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Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one. It is often tested with two sharp points during a neurological examination [ 1 ] : 632 [ 2 ] : 71 and is assumed to reflect how finely innervated an area of skin is.
It can determine how short a distance between two impressions on the skin can be distinguished. To differentiate between two points and one point of equal area (the sum of the areas of the two points equals the area of the third point), Dr. Sidney Weinstein created the three-point esthesiometer.
Two-point discrimination (2PD) is a neurological examination in which two sharp points are applied to the surface of a part of the body in order to see if the patient recognizes them as two discrete sensations. [2] The two-point threshold is the smallest distance between the two points that the patient can recognize. [17]
The dorsal column–medial lemniscus pathway (DCML) (also known as the posterior column-medial lemniscus pathway (PCML) is the major sensory pathway of the central nervous system that conveys sensations of fine touch, vibration, two-point discrimination, and proprioception (body position) from the skin and joints.
Graphesthesia can be considered as a type of synthetic sensation as it involves a complex interaction between three neural components i.e. Tactile sensation, two point discrimination and cortical component that stores infirmation about the symbol/letter that is being traced in the skin and was learned through some previous experience.
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