Light Touch and Protective Sensation Testing
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Rhonda White
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5 Slides • 6 Questions
1
by Profeesor Rhonda White
Prairie State College
PTA Program
2
Multiple Choice
Most tests for somatosensory function is performed with the patient's eyes closed and it can be occur over clothing?
TRUE
FALSE
3
Fill in the Blanks
Documentation for somatosensory testing should be descriptive with regard to type of test, specific areas tested, area of dysfunction identified, and
Type answer...
4
Instruct the patient on the test and how you would like them to respond
Determine the area of skin you will assess; position the patient appropriately
Test affected and unaffected side if warranted at the same time: (unilateral peripheral nerve dysfunction)
Ask the patient to close their eyes
Ask the patient to tell you if touch is felt
Gently touch the skin; don't dent; don't stabilize limb
Don't stroke
Continue to test at random intervals until boundaries of normal and abnormal have been located
Attempt 3 trials in one area before moving to the next largest monofilament
5
Multiple Choice
TRUE OR FALSE: The equipment required for light touch can be cotton, gauze or nothing at all
TRUE
FALSE
6
7
Multiple Choice
Which spinal tract(s) are responsible for a patient being able use protective sensation?
spinothalamic column
posterior column
spinothalamic and posterior columns
None of the choices are correct
8
Multiple Choice
Monofilaments are numbered to correspond to a range of __-__ gm of force required to bend the monofilament upon contact with a surface.
2.0-3.0 gm
0.008-0.010 gm
250-300 gm
0.008-300 gm
9
Instruct the patient on what you are doing and the verbal responses you would like them to give
You can do a pre-test on a non-involved area
Position the patient in supine or reclined position
Remove shoes and socks and clean the plantar surface
Test in the 9 specified areas
Ask the patient to indicate yes or no each time the monofilament is felt
Touch each area with monofilament at 90 degree angle until the monofilament bends slightly
Maintain pressure for 1.5 seconds
Test both feet
10
11
Poll
You are testing a patient with diabetic neuropathy in their foot. You recognize that the patient cannot feel the smallest monofilament 2.83/0.07 after 3 trials. What should you do?
Move to the next largest monofilament and retest
Contact your supervising PTA
Call 911
Jumpt to the largest monofilament and retest
by Profeesor Rhonda White
Prairie State College
PTA Program
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