Gross Sensory Screen Flashcards
Superficial Tract includes
Pain, temperature, light touch, and pressure
(primitive responses)
Deep Tract includes
proprioception, kinesthesia, vibration, discriminative touch (sense and localize touch)
Combined tract includes
stereognosis (perceive something by touch w/o sight or audio), barognosis (ability to differentiate between weight of objects), graphesthesia, tactile localization, recognition of texture
Every patient needs a gross sensory screen. In a screen you would perform ______ from each category. It should be random and over _______ areas in the _____ and ______ extremities. Always test bilaterally.
one or two
large surface
lower and upper
A full clinical sensory examination would make sense for patients with…
-paresthesia
-diabetes
-peripheral vascular disease (PVD)
-neurological disorders like TBI, SCI, CVA (stroke), Guillian Barre, MS
What tract does light touch belong to? How would you assess?
-superficial tract
-use a cotton ball, brush, tissue and lightly stroke testing areas
-when do they feel it?
-where do they feel it?
-record what they did or did not feel
What tract does pain belong to? How would you assess?
-superficial tract
-use a pin to lightly touch skin
What tract does temperature belong to? How would you assess?
-superficial tract
- Can they identify cold stethoscope or warm hands?
What tract does vibration belong to? How would you assess?
-deep tract
-strike the tuning fork on the hands and place over a bony prominence
What tract does kinesthesia/ proprioceptive awareness belong to? How would you assess?
-deep tract
-kinesthesia: move a small joint through space
-proprioceptive awareness: move a joint to a position and ask the patient to reproduce using opposing limb
What tract does barognosis belong to? how would you assess?
-combined tract
-placing an object in each hand in order to have patient evaluate the weight of each object (close eyes)
What tract does sterognosis belong to? How would you assess?
-combined tract
-place several COMMON objects in front of the patient (they must have eyes closed) and test if they can identify said objects
What tract does graphesthesia belong to? How would you assess?
-combined tract
-patient is sitting with palm up and eyes closed, can the patient identify the letter or number written on their hand?
