Nbcot Musculoskeletal Assessment And Intervention

Front 1

Order of sensorimotor testing

Back 1

sensation
ROM
strength
coordination.

Front 2

principles of sensory testing for neuro

Back 2

* 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.

Front 3

who should complete sensory testing if you the primary therpists is unable to finish test or needs to retest at a later date

Back 3

you the therapist, this avoids any admin or interpretation errors

Front 4

what does lack of sweating correlate with

Back 4

lack of discriminative touch

Front 5

what are some observations to look for screening for sensations

Back 5

skin temp
goose bumps
hair changes
slower healing
absence of wear marks
atrophy of soft tissue

Front 6

test of median nerve function

Back 6

thumb tip
index tip
index proximal phalanx

Front 7

test of ulnar nerve function

Back 7

distal and proximal little finger
proximal ulnar palm

Front 8

test of radial nerve function

Back 8

thumb web space

Front 9

gold standard for testing nerve entrapments

Back 9

semmes-weinstein

Front 10

modified pick up test vs. moberg

Back 10

modified

Front 11

minimal req. to initiate sensory reeducation following periph inj

Back 11

perception of vibration (30 cps) and moving touch in area.

Front 12

components of sensory reed following periph

Back 12

localization of moving touch with added visual stim.
graded sensory discrim

Front 13

stages of sensory reed following periph

Back 13

object recognition
refined grasp and pinch
control of force while holding objects
maintenance of force for transport
object manipulation

Front 14

minimal req. to initiate sensory reed following CVA

Back 14

perception of vibration (100 cps)

Front 15

components of sensory reed for CVA

Back 15

*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

Front 16

isometric strengthening

Back 16

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

Front 17

active assisted strengthening

Back 17

concentric or eccentric
*appropriate for grade 2 or 3
*

Front 18

resistive strengthening

Back 18

contraction through full range
*appropriate for grade 3+ and up
*

Front 19

coordination intervention

Back 19

graded activity
*slow to fast
*simple to complex
*few to more joints
*gross to precise movement
*voluntary to involuntary