Week 2 Lecture Flashcards

1
Q

What is the difference between MMT and functional strength tests?

A

MMT is specific while functional strength tests are not.

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2
Q

Functional Strength Test

A

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

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3
Q

Physiological discharge of receptors after application of stimuli.

A

Sensation

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4
Q

Cortical interpretation and appreciation of external stimuli.

A

Sensibility

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5
Q

Sensibility

A

How they interpret sensation

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6
Q

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

A

median nerve

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7
Q

ability to distinguish a single point stimulus from background stimulus

A

detection

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8
Q

distinguish the difference between stimulus A and B

A

discrimination

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9
Q

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

A

quantification (scaling)

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10
Q

ability to recognize objects by touch

A

recognition

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11
Q

Name the 4 components of the hierarchy of sensory capacity.

A
  1. detection
  2. discrimination
  3. quantification (scaling)
  4. recognition
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12
Q

Name the 4 types of sensibility tests.

A
  • objective
  • threshold
  • functional
  • provocative
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13
Q

Objective Sensibility Test

A

Requires only passive cooperation of patient

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14
Q

Threshold Sensibility Test

A

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

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15
Q

Functional Sensibility Test

A
  • assesses USEFULNESS of sensibility

- speaks to disability caused by sensory impairment

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16
Q

Provocative Sensibility Test

A

-designed to ILLICIT an increase of symptoms

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17
Q

Vasomotor

A

skin temperature color

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18
Q

Sudomotor

A

sweat

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19
Q

Trophic functions

A

skin texture, nail growth

20
Q

Pilomotor

A

goose flesh response (goosebumps)

21
Q

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

A

No wrinkles due to PNI

22
Q

Ninhydrin Sweat Test

A

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

23
Q

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

A
  1. pain
  2. 30 CPS vibration
  3. moving touch
  4. constant touch
  5. 256 cps vibration
24
Q

How is 30 CPS vibration and 256 vibration sensation measured?

A

tuning fork

25
Q

How is moving touch measured?

A

eraser end of pencil

26
Q

How is constant touch measured?

A

Semmes-Weinstein Monofilaments

27
Q

How does the Semmes-Weinstein Monofilament test work?

A

Press pts. finger on monofilament until it bends slightly.

28
Q

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

A

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

29
Q

gives us information about the patient’s potential for function

A

Functional Sensibility Test

30
Q

Describe the static two-point discrimination test.

A

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.

31
Q

Describe the moving two-point discrimination test.

A

Drag the two points down the pts. fingertips.

32
Q

Name the classification scale for static two-point discrimination.

A
  • 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
33
Q

Describe the Ten Test of Sensation.

A

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.)

34
Q

Describe Tinel’s Provocative Sensibility Test.

A

Provokes a symptom with a TAP. (tactile cue)

35
Q

Describe Phalen’s Provocative Sensibility Test.

A

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.

36
Q

Calming a nerve down when it is hypersensitized.

A

Desensitization

37
Q

Patient can detect some, but not all stimuli

A

Impaired sensation

38
Q

Total loss of sensation

A

Absent sensation

39
Q

Describe 9-Hole Peg test

A

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

40
Q

Describe the DASH: Patient Rated Outcome Measure.

A

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.

41
Q

Understanding scientific evidence that leads to expected outcomes.

A

Procedural clinical reasoning

42
Q

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.

A

Narrative clinical reasoning

43
Q

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

A

Pragmatic clinical reasoning

44
Q

OT code of ethics is guideline for decision making

A

Ethical clinical reasoning

45
Q

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

A

Interactive clinical reasoning

46
Q

Modify intervention in response to change.

A

Conditional clinical reasoning