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S4 PTA 202 Rehab II > Sensory > Flashcards

Sensory Flashcards

1
Q

Sensory integration

A

The ability of the rain to organize, interpret, and use sensory information

  • somatosensation
  • visual
  • auditory
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2
Q

Feedback control

A

Uses sensory information received during movement to monitor and adjust motor output

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3
Q

Feedforward control

A

Proactive strategy that uses sensory information obtained from previous experiences and results in anticipatory adjustments in postural control or movement

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4
Q

Sensation

A
  1. Guide selection of motor responses for effective interaction with the environment
  2. Adapt movements and shape motor programs through feedback for corrective action
  3. Protect from injury
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5
Q

Motor learning

A

Dependent on

  1. Information form body and environment (sensory intake)
  2. Processing the information (sensory integration)
  3. Plan and organize behavior (motor behavior)
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6
Q

CNS lesions

A

May produce significant sensory impairments characterized by a diffuse patten of involvement and can result in significant motor dysfunction (sensory ataxia) and impairment of fine motor control and. Odor learning, as well as present a significant threat of injury to anesthetic limbs (inability to determine temp of bath water)

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7
Q

Arousal

A

The physiological readiness of the human system for activity, used to identify patient’s level of consciousness
- alert - lethargic - obtunded - stupor - coma

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8
Q

Alert

A

Patient is awake and attentive to normal levels of stimulation. Normal and appropriate interactions

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9
Q

Lethargic

A

Pt appears drowsy and may fall asleep if not stimulated in some way. Diverted interactions. Difficulty focusing or maintaining attention on a question or task

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10
Q

Obtunded

A

Pt is difficult to arouse from a somnolent state and is frequently confused when awake. Repeated stimulation is required to maintain consciousness. Largely unproductive interactions

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11
Q

Stupor

A

Pt responds only to strong, generally noxious stimuli and returns to the unconscious state when stimulation is stopped. When aroused, pt is unable to interact

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12
Q

Coma

A

Pt cannot be aroused by any type of stimulation. Reflex motor responses may or may not be seen

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13
Q

Attention

A

Selective awareness of the environment or responsiveness to a stimulus or task without being distracted by other stimuli
- pt asked to repeat things

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14
Q

Orientation

A

Pt’s awareness of time, person, and place. (Example questions on pg 95)

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15
Q

Cognition

A

Process of knowing and includes both awareness and judgement

  1. Fund of knowledge: sum total of an individual’s learning and experience in life
  2. Calculation ability
  3. Proverb interpretation
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16
Q

Memory

A

Immediate recall, short term, and long term retention of information are assessed and monitored

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17
Q

Hearing

A

Gross exam of hearing can be made by observing response to conversation

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18
Q

Vision

A

Snellen chart used

- peripheral tested with fingers or pens at the lateral edge of the visual field.

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19
Q

Sensory screening

A
  • testing several areas with modalities form each of the general categories of sensation
  • must be done bilaterally and vision occluded
    1. Pain and superficial touch
    2. Kinesthesia and vibration-deep
    3. 2-point discrimination
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20
Q

Sensory testing sequence

A
  1. Superficial sensation
  2. Deep sensation
  3. Combined sensation
    * *distal to proximal
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21
Q

Exteroreceptors

A

Superficial sensations

  • pain, temp, light touch, and pressure
  • receivestimuli from the external environment via skin and subcutaneous tissue
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22
Q

Proprioceptors

A

Deep sensations

  • receive stimuli from muscles, tendons, ligaments, joints, and fascia.
  • position sense and awareness of joints at rest, movement awareness, and vibration
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23
Q

Cortisol combined sensations

A

Stereognosis, 2-point discrimination, barognosis, and graphesthesia, tactile localization, recgonition of texture, and double simultaneous stimulation.

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24
Q

Anterolateral spinothalamic

A

Self-protective reactions

  • *crosses at spine entrance level
  • thermal and nociceptive information
  • pain
  • temp
  • crudely localized touch
  • tickle
  • itch
  • sexual sensations
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25
Q

Dorsal column- medial lemniscal system

A

Responses to more discriminative sensations

    • crosses at medulla
  • discriminative touch and pressure
  • vibration
  • movement
  • position sense
  • awareness of joints at rest
26
Q

Protective sensation (sensory test)

A

10 gram monofilament

27
Q

Pain assessment (sensory test)

A

Sharp/dull discrimination

28
Q

Light touch assessment (sensory test)

A

Cotton ball or camel-hair brush

29
Q

Vibration assessment (sensory test)

A

Use tuning fork

30
Q

Temperature assessment (sensory test)

A

Test tubes w/ water (warm and hot)

31
Q

Stereognosis (sensory test)

A

Object recognition (usually small and in a bag)

32
Q

Two-point discrimination (sensory test)

A

Measures the shortest distance that two points of contact on the skin can be distinguished

33
Q

Recognition of texture (sensory test)

A

Samples of various fabrics

34
Q

Kinesthesia (sensory test)

A

PROM of distal extremities

- up/down and in/out

35
Q

Proprioception assessment (sensory test)

A

PROM of extremities

- duplication of joint position on contralateral side

36
Q

Topognosis (sensory test)

A

Identification of exact location of tactile stimuli

37
Q

Graphesthesia (sensory test)

A

Tracing figures on the skin for identification

38
Q

Barognosis (sensory test)

A

Discrimination of differing weight resistance

Different weight but same size and shape

39
Q

Lateral spinothalamic

A

Crude touch, pain, and temperature

40
Q

Anterior spinothalamic

A

Crude touch and pressure

41
Q

Abarongnosis

A

Inability to recognize weight

42
Q

Allesthesia

A

Sensation experienced at a site remote from point of stimulation

43
Q

Allodynia

A

Pain produced by non-noxious stimulus

44
Q

Analgesia

A

Complete loss of pain sensitvity

45
Q

Astereognosis

A

Inability to recognize the form and shape of objects by touch

46
Q

Atopognosia

A

Inability to localize a sensation

47
Q

Causalgia

A

Painful, burning sensations, usually along the distribution of a nerve

48
Q

Dysesthesia

A

Touch sensation experienced as pain

49
Q

Hypalgesia

A

Decreased sensitivity to pain

50
Q

Hyperalgesia

A

Increased sensitivity to pain

51
Q

Hypereshesia

A

Increased sensitivity to sensory stimuli

52
Q

Pallanesthesia

A

Loss of absence of sensibility to vibration

53
Q

Parenthesis

A

Abnormal sensation such as numbness, pricking, or tingling, without apparent cause.

54
Q

Thalamic syndrome

A

Vascular lesion of the thalamus resulting in sensory disturbances and partial or complete paralysis of one side of the body, associated with severe, boring-type pain; sensory stimuli may produce an exaggerated, prolonged, or painful response

55
Q

Thermanalgesia

A

Inability to perceive heat

56
Q

Thermanesthesia

A

Inability to perceive sensation of heat and cold

57
Q

Thermhyperesthesia

A

Increased sensitivity to temp

58
Q

Thermhypesthesia

A

Decreased temperature sensibility

59
Q

Thigmanesthesia

A

Loss of light touch sensibility

60
Q

Cranial nerves

A 
I. Olfactory 
II. Optic 
III. Oculomotor
IV. Trochlear 
V. Trigeminal 
VI. Abducens 
VII. Facial  
VIII. Vestibulocochlear
IX. Glossopharyngeal 
X. Valgus 
XI. Accessory 
XII. Hypoglossal

S4 PTA 202 Rehab II (1 decks)

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