Sensation

Question 1

sensation

Answer 1

refers to reception, transmissoin and interpretation of sensory stimuli

Question 2

types of sensation

Answer 2

touch (light touch)
deep pressure (poke)
pain
proprioception
thermal sensatoin
taste and smell

Question 3

purpose of sensory testing

Answer 3

assess extent of sensory loss and document recovery

determine impairment and functional limitations/training required

Question 4

conditions associated with sensory loss

Answer 4

CNS dysfunction
PNS dysfunction
burn
arthritis
SCI
s/p peripheral nerve repair

Question 5

what to do during sensory evaluation

Answer 5

stabilize arm
demonstrate test on unaffected area with eyes open
eliminate auditory cues and occlude vision
apply stimuli at irregular intervals
same therapist should administer and re-administer assessment

Question 6

Semmes-Weinstein monofilaments assessment-how many different monofilaments

Answer 6

5

Question 7

Semmes-Weinstein monofilaments assessment: green filament

Answer 7

normal sensation

Question 8

Semmes-Weinstein monofilaments assessment: blue filament

Answer 8

diminished light touch

Question 9

Semmes-Weinstein monofilaments assessment: purple filament

Answer 9

diminished protective sensation

Question 10

Semmes-Weinstein monofilaments assessment: red filament

Answer 10

loss of protective sensation or loss of all sensation except deep pressure

Question 11

purpose of sensory desensitization

Answer 11

help client build tolerance for sensation in a hypersensitive area

Question 12

when to use desensitization

Answer 12

pt experiencing hypersensitivity in area that was injured secondary to nerve injury or complex regional pain syndrome

Question 13

equipment used for desensitization

Answer 13

different textures

ie. cotton, velvet, flannel, washcloth, light grade sandpaper

Question 14

protocol for desensitization

Answer 14

patient rubs the affected area lightly, concentrating on the feel of the texture until the area feels less sensitive
15-20 min 3x/day

Question 15

purpose of sensory reeducaton

Answer 15

client learns to interpret pattern of abnormal sensory impulses followed by an injury to a peripheral nerve

Question 16

when to use reeducation

Answer 16

client is experiencing loss of sensation

• focus is usually on fingertips
• must be in “purple” range on Sammes-Weinstein

Question 17

when to begin early phase of sensory reeducation

Answer 17

when client can feel protective sensation
return of touch perception of fingertips
4.31 or lower on Sammes Weinstein

Question 18

early phase sensory reeducation technique

Answer 18

1. client observes therapist administers stimulus with pencil eraser tip (moves tip or holds tip on skin)
2. repeat with vision occluded; client concentrates on perception, imagining what they just observed in step 1
3. pt overves while therapist applies stimulus, verbalizing what they are seeing

Question 19

late phase sensory reeducation technique

Answer 19

client tries to discriminate between touch of objects of different sizes or textures