Buckling Force Variability of Semmes–Weinstein Monofilaments in Successive Use Determined by Manual and Automated Operation

Abstract

(1) Objective: This study was conducted with the objective of characterizing the variability of a force on a simulated skin surface using the Semmes⁻Weinstein monofilament test (SWMT). (2) Research Design and Methods: Two distinct experiments were performed to determine the effects of human hand motion variability on the monofilament buckling force, and to determine the monofilament’s mechanical properties using a positioning stage. (3) Results: In manual operation (by human hand motion), the buckling force over the ten compressions decreased by over 10%, and the human hand motion variations during the SWMT may have impacted the buckling force. When the SWMT was performed under manual control, the buckling force was closely correlated with the number of compressions. In automated operation (by positioning stage), the buckling force was affected not only by the number of compressions but also by both the velocity and the contact angle between the monofilament and the skin surface. (4) Conclusions: The buckling force decreased in ten successive compressions, independent of the hand motion. Hence, medical staff need to consider not only the operator’s hand motion but also the effect of repeated trials.

Keywords

• diabetic peripheral neuropathy screening
• Semmes–Weinstein monofilament test
• buckling force
• human hand motion
• human factor