Sensation Assessments

Question 1

what is acute pain?

Answer 1

recent, sudden onset
sometimes unknown cause
limited course

Question 2

what is chronic pain?

Answer 2

long duration

associated with anguish, apprehension, depression, hopelessness

Question 3

what is myofascial pain?

Answer 3

local irritation in muscle, fascia, tendon, ligaments that cause tenderness, specific pain patterns and autonomic sys

Question 4

what are characteristics of the sensory component of pain?

Answer 4

discomfort in a particular body part
graded by intensity
defined by how much it hurts

Question 5

what are characteristics of the affective components of pain?

Answer 5

behaviors that person uses to minimize pain

explains differences in the way pts perceives pain

Question 6

when would the dynamometer test be contraindicated?

Answer 6

lacerated tendon
trigger finger
fractured wrist

Question 7

How do n. loading tests work?

Answer 7

using stretch to elongate the n. to determine if they are entrapped

Question 8

what is sensation vs sensibility?

Answer 8

sensation: physiological discharge of receptors after stim
sensibility: cortical interpretation of stim

Question 9

what is the hierarchy of sensory capacity?

Answer 9

detection
discrimination
quantification
recognition

Question 10

what is detection?

Answer 10

distinguish point stim from background

Question 11

what is discrimination?

Answer 11

distinguish btwn stim A and stim B

Question 12

what is quantification?

Answer 12

organize tactile stim according to degree

Question 13

what is recognition?

Answer 13

recognize objects by touch

Question 14

what is an objective sense test?

Answer 14

requires only passive cooperation of pt

Question 15

what is a threshold sense test?

Answer 15

determines minimal stim that can be perceived by pt

Question 16

what is a fxnl sense test?

Answer 16

assess usefulness of sense + potential for fxn

Question 17

what is a provocative sense test?

Answer 17

illicits an increase in sys to determine status of n.

Question 18

what are types of sys seen in objective sense tests?

Answer 18

vasomotor
sudomotor
trophic
pilomotor

Question 19

how is a wrinkle test conducted?

Answer 19

hand in warm water wont wrinkle due to PNI

Question 20

how is a ninhydrin sweat test conducted?

Answer 20

pt skin placed on chemically txed paper

injured area wont sweat

Question 21

sense returns in the following order

Answer 21

vibration (tuning fork)
moving touch (eraser)
constant touch (monofilaments)

Question 22

what are the 2-pt discrimination norms?

Answer 22

normal = <6 mm apart
fair = 6-10 mm apart
poor = 11-15 mm apart
protective = 1 pt perceived
anasthetic = no pt perceived

Question 23

what are the semmes weinstein norms?

Answer 23

normal = 2.83
diminished light touch = 3.61
diminished protective = 4.31
protective = 4.56
deep pressure sense = 6.65

Question 24

what are ex.s of fxnl sense tests?

Answer 24

moving 2 pt discrimination
static 2 pt discrimination
localization of touch

Question 25

what are ex.s of provocative sense tests?

Answer 25

tinels (tapping)

phalens (stretch)

Question 26

what terms are used to report sense findings?

Answer 26

intact
impaired
absent

Question 27

mechanistic vs phenomenological clinical reasoning

Answer 27

mech = body working biomechanically
phen = life perceived by pt