Palpometer
A palpometer device for assisting an examiner to evaluate deep pain sensitivity in a patient includes a housing supporting an axially displaceable spring-biased probe having a proximal end extending from an axial bore in a proximal axial face of the housing, and adapted for abutting contact with the patient. Within the housing, the spring-biased probe incorporates an annular flange for engaging one end of a bias spring coaxially disposed within the housing. The bias spring is disposed coaxially about the probe to resist axial displacement of the housing towards the proximal end of the probe upon manual application of a bias force to the housing, when the proximal end of the probe is in contact with a patient's body.
1. A palpometer device, comprising:
a housing, said housing having a distal end and a proximal end;
a probe supported axially within the housing by a proximal buttress and a distal buttress, for axial movement relative to said housing, said probe having a proximal end which is disposed outside an axial bore in said proximal end of said housing, a first portion of said probe adjacent to said proximal end of said probe having a first diameter and being partially contained within said housing, said probe having a distal end and a second portion adjacent to said distal end of said probe having a second diameter smaller than said first diameter, wherein said distal buttress has an opening defined therein, said opening having a diameter which is less than said first diameter;
said probe having a first position wherein said distal end of said probe is contained within said housing, a second position wherein said distal end of said probe is extended from an axial bore in said distal end of said housing, and a threshold position between said first position and said second position when said distal end of said probe is displaced flush with said distal end of said housing; and
a biasing element disposed within said housing, said biasing element biasing said probe axially towards said first position;
wherein the palpometer device is configured such that when an axial force is applied to said proximal end of said probe, said probe moves from said first position axially towards said second position relative to said housing;
wherein said probe and said biasing element are cooperatively configured such that:
said probe is in said first position when said applied axial force is less than a predetermined force threshold;
said probe is in said threshold position when said applied axial force reaches said predetermined force threshold; and
said probe is in said second position when said applied axial force exceeds said predetermined force threshold; and
wherein said threshold position is a tactile indicator indicating that said applied axial force reaches said predetermined force threshold when said distal end of said probe is at said threshold position,
wherein said first portion of said probe adjacent to said proximal end of said probe having said first diameter is the same part that is partially contained within said housing.
2. The palpometer device of claim 1 , wherein said biasing element is a bias spring.
3. The palpometer device of claim 2 , wherein said bias spring is coaxially disposed about said probe, between an annular flange or shoulder on said probe and said distal buttress.
4. The palpometer device of claim 1 , wherein said biasing element is configured in accordance with said predetermined force threshold.
5. The palpometer device of claim 1 , wherein said biasing element is adjustable to select said predetermined force threshold.
6. The palpometer device of claim 1 , wherein said housing is colored, said color indicative of said predetermined force threshold.
7. The palpometer device of claim 1 , wherein said proximal end of said probe has a surface area of 1 cm 2 .
8. The palpometer device of claim 1 , wherein said housing is formed from plastic.
9. The palpometer device of claim 1 , wherein said distal end of said probe includes an indicator tip configured to provide tactile sensation in response to said applied axial force exceeding said predetermined force threshold.
10. The palpometer device of claim 1 , wherein the predetermined force threshold is in the range of 0.5 kg to 4.0 kg.
11. A method for repeatable testing of pain sensitivity in a patient using a palpometer device, comprising:
providing a palpometer device including:
a housing, said housing having a distal end and a proximal end;
a probe supported axially within the housing by a proximal buttress and a distal buttress, for axial movement relative to said housing, said probe having a proximal end which is disposed outside an axial bore in said proximal end of said housing, a first portion of said probe adjacent to said proximal end of said probe having a first diameter and being partially contained within said housing, said probe having a distal end and a second portion adjacent to said distal end of said probe having a second diameter smaller than said first diameter, wherein said distal buttress has an opening defined therein, said opening having a diameter which is less than said first diameter;
said probe having a first position wherein said distal end of said probe is contained within said housing, a second position wherein said distal end of said probe is extended from an axial bore in said distal end of said housing, and a threshold position between said first position and said second position when said distal end of said probe is displaced flush with said distal end of said housing; and
a biasing element disposed within said housing, said biasing element biasing said probe axially towards said first position;
wherein the palpometer device is configured such that when an axial force is applied to said proximal end of said probe, said probe moves from said first position axially towards said second position relative to said housing;
wherein said probe and said biasing element are cooperatively configured such that:
said probe is in said first position when said applied axial force is less than a predetermined force threshold;
said probe is in said threshold position when said applied axial force reaches said predetermined force threshold; and
said probe is in said second position when said applied axial force exceeds said predetermined force threshold; and
wherein said threshold position is a tactile indicator indicating that said applied axial force reaches said predetermined force threshold when said distal end of said probe is at said threshold position,
positioning said proximal end of said probe in contact with the patient at a selected testing location;
exerting an increasing axial force on the selected testing location through said proximal end of said probe so that the applied axial force is applied to said proximal end of said probe and said proximal end of said probe is axially displaced towards said housing;
monitoring, by tactile sensation, attainment of said probe into said threshold position; and
responsive to said probe being in said threshold position, said threshold position being the tactile indicator indicating that the applied axial force is reaching said predetermined force threshold, holding said applied axial force at said predetermined force threshold for a selected duration or terminating said applied axial force; and
monitoring a response from the patient to said applied axial force reaching said predetermined force threshold.
12. The method of claim 11 , further including repeating, at least once, the steps of exerting the increasing axial force, monitoring attainment of the probe into the threshold position, holding or terminating the applied axial force, and monitoring said response from said patient.
13. The method of claim 11 , wherein the predetermined force threshold is in the range of 0.5 kg to 4.0 kg.