[MND] Somatosensation

Question 1

What are some basic somatosensation assessment tests?

The kinds where you ask them; can you feel it?

Answer 1

Light touch
Pin Prick
Hot / Cold

i.e. yes/no test

Question 2

What is some discriminative somatosensation tests?

Answer 2

Touch Localisation
2 Pt Discrimination
Proprioception

Question 3

What testing can we do to progress from discriminative somatosensation assessment?

Answer 3

Stereognosis - recognition of objects

Question 4

2pt discrimination is the ability to detect being touched by two points of stimuli simultaneously. It is a discriminative sensation that is processed in the primary somatosensary cortex

When recording; for each location tested; ensure we record the ….

Answer 4

minimum distance that the patient was able to feel two points

Question 5

Training intensity for somatosensation should be:

Answer 5

• Random sequence of each sensory training task for 15-20 minutes
• 40 to 60 minutes
• 3x a week for 6 weeks

Question 6

For training somatosensation (except proprioception) at a strategy level we focus on:

Answer 6

Grasp and manipulation

Question 7

For training sensation at a functional level we should:

Answer 7

• Facilitate attentive exploration during function

- Identify the features of an object during function