Article in press offers chemotherapy neuropathy scale. Cancer Nurs. 2010 Mar 30. [Epub ahead of print]
The Reliability and Validity of a Modified Total Neuropathy Score-Reduced and Neuropathic Pain Severity Items When Used to Measure Chemotherapy-Induced Peripheral Neuropathy in Patients Receiving Taxanes and Platinums.
Lavoie Smith EM, Cohen JA, Pett MA, Beck SL abstract here
- Peo-ple with comorbid problems were high risk – Diabetes, peripheral vascular disease, and alcoholism. I had one case with low B12 that aggravated situation.
- Vibration testing:
- 128-Hz tuning fork
- patient closes eye
- work distally to proximally
- top of
- interphalangeal joint of the great toe
- medial malleolus,
- midanterior lower leg
- the patella
- midanterior upper thigh
- dorsum of the hand
- upper arm
ask when vibration ended and see if you felt it longer
- Prick sensation:
- broke a cotton swab so pointy
- tested upper and lower
- distally to proximally
- Muscles tested –
- wrist and finger extensors and flexors
- triceps –
worse result used in scoring.
- Scores were overall low so that hope to scale things differently in future
Comment – not sure would have time to do all testing they advise. Since it is usually a peripheral neuropathy , might concentate on peripheral findings… Will await their revised scale..