Sensory Testing - Class 8

Question 1

why is sensation important

Answer 1

sensory impairment affects motor output

sensory impairments affect the ability to gain new motor skills

motor learning is highly dependent on sensory info and feedback

this will assist in providing the source of motor dysfxn

anesthetic limbs are at risk of injury

Question 2

sensory impairment affects motor output

Answer 2

this is tested before the motor component

Question 3

keys to success w/ sensation testing

Answer 3

clear instructions and proper explanation of what you are doing

tell pt not to guess

do not give too much input

perform a trial run

occlude the pts vision

Question 4

perform a trial run

Answer 4

often in a region that is not impaired

pt will get a sense of normal

Question 5

how are sensory receptors divided

Answer 5

superficial sensation

deep sensation

combined cortical sensations

Question 6

superficial sensation is responsible for

Answer 6

superficial sensation

info from the external environment

perception of pain, temp, light touch and pressure

Question 7

superficial sensation tests

Answer 7

pain

temp

light touch

pressure

Question 8

pain –> superficial sensation tests

Answer 8

use a sharp object that does not pierce the skin

should be cleaned before hand

ask when the pt verbally feels the stimulus

Question 9

temp –> superficial sensation tests

Answer 9

test

2 test tubes of different color

if too cold or too hot, it may cause pain

pt indicated if they feel cold or hot

Question 10

2 test tubes of different color –> temp –> superficial sensation tests

Answer 10

cold (41-50 F)

heat (104-113 F)

Question 11

light touch –> superficial sensation tests

Answer 11

test

use a piece of a cotton to the area to be tested

response

w/ eyes closed, pt indicated when they are being touched

Question 12

pressure –> superficial sensation tests

Answer 12

PT presses down until there is an indent into the pt’s skin

pt tells PT when they feel that they are being touched

Question 13

deep sensation is tested

Answer 13

2nd

Question 14

deep sensation is responsible for

Answer 14

deep sensation

receive stimuli from the muscles, tendons, ligs, joints and fascia

position sense

awareness of joints at rest

movement awareness (kinesthesia)

vibration

Question 15

deep sensational testing

Answer 15

kinesthesia

proprioception

vibration

Question 16

kinesthesia –> deep sensational testing

Answer 16

tests awareness of movement

Question 17

kinesthesia test –> deep sensational testing

Answer 17

w/ minimal pressure

the PT lightly grabs a pt’s joint and passively moves the joint thru range, back and forth

Question 18

kinesthesia testing is done

Answer 18

through a small range

Question 19

what is the pt instructed to do –> kinesthesia

Answer 19

tell the PT when they feel what direction is the joint moving in

Question 20

pt should –> kinesthesia

Answer 20

should have eyes closed

mimic PT on sound limb

Question 21

proprioception –> deep sensational testing

Answer 21

test joint position

Question 22

proprioception test –> deep sensational testing

Answer 22

passively move the joint into a position w/ a minimal grip

ask pt what position the joint is in

minimum of 5 reps

Question 23

minimum of 5 reps –> proprioception –> deep sensational testing

Answer 23

takes care of guessing game

Question 24

vibration testing –> deep sensational testing

Answer 24

use a tuning fork at 128 Hz

place the tuning fork on a bony prominence

as the pt if the tuning fork is vibrating or not

Question 25

combined cortical sensations are tested

Answer 25

last

Question 26

combined cortical sensations

Answer 26

combo of both deep and superficial

stereognosis

graphesthesia

two point discrimination