SPECIFIC ASSESSMENTS

Question 1

General observations

Answer 1

Movement qualities
Posture
Contours – muscle atrophy, swelling, deformities
Slings, splints, crutches

Question 2

Specific Observations

Answer 2

Watch during activities

Skin
sudomotor – hyperhidrosis, dry skin
trophic changes – nails, hair, finger

wound
scar

Question 3

Sensory Components of Pain

Answer 3

Discomfort is located to a particular part of the body

Graded by intensity – “HOW MUCH”

Question 4

Affective Components of Pain

Answer 4

Complex behaviors that a person employs to minimize, escape, or terminate noxious stimulus
This is why people are different in their pain perception and variability.

Question 5

Pain Assessment: Sensory Components

Answer 5

Verbal Rating Scale
Numerical Rating Scale
Visual Analog Scale
Descriptor Differential Scale

Question 6

Pain Assessment: Affective Component

Answer 6

Verbal Rating Scale
Visual Analog Scale
Pain Discomfort Scale
McGill Pain Questionnaire

Question 7

Edema

Answer 7

Accumulation of an excessive amount of water fluid in cells, tissues, or serous cavities

Question 8

Edema Assessment

Answer 8

Tape measure – circumferential, the figure of 8

Volumeter

Question 9

ROM Assessments

Answer 9

Goniometer
Functional mobility
TAM/TPM – hand goniometer

Question 10

Hand Strength Assessment

Answer 10

Gross Grip: dynamometer

Pinch – Pinch Guage

Question 11

Dynamometer position

Answer 11

Humerus adducted, elbow at 90 flexion, forearm neutral

three trials with the right and left, then take an average

Question 12

Pinch types

Answer 12

lateral
pincer
tripod, three-jaw chuck

Question 13

Pinch position

Answer 13

humerus adducted, elbow at 90 of flexion, forearm NEUTRAL

Question 14

Strength Functional Assessment

Answer 14

Just the movement

“within functional limitations or within normal limitations”

Not as specific as MMT

Question 15

Sensation

Answer 15

physiological discharge of receptors after the application of stimuli

Question 16

Sensibility

Answer 16

cortical interpretation and appreciation of external stimuli

Question 17

Detection

Answer 17

ability to distinguish between a single point stimulus from background stimuli

Question 18

Discrimination

Answer 18

distinguish the difference between stimulus A and B

Question 19

Quantification (scaling)

Answer 19

ability to organize tactile stimuli according to degree

Question 20

Recognition

Answer 20

ability to recognize touch

Question 21

Objective Sensibility Test

Answer 21

requires only passive cooperation of the patient
Vasomotor: skin temperature, color
Sudomotor: sweat
trophic changes: skin texture, nail growth
Pilomotor: goose bump response

Question 22

objective sensibility tests examples

Answer 22

Wrinkle test

Ninhydrin Sweat Test

Question 23

Threshold sensibility test

Answer 23

cutaneous function of pain, temperature, touch, and vibrations

Question 24

Threshold sensibility test examples

Answer 24

Modified Semmes-Weinstein

Question 25

Functional sensibility test

Answer 25

information about the patient’s potential function

Question 26

Types of functional sensibility test

Answer 26

Moving two-point discrimination
Static two-point discrimination
localization of touch
Seddon coin test
Moberg pickup test
Ten test of sensation

Question 27

Provocative

Answer 27

illicit symptoms of healing or irritated peripheral nerve

Question 28

Provocative sensibility test

Answer 28

Tinel’s , Phalen’s

Question 29

What is the purpose of sensibility testing

Answer 29

document extent of loss
document recovery 
assist with diagnosis
determine functional limitations 
direct OT intervention/treatment

Question 30

How do you report sensibility?

Answer 30

Intact
Impaired
Absent

Question 31

DASH

Answer 31

Patient rated outcome measure that comes with a list of tasks for patients to rank