by Tim Milligan | Nov 11, 2015 | Sensory Exam
Examination Technique: use a 128 hertz vibration fork apply the stimulus over the distal phalanx of the index finger or large toe. ask the patient to report whether they feel vibration sense and then to report when it stops in order to assess the minimal threshold to...
by Tim Milligan | Nov 11, 2015 | Sensory Exam
Examination Technique: demonstrate to the patient initially with eyes open that you will be moving their digit up (towards their head) or down (towards their feet). ask the patient to close their eyes. stabilize the distal interphalangeal joint of the upper extremity...
by Tim Milligan | Nov 11, 2015 | Sensory Exam
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....
by Tim Milligan | Nov 11, 2015 | Sensory Exam
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.
by Tim Milligan | Nov 11, 2015 | Sensory Exam
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...
by Tim Milligan | Nov 11, 2015 | Sensory Exam
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...
