An assessment for proprioceptive sensation is typically conducted by having the patient close the eyes and then state "up," "down," or "I can't tell" as you raise or lower
a. the patient's arms and legs one at a time.
b. the head of the bed and then the foot of the bed.
c. the index finger of each hand and great toe of each foot one at a time.
d. each finger of both hands and the great toes one at a time.
C
Grasp the patient's index finger with your thumb and index finger. Have the patient shut her eyes and show what "up" and "down" feel like. Use gentle, slow, and deliberate movements. Begin with larger movements that become smaller and less perceptible. Instruct the patient to respond "up," "down," or "I can't tell" each time you raise or lower the finger. Repeat with the patient's opposite hand, and then with the great toes. Inability to perceive direction of movement is abnormal. Some possible etiologies of proprioceptive sensation are peripheral neuropathies, lesion of the posterior column, sensory cortex, thalamus, or thalamocortical connections.
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