Sensory Examination in Physical Therapy
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Questions and Answers

Sensory integration is the ability of the brain to organize and use motor information.

False

The Guide to Physical Therapist Practice defines sensory integrity as including proprioception, pallesthesia, stereognosis, and topognosis.

True

Sensory examination involves testing motor function by determining the patient's ability to interpret and discriminate among incoming sensory information.

False

Indications for examination of sensory function are based on the patient's medical history only.

<p>False</p> Signup and view all the answers

Sensory dysfunction may be associated with any pathology or injury affecting the peripheral nervous system (PNS) only.

<p>False</p> Signup and view all the answers

Deficits in sensory function may occur at any point within the system, including the sensory receptors, peripheral nerves, and spinal cord nuclei.

<p>True</p> Signup and view all the answers

Arousal is the physiological readiness of the human system for relaxation.

<p>False</p> Signup and view all the answers

A patient who is obtunded is awake and attentive to normal levels of stimulation.

<p>False</p> Signup and view all the answers

A patient in a coma can be aroused by any type of stimulation.

<p>False</p> Signup and view all the answers

A lethargic patient is difficult to arouse from a somnolent state and is frequently confused when awake.

<p>False</p> Signup and view all the answers

Screening tests for mental status, vision, and hearing acuity should be performed after the sensory examination.

<p>False</p> Signup and view all the answers

Patients who are stuporous respond to normal levels of stimulation and can interact with the therapist.

<p>False</p> Signup and view all the answers

Study Notes

Sensory Examination

  • Sensory integration is the brain's ability to organize, interpret, and use sensory information.
  • Sensory function examination involves testing sensory integrity by determining the patient's ability to interpret and discriminate among incoming sensory information.
  • Sensory integrity is defined as the intactness of cortical sensory processing, including proprioception, pallesthesia, stereognosis, and topognosis.

Clinical Indications

  • Indications for examining sensory function are based on the history and systems review.
  • This includes information provided by the patient, family, significant other, or caregiver, symptoms described by the patient, signs observed during the systems review, and information derived from other sources and records.
  • Sensory dysfunction may be associated with pathology or injury affecting the peripheral nervous system (PNS) or central nervous system (CNS), or with combined involvement of both systems.

Factors That May Constrain The Examination

  • Arousal level should be determined prior to the sensory examination.
  • Arousal is the physiological readiness of the human system for activity.
  • Arousal levels include:
    • Alert: awake and attentive to normal levels of stimulation, with normal interactions with the therapist.
    • Lethargic: drowsy, may fall asleep if not stimulated, with diverted interactions with the therapist.
    • Obtunded: difficult to arouse from a somnolent state, frequently confused when awake, with unproductive interactions with the therapist.
    • Stupor (semicoma): responds only to strong, noxious stimuli and returns to unconscious state when stimulation is stopped, with inability to interact with the therapist.
    • Coma (deep coma): cannot be aroused by any type of stimulation.

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Description

Test your knowledge of sensory examination in physical therapy, including the assessment of sensory integrity, proprioception, and other related concepts. This quiz covers the clinical indications and importance of sensory examination in physical therapy practice. Improve your understanding of sensory integration and its role in patient care.

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