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Sensory assessments
sensory assessment discriptions
| Question | Answer |
|---|---|
| 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
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