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Sensory assessments

sensory assessment discriptions

QuestionAnswer
What terms are used to evaluate sensory abilities? intact, impaired, or absent
Principles of sensory testing assess the type and extent of sensory loss, evaluate and document sensory recovery, assist in diagnosis, determine functional abilities, provide direction for intervention (when to begin sensory re-education, safety education, determine need for desens)
Normal aging shows decreases in________, ______, __________. 2-point discrimination, monofilaments, proprioception
When sensory testing in older adults, use __________ side for comparison if able. unaffected
3 evaluation techniques sensitive to change stereognosis, 2-point discrimination, touch localization
Measures innervation density and is sensitive to change 2-point discrimination
Measure spatial representation in cortex, both sensation and perception touch localization
Measures medan nerve function; has motor and sensory components, is not sensitive to change Pick up test
Examples of non-standardized sensory testing touch awareness, pain, temperature, steriognosis, Moberg's pick up test
uses cotton ball, finger, pencil erasers touch awareness
ID familiar objects steriognosis
Means to evaluate safety concerns pinprick or temperature tests
Most appropriate assessment to predict if people can locate unseen items steriognosis
Why is sensory testing performed? assess loss, document recovery, determine impairment/functional limits, direct therapy intervention
How is sensory therapy structured? begin sensory re-ed, ed to prevent injury, need to desensitize
Which path are most direct? pain and temp
Which sensations usually return before proprioception and light touch? pain then temp
If a person has proprioception and light touch, they will have ______ and _____, so so prop and light touch first. pain and temp
If there is no pain or temp, then no need to test ______ and _________. prop and light touch
Sensation lost with anterior sc damage pain and temp
A mild peripheral nerve compression decreased sense/increase threshold to light touch/vibration
What is the general recovery pattern following transection? pain and temp, then moving touch, then light touch, then touch localization
Procedures for sensory testing eliminate clues, watch pt--not manipulation test, occlude vision, stabilize body part, demonstrate test on intact area, apply irregular intervals, look for hypersensitivity, keep samm therapist for reassess
Assessment combines motor and sensory pick up tests
If a pt. loses protective sensation, then _______________________. teach compensation and avoid injury (can lead to tissue damage)
Created by: abascas