Sensory diagnosis and testing Flashcards

1
Q

Sensory testing allows the therapist a method of assessing the function of the client’s ____

A

nervous system

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2
Q

Sensory testing is a predictor of ___

A

motor function

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3
Q

Sensory impairment is a predictor of ___

A

functional performance

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4
Q

Sensory impairment is a predictor of

A

injury risk

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5
Q

Sensory nerves are clustered in the __, ___, ___, and ___

A

face, hands, feet, and genitalia

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6
Q

• Sensory nerves are concentrated in the ___ cortex, ____ gyrus, and the ____ lobe (this distribution is commonly described using a homunculus)

A

sensorimotor
postcentral
parietal

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7
Q

Causes of sensory impairment include

A

Mechanical injuries and disease processes

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8
Q

Some mechanical injuries that can cause sensory impairment are?

A

Fractures-
• laceration of spinal and peripheral nerves (complete disruption)
• Nerve trauma-stretch or crush injuries (complete or incomplete disruption)
• Amputation (complete disruption)
• May result in phantom limb sensation
• Laceration (complete or incomplete)
• Cortical Injury- Hitting their head.
• Electrical / thermal injuries
• Chemical injuries
• Burns
• Drug toxicity

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9
Q

Some disease processes that can cause sensory impairment are?

A

Diabetes- complications include damage to sensory organs (eyes) neuropathy and impaired cellular functioning
• Cardiovascular disease- stroke is a significant source of sensory impairment
• Tumors and neuromas- can cause abnormal patterns of sensory impairment

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10
Q

Spinal cord injuries result from the disruption of?

A

nerve signals between the brain and the peripheral nervous system

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11
Q

• Impaired sensation from a SCI characterized by “pins and needles”, tingling is called

A

(Paresthesia)

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12
Q

A loss of sensation resulting from a SCI is called

A

(Anesthesia)

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13
Q

The tests for proprioception and kinesthesia are performed ___ when possible.

A

bilaterally

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14
Q

Light touch is critical for?

A

protection from injury

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15
Q

Impairment of this light touch sensation increases risk of?

A

mechanical injury to the affected limb (wheelchairs, doorways, bedrails, compression injury)

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16
Q

The “normal” client can detect very small differences in thermal input as small as __ degrees.

A

0.5

17
Q

Stereognosis cannot be assessed if _____is absent!

A

motor control

18
Q

The two point discrimination test helps to identify

A

innervation density

19
Q

Fingertips norm for two point discrimination for adults is:

A

3-5cm for adults 18-70

5-6cm for ages 70+

20
Q

Middle and proximal phalanges two point discrimination norm for adults is:

A

5-9cm for adults 18-70

10- 12cm for adults age 70+

21
Q

Intense pain at the site in response to the tuning fork vibration can be a positive sign for

A

fracture.