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Neuro E&I

Sensory Exam with Neuro Impaired

Modalities of the Dorsal Column Medial Lemniscal System Touch, Proprioception, and Kinesthesia
Modalities of the Anterolateral System: Spinothalamic (Lateral vs. Anterior) Lateral: Pain, Temperature, Sexual Sensation Anterior: Light Touch
True or False One should test dermatomal distribution of sensory in stroke patients FALSE: Stroke injuries are coming from brain.
Light Touch AST
Pain (sharp/dull) LST
Proprioception DCML
Temperature LST
Two-Point Discrimination DCML
Kinesthesia DCML
Stereoognosis DCML
Tactile Localization DCML
Why do you need sensory (normal somatosensation) in order for motor to function? Sensory feedback is important for proper sequencing of normal movement patterns
True or False: Our eventual goal when addressing sensory issues for a pt. is to try and regain their lost sensation. FALSE: The goal with sensory assessment is to see how it impacts their function and focus on regaining that function back. Ex. Stereognosis or Kinesthesia
With Kinesthesia Assessment, which limb are you most likely moving? Typically test the limb you are moving, therefore it is the affected side. Consider, affected side may not be able to get into position of unaffected side if you are moving unaffected side passively.
What components are important when recording findings for stereognosis? 1. Sided extremity 2. Percentage or number correct 3. Description of responses
What measurement are you recording for tactile localization? Record the distance between therapist and the patient touch.
Created by: Phillypino