Week 2 Lecture

Question 1

What is the difference between MMT and functional strength tests?

Answer 1

MMT is specific while functional strength tests are not.

Question 2

Functional Strength Test

Answer 2

Testing the motion in general, rather than each individual muscle. Can record within normal limits, functional limits or functional range.

Question 3

Physiological discharge of receptors after application of stimuli.

Answer 3

Sensation

Question 4

Cortical interpretation and appreciation of external stimuli.

Answer 4

Sensibility

Question 5

Sensibility

Answer 5

How they interpret sensation

Question 6

Which nerve of the hand would be most detrimental when damaged?

Answer 6

median nerve

Question 7

ability to distinguish a single point stimulus from background stimulus

Answer 7

detection

Question 8

distinguish the difference between stimulus A and B

Answer 8

discrimination

Question 9

ability to organize tactile stimuli according to degree (ex: this feels different)

Answer 9

quantification (scaling)

Question 10

ability to recognize objects by touch

Answer 10

recognition

Question 11

Name the 4 components of the hierarchy of sensory capacity.

Answer 11

1. detection
2. discrimination
3. quantification (scaling)
4. recognition

Question 12

Name the 4 types of sensibility tests.

Answer 12

• objective
• threshold
• functional
• provocative

Question 13

Objective Sensibility Test

Answer 13

Requires only passive cooperation of patient

Question 14

Threshold Sensibility Test

Answer 14

seeks to determine MINIMAL stimulus that can be perceived by patient ex: pain, temperature, vibration, touch, pressure

Question 15

Functional Sensibility Test

Answer 15

• assesses USEFULNESS of sensibility

- speaks to disability caused by sensory impairment

Question 16

Provocative Sensibility Test

Answer 16

-designed to ILLICIT an increase of symptoms

Question 17

Vasomotor

Answer 17

skin temperature color

Question 18

Sudomotor

Answer 18

sweat

Question 19

Trophic functions

Answer 19

skin texture, nail growth

Question 20

Pilomotor

Answer 20

goose flesh response (goosebumps)

Question 21

Describe the wrinkles on the skin of a person with a PNI (after hand has been in water).

Answer 21

No wrinkles due to PNI

Question 22

Ninhydrin Sweat Test

Answer 22

paper that is treated, pt. touches paper. If there is no discharge on the paper, there is a PNI.

Question 23

Sensory return occurs in the following order (5 things)…

Answer 23

1. pain
2. 30 CPS vibration
3. moving touch
4. constant touch
5. 256 cps vibration

Question 24

How is 30 CPS vibration and 256 vibration sensation measured?

Answer 24

tuning fork

Question 25

How is moving touch measured?

Answer 25

eraser end of pencil

Question 26

How is constant touch measured?

Answer 26

Semmes-Weinstein Monofilaments

Question 27

How does the Semmes-Weinstein Monofilament test work?

Answer 27

Press pts. finger on monofilament until it bends slightly.

Question 28

What does the Semmes-Weinstein Monofilament test give us info about?

Answer 28

Gives us info about sensibility when it is starting to return.

Question 29

gives us information about the patient's potential for function

Answer 29

Functional Sensibility Test

Question 30

Describe the static two-point discrimination test.

Answer 30

Pt. keeps eyes closed and OT tells them to say when they feel one or two points. Might do it once a month to see if there is progress.

Question 31

Describe the moving two-point discrimination test.

Answer 31

Drag the two points down the pts. fingertips.

Question 32

Name the classification scale for static two-point discrimination.

Answer 32

- Normal - less than 6 mm apart - Fair - 6-10 mm apart - Poor - 11-15 mm apart - Protective- only 1 point perceived - Anesthetic - No point perceived

Question 33

Describe the Ten Test of Sensation.

Answer 33

OT takes pts. unaffected hand and touches a finger. They say that is a "10." Now the OT touches the pts. unaffected hand and asks them what that is (5,8, etc.) (They tell you on a scale of 1-10 how they feel.)

Question 34

Describe Tinel's Provocative Sensibility Test.

Answer 34

Provokes a symptom with a TAP. (tactile cue)

Question 35

Describe Phalen's Provocative Sensibility Test.

Answer 35

When a certain POSITION provokes a symptom. Be careful - don't want to position where other joints are stretched/compressed. Use one joint at a time.

Question 36

Calming a nerve down when it is hypersensitized.

Answer 36

Desensitization

Question 37

Patient can detect some, but not all stimuli

Answer 37

Impaired sensation

Question 38

Total loss of sensation

Answer 38

Absent sensation

Question 39

Describe 9-Hole Peg test

Answer 39

Pt. is instructed to put all 9 pegs in the holes, timed. Can only use it for testing or treatment - not both.

Question 40

Describe the DASH: Patient Rated Outcome Measure.

Answer 40

Pt. completes a series of tasks such as opening a jar, etc. Pt. fills it out by indicating the level of difficulty during that activity. The higher the number is worse, lower number is better.

Question 41

Understanding scientific evidence that leads to expected outcomes.

Answer 41

Procedural clinical reasoning

Question 42

Client-centered foundation based on knowing client or patient and how the experience impacts his or her daily life (& life of family). Intervention customized to person's unique life and contexts.

Answer 42

Narrative clinical reasoning

Question 43

Practical, mundane, real world decisions. ex: scheduling, space needs, etc.

Answer 43

Pragmatic clinical reasoning

Question 44

OT code of ethics is guideline for decision making

Answer 44

Ethical clinical reasoning

Question 45

Choices OT makes concerning initiating, fostering, and supporting on-going therapeutic relationship with each individual patient/client.

Answer 45

Interactive clinical reasoning

Question 46

Modify intervention in response to change.

Answer 46

Conditional clinical reasoning