Certified Hand Therapist (CHT) Prep: Practice Exam & Study Guide

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Which assessment tool can a CHT use to evaluate sensory function in the hand?

Hand dynamometer

Monofilaments or two-point discrimination tests

To evaluate sensory function in the hand, the use of monofilaments or two-point discrimination tests is highly relevant. These tools specifically assess sensory capabilities by measuring perceptions of touch, pressure, and spatial resolution. Monofilament testing involves applying various monofilament sizes to the skin to determine the minimal tactile threshold, thereby assessing a patient’s ability to feel sensation.

Two-point discrimination tests further evaluate the sensory perception by determining the smallest distance at which a person can perceive two separate points applied to the skin. This is critical in assessing the integrity of sensory nerve function and can give insight into potential nerve injuries, rehabilitation progress, or the effectiveness of interventions in occupational therapy or rehabilitation settings for the hand.

The other options focus on different aspects of hand function. A hand dynamometer measures grip strength, a goniometer quantifies joint range of motion, and ultrasound imaging visualizes structures beneath the skin but does not provide direct information about sensory function. Therefore, monofilaments and two-point discrimination are the tools best suited for assessing sensory function in the hand.

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Goniometer

Ultrasound imaging

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