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    Assessment of Sensations

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    vaishali jagtap
    The document outlines principles and techniques for assessing sensory function, noting that sensory assessment should be done prior to motor testing and should proceed from superficial to deep sensations and distal to proximal areas. A variety of tests are described to evaluate different sensory modalities including pain, touch, temperature, vibration, proprioception, stereognosis, and cortical sensations. The goal is to identify any sensory deficits or patterns that may exist.

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    Assessment of Sensations

    Uploaded by

    vaishali jagtap
    89 views17 pages
    The document outlines principles and techniques for assessing sensory function, noting that sensory assessment should be done prior to motor testing and should proceed from superficial to deep sensations and distal to proximal areas. A variety of tests are described to evaluate different sensory modalities including pain, touch, temperature, vibration, proprioception, stereognosis, and cortical sensations. The goal is to identify any sensory deficits or patterns that may exist.

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    assessment of sensations

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    The document outlines principles and techniques for assessing sensory function, noting that sensory assessment should be done prior to motor testing and should proceed from superficial to deep sensations and distal to proximal areas. A variety of tests are described to evaluate different sensory modalities including pain, touch, temperature, vibration, proprioception, stereognosis, and cortical sensations. The goal is to identify any sensory deficits or patterns that may exist.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    89 views17 pages

    Assessment of Sensations

    Uploaded by

    vaishali jagtap
    The document outlines principles and techniques for assessing sensory function, noting that sensory assessment should be done prior to motor testing and should proceed from superficial to deep sensations and distal to proximal areas. A variety of tests are described to evaluate different sensory modalities including pain, touch, temperature, vibration, proprioception, stereognosis, and cortical sensations. The goal is to identify any sensory deficits or patterns that may exist.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    SENSORY ASSESSMENT

    DR VAISHALI JAGTAP
    SENSORY ASSESSMENT

    • Sensory impairments interfere with acquisition of


    new motor skills since motor learning is dependent
    on sensory information and feedback

    • SENSORY ASSESSMENT PRINCIPLES:


    • Sensory assessment is completed prior to any testing
    that involves active motor function
    • Initial screening for mental status (arousal, attention,
    orientation, cognition & memory), vision & memory
    should be done prior to performing sensory tests.
    • Patient should be instructed not to guess if
    uncertain about the response
    • Demonstrate the test to orient the patient on
    what to expect and what response is needed
    • Test order:
    • Superficial—Deep—Cortical… & Distal to Proximal
    • Apply the stimuli in a random order to avoid
    giving patient “clues” to the correct response
    • It is good to use a chart or picture to represent
    the areas with sensory problem so as to easily
    identify if a certain pattern exists
    SENSORY EXAMINATION

    SUPERFICIAL COMBINED CORTICAL


    DEEP SENSATIONS
    SENSATIONS (EXTEROCEPTORS+PROPRIOCEPTOR
    (PROPRIOCEPTORS -from
    (EXTEROCEPTORS- S+INTACT FUNCTIONS OF CORTICAL
    lig ,jts, muscles, tendons,
    from skin and SENSORY ASSOCIATION AREAS)
    fascia)
    subcutaneous
    tissues) -STEREOGNOSIS
    -PROPRICEPTION
    -PAIN -2 POINT DYSCRIMATION
    -KINESTHESIA
    --TEMPERATURE -BAROGNOSIS
    -VIBRATION
    --LIGHT TOUCH -GRAPHESTHESIA

    --PRESSURE -TACTILE LOCALIZATION

    -RECOGNITION OF TEXTURE

    DOUBLE SIMULTANEOUS
    STIMULATION
    EXAMINATION
    Superficial sensation
    • Pain
    Use sharp end of a pin,
    Avoid applying stimuli close to each other
    Let finger slide over the pin

    • Light touch
    Use cotton or camel hair Brush

    • Pressure
    Use thumb enough to indent skin

    • Temperature Use test tubes with warm (41-50˚F) and cold (104-113˚F)

    • Response-When patient feels stimuli, respond with yes, no or unable to tell


    Deep sensation
    • Kinesthesia
    Move the extremity passively in initial, mid or
    terminal range with very minimal grip to Reduce
    tactile stimulation
    Response Describe direction as up or down, in or
    out while the extremity is in motion. Also patient
    can imitate the movement in opposite extremity.
    • Proprioception
    The extremity is held in a static position in
    initial, mid or terminal range with very
    minimal grip to reduce tactile stimulation

    Response- Describe direction as up or down, in


    or out while the extremity is in static position.
    Also patient can imitate the movement in
    opposite extremity.
    • Vibration
    Place the base of a vibrating tuning
    fork on a bony prominence. Random
    application of vibrating and non
    vibrating stimuli should be done.
    Patient should also be given earphones
    to remove the auditory clues.

    • Response -Verbally identify the


    vibrating stimuli
    Combined Cortical sensation
    • Stereognosis
    The patient is given a familiar
    object to be held and
    manipulated

    Response The patient is asked


    to identify the object verbally
    • Tactile localization
    Therapist touches different areas in patient
    skin surface

    Response -Patient points out the area that the


    therapist touches
    • Two-point Discrimination-
    Apply simultaneous stimuli on the
    patient’s skin
    Response Identify if the perception of
    one or two stimuli

    • Graphesthesia –(traced figure


    identification)
    Trace letters, numbers or designs on
    skin
    Response- Identify what is the traced
    figure
    • Barognosis (recognition of wt)
    small objects with same size & shape but different
    weights are used.
    Response –heavy/ light than other object
    (compares wt of one object with other)

    • Recognition of texture
    cotton, wool, silk material/cloth
    Response- silk/cotton, smooth/rough
    • Double simultaneous stimulation-
    it’s the ability to perceive simultaneous touch
    stimulus (prox & distally on single extremity or
    prox & distally on one side of body)

    Response –
    verbally states if he perceives the stimuli and
    number of stimuli felt

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