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Neuromotor COPY COPY > Neuro Sensory > Flashcards

Neuro Sensory Flashcards

1
Q

What order would you complete assessments in an evaluation?

A
  1. Arousal/Attention/Cognition
  2. Vital Signs
  3. Sensation
  4. Muscle Tone
  5. Range of Motion
  6. Strength
  7. Coordination
  8. Balance
  9. Endurance
  10. Function
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2
Q

State of being awake, readiness for activity

A

Arousal

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3
Q

Responsiveness to a task or concentrating on information without being distracted by other stimuli

A

Attention

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4
Q

Mental action or process of acquiring knowledge and understanding through thought, experience, and the senses

A

Cognition

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5
Q

What are the different measure s for arousal, attention and cognition?

A
  1. Glasgow Coma Scale
  2. Rancho Los Amigos Levels of Cognitive Function
  3. Mini-Cog
  4. Mini-Mental State Examination (MMSE)
  5. Montreal Cognitive Assessment (MoCA)
  6. Orientation x ? (4 = person, place, date/time, what happened to the psn)
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6
Q

What are the 3 behaviors measured in the Glasgow coma scale?

A
  1. eye opening response
  2. verbal response
  3. motor response
    - most appropriate for recent TBIs
    Severe = <8
    Moderate = 9-12
    Minor = > or equal to 13
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7
Q

What are the response scoring for the eye opening response in the GCS?

A
  1. Spontaneously
  2. To speech
  3. To pain
  4. No response
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8
Q

What are the response scoring for the verbal response in the GCS?

A
  1. Oriented to time, person, and place
  2. Confused
  3. Inappropriate words
  4. Incomprehensible sounds
  5. No response
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9
Q

What are the response scoring for the motor response in the GCS?

A
  1. Obeys command
  2. Moves to localized pain
  3. Flex to withdraw from pain
  4. Abnormal flexion (decorticate)
  5. Abnormal extension (decerebrate)
  6. No response
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10
Q

measures the levels of awareness, cognition, behavior and interaction with the environment; Most Neuro Rehabilitation centers and hospitals use the scale as a guide in crafting and planning appropriate therapy for the patient

A

Rachos Los Amigos Scale
- only a guide and not a definitive timeline in brain injury
Levels I-VIII, from total to stand by assistance (3 total, 2 max, 1 mod, 1 min, 1 SBA)

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11
Q

The mini cog is a quick screen to measure if there is need for further cog testing. Say 3 words, ask pt to draw a clock with numbers, then ask to recall the words. What is the scoring algorithm?

A 
Recall of 0 words = abnormal
Recall of 1-2 words = look at clock
- abnormal clock = abnormal
- normal clock = normal
Recall of 3 words = normal
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12
Q

when should you do a sensory assessment?

A

when hx/ systems review indicates a pathology that may result in sensory changes

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13
Q

What neuro conditions result in impaired sensation?

A
  1. CVA or TIA
  2. SCI
  3. Brain tumors
  4. MS
  5. Brain injury
    - when doing an eval must be put through the battery of sensory testing
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14
Q

What changes in sensation will you see in the elderly?

A

Reduced ability to detect pain, pressure, vibration, temp, touch

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15
Q

When, in the overall assessment, should you test sensation? Why?

A
  • After you do arousal, attention, cognition testing and before motor function testing (before strength testing, etc. results will play into performance on other tests)
  • Helps PT to differentiate impact of sensory impairment on motor function
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16
Q

When do you do cranial nerve testing?

A

Suspect a lesion of brain, brainstem, or cervical spine (sensory, motor, or both)

  • BS: any sort of lesion or damage here
  • Significant cervical spine issues present
17
Q

What are the 3 divisions of sensory receptors?

A
  1. Superficial: Exteroceptors
  2. Deep: Proprioceptors
  3. Combined (cortical): both extero and proprioceptors plus intact cortical sensory association areas
18
Q

What are the superficial sensations?

A
  1. Pain
  2. Temperature
  3. Light Touch
  4. Pressure
19
Q

What are the deep sensations?

A
  1. position sense
  2. kinesthesia
  3. vibration
20
Q

What are the combined sensations?

A
  1. Sterognosis (object manip)
  2. 2 pt discrimination
  3. barognosis (weight differentiation)
  4. graphesthesia
  5. tactile localization (describe where they feel touch)
  6. texture recognition
  7. double simultaneous stimulation
21
Q

What are the pathways that connect the sensory receptors in the brain?

A
  1. anterolateral spinothalamic

2. DCML

22
Q

What types of sensation does the anterolateral spinothalamic pathway carry?

A
  1. Pain
  2. Temperature
  3. Light Touch
  4. Tickle
  5. Itch
  6. Sexual
23
Q

What types of sensation does the DCML pathway carry?

A
  1. Discriminative Touch (Tactile Localization)
  2. Pressure
  3. Vibration
  4. Movement
  5. Proprioception

Neuromotor COPY COPY (17 decks)

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