Exam/Interventions for Cortical Reorganization & Central Sensitization Flashcards
1
Q
Describe pain pressure threshold
A
- Comparison of affected side of the body to the other side, to area above or below the affected area, and/or to a distal/remote area
- Diagnostically it has bee reported that any pressure below 4kg/cm^2 can be indicative of increased sensitivity to pressure
2
Q
Describe 2 point discrimination
A
- Apply sufficient pressure to blanch the skin
- Take an avg. of 5 ascending/descending measurements
- Start at 0 mm and increase until 2 points are clearly felt, if pt is unsure report as 1 point
- Relationship b/w pain intensity, tactile acuity, & cortical reorganization
3
Q
Normative data for 2 point discrimination
A
- Neck: 45.9 mm
- Low back: 55.5 mm
- Hand: 10.4 mm
- Foot: 20.9 mm
4
Q
Describe graded motor imagery
A
- 3 part treatment
- Goal is to gradually engage the cortical motor networks through laterality training, imagined motions, & mirror therapy
5
Q
Define adaptation
A
- A change or the process of change by which an organism or species becomes better suited to its environment
6
Q
Describe a functional analysis
A
- Problem behaviors always have a positive immediate benefit, in other words, a functional value
- Leads to immediate pos. consequences
- Avoids an immediate aversive antecedent/situation
- Functional analysis can not only help a pt to identify their own motives behind their behaviors but it can also better help to understand & prevent treatment failures
7
Q
Tips for progressive muscle relaxation training (PMR)
A
- Do a brief demo of tense-relax exercises
- Remind the pt they are in control
- model the skill while you teach it
- Use your ‘relaxation voice’
- Do a post-session review
8
Q
What are coping thoughts
A
- The thoughts we have about events in our lives impact how we feel & react
- Thoughts are automatic & often go unnoticed & they can either work for us or work against us
9
Q
Unhelpful thoughts generally fall into 3 categories
A
- Thoughts about self
- Thoughts about others
- Thoughts about the future
10
Q
What are some common patterns of unhelpful thinking
A
- All or nothing thinking
- Jumping to conclusions
- Critical or demanding thoughts
11
Q
It can be helpful to normalize unhelpful thoughts & also to distinguish thoughts from feelings. Automatic thoughts are the thinking patterns that occur when events or the emotions happen. (True/False)
A
- True
12
Q
Strategies for developing coping thoughts
A
- Self calming statements: pos. but realistic thought to help develop a sense of peace
- Questioning unhelpful thoughts: reminder that thoughts are not facts
