SPECIFIC ASSESSMENTS Flashcards
General observations
Movement qualities
Posture
Contours – muscle atrophy, swelling, deformities
Slings, splints, crutches
Specific Observations
Watch during activities
Skin
sudomotor – hyperhidrosis, dry skin
trophic changes – nails, hair, finger
wound
scar
Sensory Components of Pain
Discomfort is located to a particular part of the body
Graded by intensity – “HOW MUCH”
Affective Components of Pain
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.
Pain Assessment: Sensory Components
Verbal Rating Scale
Numerical Rating Scale
Visual Analog Scale
Descriptor Differential Scale
Pain Assessment: Affective Component
Verbal Rating Scale
Visual Analog Scale
Pain Discomfort Scale
McGill Pain Questionnaire
Edema
Accumulation of an excessive amount of water fluid in cells, tissues, or serous cavities
Edema Assessment
Tape measure – circumferential, the figure of 8
Volumeter
ROM Assessments
Goniometer
Functional mobility
TAM/TPM – hand goniometer
Hand Strength Assessment
Gross Grip: dynamometer
Pinch – Pinch Guage
Dynamometer position
Humerus adducted, elbow at 90 flexion, forearm neutral
three trials with the right and left, then take an average
Pinch types
lateral
pincer
tripod, three-jaw chuck
Pinch position
humerus adducted, elbow at 90 of flexion, forearm NEUTRAL
Strength Functional Assessment
Just the movement
“within functional limitations or within normal limitations”
Not as specific as MMT
Sensation
physiological discharge of receptors after the application of stimuli
Sensibility
cortical interpretation and appreciation of external stimuli
Detection
ability to distinguish between a single point stimulus from background stimuli
Discrimination
distinguish the difference between stimulus A and B
Quantification (scaling)
ability to organize tactile stimuli according to degree
Recognition
ability to recognize touch
Objective Sensibility Test
requires only passive cooperation of the patient
Vasomotor: skin temperature, color
Sudomotor: sweat
trophic changes: skin texture, nail growth
Pilomotor: goose bump response
objective sensibility tests examples
Wrinkle test
Ninhydrin Sweat Test
Threshold sensibility test
cutaneous function of pain, temperature, touch, and vibrations
Threshold sensibility test examples
Modified Semmes-Weinstein
Functional sensibility test
information about the patient’s potential function
Types of functional sensibility test
Moving two-point discrimination Static two-point discrimination localization of touch Seddon coin test Moberg pickup test Ten test of sensation
Provocative
illicit symptoms of healing or irritated peripheral nerve
Provocative sensibility test
Tinel’s , Phalen’s
What is the purpose of sensibility testing
document extent of loss document recovery assist with diagnosis determine functional limitations direct OT intervention/treatment
How do you report sensibility?
Intact
Impaired
Absent
DASH
Patient rated outcome measure that comes with a list of tasks for patients to rank
