Pain – Examination Technique: use a disposable pin. ask the patient to close their eyes and report whether they feel sharp or dull. be sure to apply the sharp stimulus to all sites since if only the dull stimulus is applied, pain sensation has not been assessed....
Examination Technique: use a cotton wisp. apply a gentle touch (do not drag the stimulus). ask the patient to close their eyes and report “yes” every time they perceive the stimulus.
Components of the sensory examination: Light touch Pain and temperature Vibration sense Position sense 2 point discrimination Graphesthesia Stereognosis Double simultaneous stimuli (extinction) Examination Technique: patients should be sufficiently undressed but...
Extinction (Double simultaneous stimuli) Examination Technique: 1. Tactile (sensory) with eyes open demonstrate to the patient that you will touch them on the left side, the right side or both. this should only be done if the patient can perceive a unilateral stimulus...
Examination Technique: explain to the patient that you will be placing an item in their hand which they should then manipulate and identify with their eyes closed. stimuli include different coins, a key, a safety pin, a paper clip, a coin, etc.
Examination Technique: explain to the patient that you will be drawing a number in the palm of their hand. explain to the patient what is up and down, the distal side is usually up as this is a typical orientation of the palm. demonstrate with eyes open. ask the...
Two Point Discrimination Examination Technique: use either calipers or a opened paper clip with two parallel ends. demonstrate to the patient with eyes open by applying either one or two points of the stimulus to the fingerpad. ask the patient to close their eyes....
Examination Technique: ensure the patient is relaxed. for assessment in the upper extremities, the patient may be lying or sitting. In the lower extremities, tone is best assessed with the patient lying down. explain the examination technique to the patient before...
Deep Tendon Reflexes Examination Technique: Queen Square hammer preferred to shorter tomahawk hammer. the patient should be relaxed. explain to the patient the examination technique. before concluding that reflexes are absent, have the patient re-enforce by performing...
Examination Technique: power or strength is tested by comparing the patient’s strength against your own. start proximally and move distally. compare one side to the other. grade strength using the Medical Research Council (MRC)...
