Simplified tert for the diagnosis of nerve function impsirment in leprosy: SMS study Annex. Methods ‘Table! Test components within each method Mi Reference) M2 (LEP) (MS (indian dance) Mi (Questionnaire) sTteet 10 pts (MF) “4ptS (BP) ‘stroking feet ye/no sThands 10 pts (MF) Apts (BP) - yes/no Linger out oS MRC swe, yes/no yes/no Foot up OS MRC swe vyei/no yes/no ‘Thumb up OS MRC swe yes/no yes/no ‘wrist up OS MRC - yes/no - Eveciosure OS MRC swe - - Eyelid gap mm yes/no yes/no yes/no MF: menoflaments BF: ballpoint pen MC: Medica! Research Councl grading SWF: trong-weak-parlysed ‘Table I. Definition of nerve functon impairment (NFI) by method. Sensory NFI ‘Mtor NFI Ni_=2ptsloss offeelingin any newe N2 > pt oss of feeing in any hand/foct 3 no feeling in either foot Ma reported loss of feeling inhands or feet score <4 (MRC) score < Strong” notable to do any of the posture movements ‘no! on any questionsChapter 4 Voluntary muscle test: ign Yes/No Stiengin testing Len souher eve defects Comeal ulcer= CU Light ere lidclosure mam strongeeye dosure Corea! Opacity =CO Blink /Corneal sensation Yes/No tie = 1 Other eve defect: * Sderts= Se Cataract= Ca Lite finger out * cat Thumb up* west ope *iusetestrengen Foot ust MRC grading O—5 Sensory test: ‘Test 10 points using ballpoint pen or monofilament. Ifthe client feels mark with a tick, if not, mark with a cross, Figure 1M full acsesiment Voluntary muscle test: Bight Yes/No ‘Muscle Strength Left Muscle strength ‘Strong eye closure = Sting / Normal W- Weak Ud gap on gentle closure Yes/No po Forysed Lite finger out Thumb up Foot up Sensory test: ‘Test 4 points using ballpoint. ifthe client feels mark witha tick, ifnot, mark with a cross, ‘ue | SB Figure l, M2 ILEP Learning Guide 2Simplified tests for the diagnosis of nerve function imgairment in leprosy: SMS study Observation of movements: Right Side Left Side does the eve full cose el IS > ‘Boos the eye fully close with gentle effort? (vce with gentie effort? Yes/No aw Yes/No {stheitte nger traght? ———— ‘sthe ite ngerstraignt? Yes /No 7 Yes/No tsthe thump stright? 1s the thumb stragnt? Yes /No Yes/No \ Isthe wrist back? + bathe wrist back? Yes/No Yes/No Can they lift up ankle while fC <— Gan they lftup ankle while standing on the other lee? S standing onthe other log? Yes / No Yes / No ‘Sensation: Stroke the sides of both feet Is the feeling equaland normal on both sides? \ fl ight foot Yes/No & Yes/No ay Figure Il. M3 Indian dance