Semmes Weinstein Monofilament Testing

14 sites

Big toe, 1st metatarsal, middle toe, 3rd metatarsal, little toe, 5th metatarsal, arch region, lateral region, calcaneus, lateral malleolus, medial malleolus, 1st metatarsal (dorsal), area b/t 1st and 2nd toe, 5th metatarsal (dorsal)

start with 5.07 at Site 1

Yes or No

Yes

Decrease SW (4.93)

Yes

Decrease SW (4.74)

Yes

decrease SW (4.56)

keep testing
(if <4.17 then complete 3 times)

No

test completed (score = 4.93)

No

test completed (score = 5.07)

No

Increase SW (5.18)

Yes

test completed (score = 5.18)

No

Increase SW (5.46)

Yes

test completed (score = 5.46)

No

Increase SW (5.88)

keep testing