Sensory Detection Deficits

Question 1

What does this category do during movement?

Answer 1

Snap their joints to make up for lost proprioceptive feedback

Question 2

Can they get to upright?

Answer 2

It will be difficult 2/2 decreased proprioception

Question 3

What is impaired that causes deficits with proprioception?

Answer 3

Muscle spindles - not able to provide feedback

Question 4

What does it mean?

Answer 4

Inability to execute intersegmental movement due to lack of joint position sense or 2/2 multisensory failure affecting joint position sense, vision, or the vestibular system; can be UE, LE, or both

Question 5

Key tests and signs: sensation

Answer 5

Moderate-severe impairment in joint position sense or protective sensation of one or both LEs
Mild or greater loss of joint position sense and touch sensation of one LE or both UEs
New visual field deficit > 50%

Question 6

Key tests and signs: STS

Answer 6

Failure during execution phase, w/ HE of knees before hip ext, instability of ankle, or stepping to alter BOS

Question 7

Key tests and signs: gait

Answer 7

Variation in foot placement, HE of knee during stance, loss of eccentric ankle control
Requires assistance
Some improvement w/ visual guidance, if possible

Question 8

Key tests and signs: reach and grasp

Answer 8

Slow and dyscoordinated

Improves w/ visual guidance

Question 9

Key tests and signs: postural control

Answer 9

Unable or difficult to stand unsupported
If able to stand unsupported, significant increase in sway or LOB w/ EC
Limited improvement in performance w/ practice

Question 10

What type of cues are essential for training/improvement?

Answer 10

Visual cues/visual guidance

Question 11

Associated signs: movement

Answer 11

Poor timing and coordination of limb movement during tasks

Question 12

Associated signs: nonequilibrium coordination

Answer 12

Slow and clumsy

Some improvement w/ visual guidance

Question 13

Differential movement dx:

Answer 13

Movement pattern coordination deficit
Perceptual deficit
Sensory selection and weighting deficit

Question 14

Will cueing/guidance guarantee improvement?

Answer 14

No

Question 15

Expected outcome

Answer 15

Ambulation w/ AD
Increased difficulty in conditions of poor lighting and uneven surfaces
Limited standing stability for functional tasks
Lack of hand function w/o visual guidance

Question 16

What types of environments are particularly challenging?

Answer 16

Low lighting

Uneven surfaces

Question 17

Associated medical dx:

Answer 17

CVA
TBI
Peripheral neuropathy (multiple)
Multi system failure
B vestibular loss