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726: Phys Dys > week 4 > Flashcards

week 4 Flashcards

1
Q

S

A

Subjective

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2
Q

O

A

objective

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3
Q

A

A

assessment

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4
Q

P

A

plan

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5
Q

sensation

A

peripheral nervous system damage or sensory loss due to CNS damage

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6
Q

CNS system

A

deficits in proprioception and stereognosis

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7
Q

PNS injury

A
  • deficits in touch pressure awareness and 2-point discrimination
  • loss occurs in order: light touch, cold, heat, pain
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8
Q

carpal tunnel syndrome is a

A

median nerve entrapment causing sensory motor changes in median nerve distribution area

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9
Q

symptoms of damaged peripheral nerves correspond to

A

area of neural distribution (dermatome)

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10
Q

impairment of single spinal cord nerve root impacts sensation on

A

ipsilateral side over corresponding area served by that nerve root

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11
Q

in assessment, always prioritize delineation of

A

protective sensation to insure patient safety

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12
Q

clinicians strive to create accurate map of intact and

A

impaired sensory areas using sensory evaluation techniques

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13
Q

mechanoreceptors

A

respond to touch, pressure stretch and vibration; stimulated by mechanical deformation

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14
Q

chemoreceptors

A

respond to cell injury; stimulated by substances that the injured cells release

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15
Q

thermoreceptor

A

respond to stimulation of heat and cooling

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16
Q

sensory evaluation findings summarized as

A
  • intact
  • impaired
  • absent
17
Q

impaired

A

patient detect some, not all, stimuli or perception of stimulus differs from intact skin area

18
Q

absent

A

total loss of sensation or inability to detect specific sensory modality

19
Q

sensory documentation includes

A
  • test type
  • skin area tested
  • screening score response
20
Q

touch threshold testing with monofilaments use

A

color codes on drawing of tested body part

21
Q

assessments

A
  • proprioception
  • stereognosis
  • touch localization
22
Q

choosing intervention for sensory impairment

A
  • findings of discomfort with touch (hypersensitivity) suggest need for desensitization intervention
  • sensory reeducation interventions (passive and active sensory training) provided for patients with some sensation and potential for more
23
Q

compensatory intervention for sensory impairment primary goal

A

education to avoid further injury

24
Q

compensatory intervention for sensory impairment secondary goal

A

teach patient to compensate for absent sensation

25
Q

compensatory intervention for sensory impairment compensation strategies

A
  • using vision to compensate for lack of sensation
  • use sensate hand for tasks requiring temperature or pain detection
  • checking insensate body part for abrasions, cuts or burns
  • modifying task to avoid injury
26
Q

desensitization if hypersensitivity

A

stimuli produces exaggerated sensations

27
Q

hypersensitivity includes

A
  • allodynia

- hyperesthesia

28
Q

allodynia

A

perception of pain in response to nonpainful stimulus

29
Q

hyperesthesia

A

heightened sensitivity to tactile stimuli

30
Q

desensitization programs includes

A

repetitive stimulation of hypersensitive skin with items that provide variety of sensory experiences

31
Q

peripheral nerve injuries

A
  • be familiar with clinical manifestations of peripheral nerve lesions of brachial plexus
  • axillary nerve injury
  • brachial plexus injuries
  • long thoracic nerve injury
  • psychosocial interventions for peripheral nerve injuries
32
Q

sensory reeducation intervention procedures phases (2)

A 
phase 1 (passive) focuses
phase 2 (active)
33
Q

sensory reeducation intervention procedures phase 1

A

passive
maintaining sensory cortical representation providing directed sensory stimulation or making brain believe no sensory changes have occured

34
Q

sensory reeducation intervention procedures phase 2

A

active

occurs when patients appreciate some sensation and can learn to differentiate between seasations

35
Q

sensory reeducation intervention procedures early phase 2

A

patients learn matching tactile perception of stimuli with visual or auditory perception

726: Phys Dys (7 decks)

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