Name of test Description Structure assessed
Mechanoceptive
Static light touch detection Patient is asked to tell when he/she feels light touch on the face and to point to the exact location Myelinated afferent A-beta axons
Brush directional discrimination Patient is asked to tell when he/she feels the brush and to determine
the direction of movement
Large A-alpha and A-beta myelinated axons
Two-point discrimination (sharp) Patient is asked to determine single and 2 points of touch. The examiner uses any 2 sharp instruments by which the patient can change the distance between them Small myelinated A-delta and unmyelinated C-afferent fibres
Two-point discrimination (blunt) Patient is asked to determine single and 2 points of touch. The examiner uses any 2 blunt instruments by which the patient can change the distance between them Larger myelinated A-alpha afferent fibres
Nociceptive
Pin pressure nociception Patient is asked to determine the feeling of a pin prick Free nerve endings and the small A-delta and C-fibres
Thermal discrimination (warm) Patient is asked if he/she feels heat A-delta fibres
Thermal discrimination (cold) Patient is asked if he/she feels cold C-fibres