Deck 27: Evaluation of Sensation and Intervention for Sensory Dysfunction
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Deck 27: Evaluation of Sensation and Intervention for Sensory Dysfunction
1
What does sensory reeducation require?
A) Specialized and standardized equipment
B) 30-minutes sessions
C) 10- to 15-minute sessions
D) Clients to be experiencing hypersensitivity
A) Specialized and standardized equipment
B) 30-minutes sessions
C) 10- to 15-minute sessions
D) Clients to be experiencing hypersensitivity
C
Ordinary items found around the home can be used for sensory reeducation,making this training experience accessible and purposeful to clients.Training sessions work well if they are not too lengthy.Intervals of 10- to 15-minute duration are recommended because of the high degree of concentration required of the client.If a client has a hypersensitive extremity,it is important to normalize that hypersensitivity through desensitization in order to maximize the tolerance to and benefits of sensory reeducation.
Ordinary items found around the home can be used for sensory reeducation,making this training experience accessible and purposeful to clients.Training sessions work well if they are not too lengthy.Intervals of 10- to 15-minute duration are recommended because of the high degree of concentration required of the client.If a client has a hypersensitive extremity,it is important to normalize that hypersensitivity through desensitization in order to maximize the tolerance to and benefits of sensory reeducation.
2
Which statement below is not true?
A) Proprioception and pain are aspects of musculoskeletal sensation.
B) Proprioception is the awareness of joint position.
C) Proprioception encompasses joint position, muscle stretch, and deep vibration.
D) Following cerebrovascular accident and with other neurological disorders, proprioception is usually intact.
A) Proprioception and pain are aspects of musculoskeletal sensation.
B) Proprioception is the awareness of joint position.
C) Proprioception encompasses joint position, muscle stretch, and deep vibration.
D) Following cerebrovascular accident and with other neurological disorders, proprioception is usually intact.
D
Proprioception and pain are aspects of musculoskeletal sensation.Proprioception is the awareness of joint position.Proprioception encompasses joint position,muscle stretch,and deep vibration.It has a direct effect at the spinal cord level through muscle spindles.Proprioception also has significant connections to the cortical and cerebellar pathways,with resulting impact on motor learning and motor adaptation.Following cerebrovascular accident and with other neurological disorders,proprioception is commonly affected.
Proprioception and pain are aspects of musculoskeletal sensation.Proprioception is the awareness of joint position.Proprioception encompasses joint position,muscle stretch,and deep vibration.It has a direct effect at the spinal cord level through muscle spindles.Proprioception also has significant connections to the cortical and cerebellar pathways,with resulting impact on motor learning and motor adaptation.Following cerebrovascular accident and with other neurological disorders,proprioception is commonly affected.
3
Nociceptors _________________.
A) Are a subset of receptors that sense pain when stimulated
B) Interpret temperature changes
C) Are a subset of receptors that relieve pain when stimulated
D) Are involved in the sense of pleasure
A) Are a subset of receptors that sense pain when stimulated
B) Interpret temperature changes
C) Are a subset of receptors that relieve pain when stimulated
D) Are involved in the sense of pleasure
A
Nociceptors are a subset of receptors that sense pain when stimulated.
Nociceptors are a subset of receptors that sense pain when stimulated.
4
Signs of sympathetic nervous system responses include all but one of these signs.Which one is it?
A) Skin temperature
B) Skin color
C) Sudomotor function (abnormal sweating)
D) Goose bumps
A) Skin temperature
B) Skin color
C) Sudomotor function (abnormal sweating)
D) Goose bumps
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5
Sensory reeducation includes all but which of the following?
A) Contralateral upper extremity constraint
B) Stimulating localization
C) Tasks of recognition
D) Tasks of graded stimulus
A) Contralateral upper extremity constraint
B) Stimulating localization
C) Tasks of recognition
D) Tasks of graded stimulus
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6
When tapping elicits paresthesia,______________.
A) It is called allodynia
B) It is referred to as a Tinel's sign
C) It feels like a cooling sensation
D) It should be ignored
A) It is called allodynia
B) It is referred to as a Tinel's sign
C) It feels like a cooling sensation
D) It should be ignored
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7
Which statement is not true?
A) Axons with larger diameters transmit information more quickly.
B) Afferents are peripheral axons.
C) Afferents are categorized by the diameter of the axon.
D) Afferents with larger diameters transmit information more slowly.
A) Axons with larger diameters transmit information more quickly.
B) Afferents are peripheral axons.
C) Afferents are categorized by the diameter of the axon.
D) Afferents with larger diameters transmit information more slowly.
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8
Difficulty of graded discrimination is increased by ____________.
A) Occluding vision
B) Standing up during treatment
C) Making the objects larger
D) Lowering the ambient lighting
A) Occluding vision
B) Standing up during treatment
C) Making the objects larger
D) Lowering the ambient lighting
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9
Superficial fine touch receptors include which of the following?
A) Pacinian corpuscles
B) Ruffini's corpuscles
C) Meissner's corpuscles
D) Golgi tendon organs
A) Pacinian corpuscles
B) Ruffini's corpuscles
C) Meissner's corpuscles
D) Golgi tendon organs
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10
Semmes-Weinstein Monofilaments are used to test __________.
A) Sharp-dull
B) Proprioception
C) Pressure threshold
D) Sweating responses
A) Sharp-dull
B) Proprioception
C) Pressure threshold
D) Sweating responses
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11
Localization of moving touch tends to return before localization of ___________.
A) Light pressure
B) Constant touch
C) Pinprick
D) Deep pressure
A) Light pressure
B) Constant touch
C) Pinprick
D) Deep pressure
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12
Normal static two-point discrimination is ____________.
A) 11-15 mm
B) 60-10 mm
C) < 6 mm
D) < 8 mm
A) 11-15 mm
B) 60-10 mm
C) < 6 mm
D) < 8 mm
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13
Which of these is not a sensory threshold test?
A) Moving two-point discrimination
B) Touch-pressure
C) Temperature awareness
D) Pinprick
A) Moving two-point discrimination
B) Touch-pressure
C) Temperature awareness
D) Pinprick
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14
Levels of difficulty in graded discriminative sensory reeducation are represented by all but which choice?
A) Identifying whether the objects are the same or different
B) Identifying whether the objects are hot or cold
C) Explaining how the objects are the same or different
D) Identification of the material or object
A) Identifying whether the objects are the same or different
B) Identifying whether the objects are hot or cold
C) Explaining how the objects are the same or different
D) Identification of the material or object
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15
Clients are candidates for discriminative sensory training if they have protective sensation intact,with recognition of at least _______________.
A) 8 mm on the moving two-point discrimination test
B) 8 mm on the static two-point discrimination test
C) 4.56 on the Semmes-Weinstein monofilaments test
D) 4.31 on the Semmes-Weinstein monofilaments test
A) 8 mm on the moving two-point discrimination test
B) 8 mm on the static two-point discrimination test
C) 4.56 on the Semmes-Weinstein monofilaments test
D) 4.31 on the Semmes-Weinstein monofilaments test
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