on the skin. Using a tuning fork involves tapping on the fork so that it vibrates and then placing it on the bony prominences of the body. However, you will always see a tuning fork in a neurological office because it is still a standard tool for doing a general neurological examination. The tuning fork has become a somewhat forgotten tool in most clinics. Why is this important? When we see that the patient has an impaired sense of touch or vibration, there is an overhanging danger that the patient may develop foot ulcers because they may not feel discomfort when walking with tight shoes or stepping on sharp objects. ![]() ![]() This means that we can detect whether the patient is developing sensory neuropathy at an earlier stage. When a patient develops neuropathy due to diabetes or other systemic diseases, the sense of vibration diminishes earlier than the sense of touch. Why should you learn to use a tuning fork to check for sensory neuropathy?ĭid you know that using a tuning fork is a more sensitive method to check for sensory neuropathy than the monofilament method? When we use a tuning fork, we are actually testing the patient's sense of vibration, which is also part of the sensory system. Using a 128 Hz tuning-fork to check for sensory neuropathy ("on-off" method)
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