week 4

Question 1

S

Answer 1

Subjective

Question 2

O

Answer 2

objective

Question 3

A

Answer 3

assessment

Question 4

P

Answer 4

plan

Question 5

sensation

Answer 5

peripheral nervous system damage or sensory loss due to CNS damage

Question 6

CNS system

Answer 6

deficits in proprioception and stereognosis

Question 7

PNS injury

Answer 7

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

Question 8

carpal tunnel syndrome is a

Answer 8

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

Question 9

symptoms of damaged peripheral nerves correspond to

Answer 9

area of neural distribution (dermatome)

Question 10

impairment of single spinal cord nerve root impacts sensation on

Answer 10

ipsilateral side over corresponding area served by that nerve root

Question 11

in assessment, always prioritize delineation of

Answer 11

protective sensation to insure patient safety

Question 12

clinicians strive to create accurate map of intact and

Answer 12

impaired sensory areas using sensory evaluation techniques

Question 13

mechanoreceptors

Answer 13

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

Question 14

chemoreceptors

Answer 14

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

Question 15

thermoreceptor

Answer 15

respond to stimulation of heat and cooling

Question 16

sensory evaluation findings summarized as

Answer 16

• intact
• impaired
• absent

Question 17

impaired

Answer 17

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

Question 18

absent

Answer 18

total loss of sensation or inability to detect specific sensory modality

Question 19

sensory documentation includes

Answer 19

• test type
• skin area tested
• screening score response

Question 20

touch threshold testing with monofilaments use

Answer 20

color codes on drawing of tested body part

Question 21

assessments

Answer 21

• proprioception
• stereognosis
• touch localization

Question 22

choosing intervention for sensory impairment

Answer 22

• 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

Question 23

compensatory intervention for sensory impairment primary goal

Answer 23

education to avoid further injury

Question 24

compensatory intervention for sensory impairment secondary goal

Answer 24

teach patient to compensate for absent sensation

Question 25

compensatory intervention for sensory impairment compensation strategies

Answer 25

- 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

Question 26

desensitization if hypersensitivity

Answer 26

stimuli produces exaggerated sensations

Question 27

hypersensitivity includes

Answer 27

- allodynia | - hyperesthesia

Question 28

allodynia

Answer 28

perception of pain in response to nonpainful stimulus

Question 29

hyperesthesia

Answer 29

heightened sensitivity to tactile stimuli

Question 30

desensitization programs includes

Answer 30

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

Question 31

peripheral nerve injuries

Answer 31

- 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

Question 32

sensory reeducation intervention procedures phases (2)

Answer 32

``` phase 1 (passive) focuses phase 2 (active) ```

Question 33

sensory reeducation intervention procedures phase 1

Answer 33

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

Question 34

sensory reeducation intervention procedures phase 2

Answer 34

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

Question 35

sensory reeducation intervention procedures early phase 2

Answer 35

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