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19 Cards in this Set
- Front
- Back
Order of sensorimotor testing
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sensation
ROM strength coordination. |
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principles of sensory testing for neuro
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* quick screen of areas expected to be intact, more indepth where deficits expected.
*Pain and temp are mediated at lower level of brain *fine touch and proprioception are mediated at higher levels * if fine touch and proprioception are present pain and temp dont need to be tested and visa versa if pain and temp are absent don't test for others. * with cortical injury test pain and temp first. |
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who should complete sensory testing if you the primary therpists is unable to finish test or needs to retest at a later date
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you the therapist, this avoids any admin or interpretation errors
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what does lack of sweating correlate with
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lack of discriminative touch
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what are some observations to look for screening for sensations
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skin temp
goose bumps hair changes slower healing absence of wear marks atrophy of soft tissue |
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test of median nerve function
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thumb tip
index tip index proximal phalanx |
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test of ulnar nerve function
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distal and proximal little finger
proximal ulnar palm |
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test of radial nerve function
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thumb web space
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gold standard for testing nerve entrapments
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semmes-weinstein
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modified pick up test vs. moberg
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modified
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minimal req. to initiate sensory reeducation following periph inj
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perception of vibration (30 cps) and moving touch in area.
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components of sensory reed following periph
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localization of moving touch with added visual stim.
graded sensory discrim |
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stages of sensory reed following periph
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object recognition
refined grasp and pinch control of force while holding objects maintenance of force for transport object manipulation |
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minimal req. to initiate sensory reed following CVA
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perception of vibration (100 cps)
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components of sensory reed for CVA
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*vibration with and without vision
*incorporation of normal hand function into activities *sensory learning should be concurrent with motor learning. *add textures to handles *enlarge and adapt * hand over hand drawing and writing |
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isometric strengthening
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appropriate for any muscle grade
*contraindicated in the presence of of cardiac disease *with or without resistance *RA- great for improvement in muscle tone endurance and strength to prepare for vigorous activity |
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active assisted strengthening
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concentric or eccentric
*appropriate for grade 2 or 3 * |
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resistive strengthening
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contraction through full range
*appropriate for grade 3+ and up * |
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coordination intervention
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graded activity
*slow to fast *simple to complex *few to more joints *gross to precise movement *voluntary to involuntary |