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Objectives
Sensory Testing
Motor learning and movement performance
are intrinsically related to sensation
The body uses sensory input to guide our
actions (motion, feelings, danger/safety).
Sensory input comes mainly from neuro-
receptors: mechanical (pressure, speed,
vibration), temperature, and chemical.
Today, we will be dealing mostly with
examination of mechanical receptors
located mainly on the skin.
We will discuss light touch, dull-sharp, and
vibration examination.
Sharp/Dull
Use appropriate tool (example: paper clip for sharp,
and rubber end of pencil for dull).
After demonstrating to patient, ask patient to keep
eyes closed during test.
Touch is very light
Test along dermatomes and peripheral nerve areas
as appropriate.
Ask patient to indicate sharp or dull to determine
response
Move from distal to proximal
Compare bilaterally.
l Sensitivity (.31) & specificity (.84) for diabetic neuropathy
(Jing et al, CNKI, 2012)
Deep Tendon
Reflex cont.
l DTRs
Upper extremity
l Deltoid (C5)
l Biceps (C6),
l Triceps(C7),
l Brachio-radialis (C6).