deep sensory examination

Deep sensory tests are tests of deep tissue such as muscles, tendons, and joints, including position, motion, and vibration. When examining the sensory function, the patient must be clear-minded and the examiner's attitude should be harmonious. Before the patient should explain the method, purpose and significance of the examination patiently, in order to obtain full cooperation of the patient. But there can be no hints. If the patient's state of consciousness is poor and must be checked, the patient's response to the test stimulus is only roughly observed to estimate the state of the patient's sensory function. Such as sputum, facial painful expression or retraction of stimulated limbs. Basic Information Specialist classification: neurological examination classification: neuroelectrophysiology Applicable gender: whether men and women apply fasting: not fasting Reminder: Try to relax as much as possible during the examination. Don't be too nervous and affect the results of the examination. At the same time, actively cooperate with the doctor's work. Normal value 1. Positional examination Normal people can tell where the limbs are placed or use the opposite limbs to imitate them. 2, motor sensation check normal people can tell the direction of passive movement of the limb. 3, vibration sense check normal people have a sense of resonance and vibration. It is also a common physiological phenomenon that the vibration sense of the lower limbs of normal people is reduced or disappeared. Clinical significance Abnormal result 1. Positional dysfunction and dyskinesia indicate nerve fibers or brain sensory central lesions that transmit deep sensations. 2, shock dysfunction is seen in the spinal cord after the damage. People who need to be examined: patients with deep sensory impairments. Precautions Contraindications before the examination: Before the examination, please calm down the patient's emotions, and don't be too nervous. Requirements for inspection: 1. When examining the sensory function, the patient must have a clear consciousness and the examiner's attitude should be harmonious. Before the patient should explain the method, purpose and significance of the examination patiently, in order to obtain the full cooperation of the patient. But there can be no hints. 2, the environment should be quiet when inspecting, requiring the patient to close the eyes, it is best to check if the patient has no spontaneous pain. 3, pay attention to the two sides of the comparison and far and near comparison. It can be gradually moved from the sensory disorder area to the normal area, and if it feels allergic, it can also be moved from the normal area to the obstacle area. 4. When you find a sensory disorder, you should pay attention to the extent, nature and extent of the disorder. It should be checked and verified repeatedly to make detailed records or illustrations for future observation and comparison. 5. If the patient's state of consciousness is poor and must be checked, only the patient's response to the test stimulus is roughly observed to estimate the state of the patient's sensory function. Such as sputum, facial painful expression or retraction of stimulated limbs. Inspection process 1. Positionsensation: When the patient closes his eyes, the examiner places his or her limbs in a certain position, allowing the patient to speak the position or use the opposite limb to imitate. 2, motor sensation (motorsensation): The examiner gently pinches the patient's finger or both sides of the toe, moving up and down about 5 °, let the patient say the direction of passive movement of the limb (up or down). The range is small to large to understand the extent of its decline. 3. Vibration sense: Place the vibrating tuning fork (128Hz) on the skin of the patient's limb, such as the inner and outer jaw, wrist joint, hip bone, clavicle, tibia, etc., so that the patient can answer the feeling of vibration. When checking, compare upper and lower, and compare left and right. Not suitable for the crowd Inappropriate population: Patients with disabilities or injuries to their limbs. Adverse reactions and risks Nothing.

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