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Sensory Exam with Neuro Impaired

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Question
Answer
Modalities of the Dorsal Column Medial Lemniscal System   Touch, Proprioception, and Kinesthesia  
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Modalities of the Anterolateral System: Spinothalamic (Lateral vs. Anterior)   Lateral: Pain, Temperature, Sexual Sensation Anterior: Light Touch  
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True or False One should test dermatomal distribution of sensory in stroke patients   FALSE: Stroke injuries are coming from brain.  
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Light Touch   AST  
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Pain (sharp/dull)   LST  
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Proprioception   DCML  
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Temperature   LST  
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Two-Point Discrimination   DCML  
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Kinesthesia   DCML  
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Stereoognosis   DCML  
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Tactile Localization   DCML  
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Why do you need sensory (normal somatosensation) in order for motor to function?   Sensory feedback is important for proper sequencing of normal movement patterns  
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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  
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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.  
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What components are important when recording findings for stereognosis?   1. Sided extremity 2. Percentage or number correct 3. Description of responses  
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What measurement are you recording for tactile localization?   Record the distance between therapist and the patient touch.  
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