The following PI & Clinical Negligence guidance note Produced in partnership with Ian Huckstepp of IRH Solicitors provides comprehensive and up to date legal information covering:
Orthopaedic conditions affecting the bones, muscles and ligament structure. Common tests include:
central nervous system
cervical spine (and tenderness to spasm)
flexion (full and lateral)
rotation (testing motor and sensory neurological deficit in limbs)
deep tendon jerks such as biceps, triceps and supernators
comparison measurements and circumferences of limbs
Clinically can have two separate components: vascular (blanching) and neurological (numbness, tingling reduced tactile discrimination and loss of dexterity). Investigations include a number of standard tests such as:
vibrotactile threshold test—is used to test the mechanoreceptors. They respond to stretch, edge and texture and the receptors respond at different frequencies
thermal aesthesiometry test—assesses the thermal receptors threshold
the Purdue peg board test—a measure of dexterity and detects loss of fine movement in the hands
the grip force measurement test—measures the grip strength of both hands. An indication of vibration damage to muscles of the hand and forearm
vascular component tests—finger systolic blood pressure measurement measures interruption of blood flow in response to coldness
cold provocation test—provides visual evidence of blanching
A physical examination of arms, wrists, and hands is carried out. This will include tests of strength, sensation, and signs of nerve irritation or damage.
There is no single test to diagnose RSI. In some cases a precise reason why
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