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The graduated 64 Hz Rydel-Seiffer tuning fork is an excellent tool for the clinical examination of vibratory sense (see Pestronk et al.1 and references cited therein). The end weights (dampers) are scaled for reliable quantitative vibratory testing. They may be permanently fixed (fixed frequency) or be attached to the fork by screws (see figure E-1, available on the Neurology Web site at www.neurology.org). This latter version of the Rydel-Seiffer tuning fork is more widely used, although in daily practice there is no need to remove the dampers. Over time, however, vibrations, …
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