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sensation

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Sensation
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Sensation   ability to detect and identify a sensory modality, its intensity, and location   lets us interact with the environment effectively - internal representation of the external world   allows us to engage in puposeful motor activity   (blank)   (blank)   (blank)  
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feedback   use feedback from environment to plan our next action- feeding, dressing , bating   effectiveness of motor acts recieved through the various sensory systems   operates relatively slowly   (blank)   (blank)   (blank)  
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feedforward   skiing, use sensation from environment to know how to shift etc   used for rapid or ballistic movements planned in advance   (blank)   (blank)   (blank)   (blank)  
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Dermatomes   c2- occipital/head   c3- neck   c4- shoulders   c5- bicepts   c-6 down to thumb--c7- pointer---c8 - ringfinger   t1- pinky and all the way up  
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CNS conditions associated with sensory loss   Stroke   TBI   Multiple Sclerosis   quality of sensory loss is more generalized in cns injury, person will probably lose more than one sense, and probably affect the whole limb   (blank)   (blank)  
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PNS conditions associated with sensory loss   laceration   burn   amputatuin, trauma, fracture   arthritis ( swelling) and overuse injuries   orthepedic conditions of spine   Sensation loss will be more localized, injury hits one specific nerve ( dermatome area)  
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spinal chord injury   cnsand pns injury- sensation in lost below the level of the lesion   (blank)   (blank)   (blank)   (blank)   (blank)  
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condition sin which sensations are intact   polio   muscular dystrophy   amytropic lateral sclerosis ( lou gherigs)   (blank)   (blank)   (blank)  
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Types of sensory loss   anasthesia- no sensation   parasthesia- abnormal sensation   hyposthesia-decreased sensation   hyperesthesia- hypersensitive   analgesia- loss of pain sensation   hypalgesia- decreased pain sensation hyperalgesia- increased pain sensation  
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effects of sensory loss on movement   effects accuracy   motor movement wont be smooth   wont know where your body is   (blank)   (blank)   (blank)  
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sensory eval   see if its intact   impaired   or lost   (blank)   (blank)   (blank)  
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why do we evaluate sensory loss   safety issues   patient education   diagnostic and prognostic- ppl present weird symptoms and need to figure out what senses were lost   feasability of sensory retraining and to figure out when its time for re education ( when nerve regrows)   baseline for progress and documentation for recovery   to alert to use of splints ( pressure points/ heat)  
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PNS   test distally to proximally   if not you might get tinnel's sign   (blank)   (blank)   (blank)   (blank)  
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Hierarchy of sensation   detection- sensory stimulus ( been touched)   descrimination- iwhat touhced by ( is it hot or cold)   quantification- ( organizing according to degree ( how hot it is)   Recognition ( regocnizing what touched by ( smooth, rough, key)   (blank)   (blank)  
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Modalities   light touch- qtip/ monofilament/ erasure   Deep pressure- needed for adls) ( press until skin is blanched)( can have deep pressure and not light touch)   Pain ( sharp vs dull) need for protection - safety pin and paper clip   temperature cold ( 40-45) hot ( 120)   proprioception/ kinesthesia - move their body and they have to repeat or copy you   two ppoint discrimination /// and stereognosis- point to picture of the object they are holding  
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treatment for sensory loss   remedial approach- sensory reeducation   done for someone who will regain sensation or misinterprets it   cortical impression is wrong - want to train peson to organize distal impression   use other senses first to get the hang of it   (blank)   (blank)  
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general principals for remedial approach   visual feedback - look and feel at same time   brief sessions 2-4 times a day   motivated , able to learn, able to devote time   (blank)   (blank)   (blank)  
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treatment for sensory loss   desensitization   used for hypersensitivity   immerse in different textures   glove/continuous pressure   massage   (blank)  
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treatment for sensory loss   compensatory loss   for permanent sensation loss   teach person to compensate t avoid injury   become aware of sensory loss   elbo for water check/change position to avoid pressure sore/ rubber handles for pots   monitor skin condition and apply lotion to keep hydrated  
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