Sensory testing for SCI and PNI, occupational therapy, NBCOT – Flashcards
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Lower levels
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Pain and temperature are mediated at ________ of the brain. (neurological injury)
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Higher levels
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Fine touch and proprioception are mediated at ___________ of the brain.(neurological injury)
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Pain & temperature
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If fine touch and proprioception are present, ______ & _______ will be intact. (neurological injury)
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Be in tact
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If fine touch and proprioception are present, pain & temperature will ____________.
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fine touch & proprioception
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If pain and temperature are absent, ________& _______ will also be absent.
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Pain & temperature
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In persons with severe cortical impairments, test ___________&_________ first.
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Pain & temperature
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In sensory recovery, what two senses tend to recover first?
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Damage to Anterior spinal cord
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Results in loss of pain and temperature below the level of the lesion, but touch, vibration & proprioception remain intact.
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Damage to Posterior spinal cord
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Results in loss of light touch and vibration, but can feel temperature and painful stimuli.
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Damage to one side of the spinal cord (AKA: Brown-Sequard syndrome)
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Results in loss of touch, vibration, and propriocation on the side of the lesion and loss of temperature and pain on the opposite side of the lesion.
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Damage to central spinal cord
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Results in bilateral loss of pain and temperature below the level of the lesion
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The first year
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Any sensory recover of the spinal cord after damage occurs within _______.
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6 months
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The greatest amount of sensory recovery after SCI occurs within ________.
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On the same side of the lesion
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Damage to one side of the spinal cord results in loss of touch, vibration, and proprioception (where)?
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On the opposite side of the lesion.
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Damage to one side of the spinal cord results in loss of temperature and pain (where)?
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fine touch & proprioception
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The senses most affected for someone with CVA or TBI are __________.
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Temperature
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The next most affected sense for someone with CVA or TBI is __________.
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Pain
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The least affected sense for someone with CVA or TBI is __________.
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For suspected median nerve injury
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Test thumb tip, index tip, index proximal phalanx (using peripheral nerve distribution).
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For suspected ulnar nerve injury
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Test distal and proximal little finger, proximal ulnar palm (using peripheral nerve distribution).
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For suspected radial nerve injury
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Test thumb web space (using peripheral nerve distribution).
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1st
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Object recognition using feature detection strategies is the ______ stage of sensory reeducation program for PNIs:
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2nd
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Refined grasp and pinch of objects is the _____ stage of sensory reeducation program for PNIs.
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3rd
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Control of force while holding objects is the _____ stage of sensory reeducation program for PNIs.
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4th and final
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Object manipulation is the _______ stage of sensory reeducation program for PNIs
