ppt课件-the sensory system- cape breton university（感觉系统-布雷顿角大学）.pptVIP

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2017-01-25 发布于四川
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ppt课件-the sensory system- cape breton university（感觉系统-布雷顿角大学）.ppt

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The Sensory System Examining the sensory system provides information regarding the integrity of the Spinothalamic Tract, posterior columns of the spinal cord and parietal lobes of the brain. Client preparation Examination gown Sit comfortably on bed or exam table Explain re position changes Reassure and provide with clear directions Equipment Cotton ball Objects to feel, quarter or key etc. Test tubes with hot/cold H2O Tuning fork, low pitched Screening Test Only necessary to evaluate the following Lateral aspect of upper thighs Inner aspect of upper arms Dorsal or palmer surface of hands Bottom or dorsal surface of feet Neural Pathways Sensory impulses travel to the brain via 2 ascending neural pathways Spinothalamic tract Posterior columns Impulses originate in the afferent fibers of the peripheral nerves, are carried through the posterior dorsal root into the spinal cord. Lateral Spinothalamic Tract Pain Temperature Crude Light Touch Posterior Columns Position Vibration Fine touch Assessment Scatter stimuli over the distal and proximal parts of all extremities and trunk to cover most of the dermatomes. Abnormal symptoms may indicate need to test the entire body surface Pain Numbness Tingling Compare sensations on symmetric parts of the body If decrease in sensation Systematic testing From point of decreased sensation toward sensitive area Note where sensation changes Map borders of deficient area, Diagram Note if the pattern of sensory loss is “distal” Glove stocking ( hands feet) Dermatones C3- front of neck T4 - nipples T10 – umbilicus C6 – thumb L1 inguinal Dermatones L4 – Knee L5 – Anterior ankle foot Dermatone = bandof skin innervated by the sensory root of a single spinal nerve. Light Touch Sensation Use wisp of cotton Ask clients to close both eyes and tell you what they feel and where Normal Findings Correctly identifies light touch In some older clients light touch and pain sensations may be decreased Abnormal findings Disorders that can alter pe