Cold Sensation Demonstration Area: mirror-image area on the other side (PHN) or anterior thigh or upper forearm ●Unaffected or other area as appropriate to the location of the area of neuropathic pain. For HIV-AN or other neuropathic pain involving the feet test areas, performed on left and right sides (see diagram): 1. Ball of foot 2. Midpoint of plantar surface of foot 3. Dorsal surface of great toe (proximal to the nail bed) 4. Midpoint of distal dorsal surface of foot 5. Medial malleolus Procedure: cold sensation using the tuning fork dipped in ice water and dried. ●Assess the subject to keep his/her eyes closed during the assessment. ●Ask a demonstration, the distal flat end of the tuning fork to the anterior thigh or upper ●As forearm for 2-3 seconds and ask the subject to rate what he/she feels (“not cold, slightly cold, cold, or painfully cold”). the distal flat end in sequence to each of the 5 test areas on each foot for 2-3 seconds. ●Apply Make sure to dip the tuning fork in ice water to cool back down following each application. the subject to rate what he/she feels during each application of the tuning fork (“not cold, ●Ask slightly cold, cold, or painfully cold”). the subject’s ratings for each test area according to the Cold Rating Scale, below. ●Capture
Cold Sensation Demonstration Area: ●Unaffected mirror-image area on the other side (PHN) or anterior thigh or upper forearm or other area as appropriate to the location of the area of neuropathic pain. For HIV-AN or other neuropathic pain involving the feet test areas, performed on left and right sides (see diagram): 1. Ball of foot 2. Midpoint of plantar surface of foot 3. Dorsal surface of great toe (proximal to the nail bed) 4. Midpoint of distal dorsal surface of foot 5. Medial malleolus Procedure: ●Assess cold sensation using the tuning fork dipped in ice water and dried. ●Ask the subject to keep his/her eyes closed during the assessment. ●As a demonstration, the distal flat end of the tuning fork to the anterior thigh or upper forearm for 2-3 seconds and ask the subject to rate what he/she feels (“not cold, slightly cold, cold, or painfully cold”). ●Apply the distal flat end in sequence to each of the 5 test areas on each foot for 2-3 seconds. Make sure to dip the tuning fork in ice water to cool back down following each application. ●Ask the subject to rate what he/she feels during each application of the tuning fork (“not cold, slightly cold, cold, or painfully cold”). ●Capture the subject’s ratings for each test area according to the Cold Rating Scale, below.
CJP_2016_12_16_GALVEZ_CJP-D-16-00219_SDC2.docx