Sensory re education pdf




















The dermatomal maps for pain and temperature do not overlap as much. Subsystem for mechanical stimuli - light touch, vibration, pressure, cutaneous tension mechanoceptors. Functional Implications????? Intervention Strategies. Continuous low pressure 2. Concentrated high pressure 3. Excessive heat or cold 4. Repetitive mechanical stress 5. Avoid small handles by building up the handle or by using a different tool whenever possible.

In what way? Dellon 2. Wynn Parry 3. Turner 4. La Croix and Helman 5. Callahan 6. Patient observes the stimulus 2. Vision occluded verbalizes sensation felt 3. Eyes open to verify. Large objects different from one another common household items 2. Objects with more subtle differences 3. Different textures 4. Smaller objects requiring discrete discriminations 5. Place block in affected hand with vision occluded — feel block, describe shape, compare weight with block in UA b.

Compare sensory experience with UA hand d. Continue until various shaped blocks have been mastered e. Identification of several textures with vision occluded b.

Identification of common objects with vision occluded. Vision occluded 2. OT touches several places on volar surface 3. Object recognition - feature detection strategies 2. Prehension of various objects — grasping 3. Control of prehension force while holding objects 4. Maintenance of prehension force during transport of objects 5. Cases: 1. Stroke — bedridden elderly overweight, requires positional splints for flaccid extremities, lethargic.

Peripheral Nerve Injury — car mechanic; median nerve repair; has loss of sensation on fingertips only of dominant hand; needs to go back to work in a week. Hand burn contractures — skin grafting over digits, wounds healing; diminished sensation. God bless! Open navigation menu. Close suggestions Search Search. User Settings. Skip carousel. Carousel Previous. Carousel Next. What is Scribd?

Explore Ebooks. Bestsellers Editors' Picks All Ebooks. Explore Audiobooks. Bestsellers Editors' Picks All audiobooks. Explore Magazines. Editors' Picks All magazines. Sensory Re-Education Home Exercises: Using a soft bristled brush or a surgical scrub brush, use deep pressure to brush your arm from shoulder to fingertips and then fingertips to shoulder.

Repeat brushing a second time using a lighter stroke. Repeat brushing a third time using an even lighter stroke. Perform weight bearing activities through your affected arm. Propping on your elbow or hand through your knee or table. Hide objects such as marbles, coins, etc. Without using vision, try to find the objects with your hand. Have another person touch you on one spot with your eyes open, then with your eyes closed.

Try to associate where you saw object touch your skin to how it felt on your skin. Have another person keep pressure still on your skin then move it around. Watch and pay attention how it feels. Close eyes and try to identify when the pressure is still versus when it is moving.

Close your eyes and have a person apply vibration to your skin via a massager.



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