Proprioception Touch and Vibratory Sensation

Gregory W. Morgan

History and Definitions Clinical History

Anatomy of Proprioception, Touch, and Vibratory Senses

Receptors First-Order Neuron Second-Order Neuron Third-Order Neuron Spinocerebellar Pathways

Discriminative Touch, Vibration, Conscious Sense of Joint/Muscle Movement Light Touch and Pressure

Examination of the Position, Touch, and Vibratory Sensory Systems

Directed Neurological Examination Associated Neurological Findings Associated Medical Findings Evaluation Guidelines Clinical Syndromes Mechanoreceptor Dysfunction

Primary Sensory Neuropathy: Pure Sensory Distal Nerve Lesions

Diffuse Sensory Polyneuropathy

Plexopathy

Dorsal Root: Radiculopathy

Dorsal Root Ganglia/Dorsal Horn Lesions: Tabes Dorsalis

Spinal Cord: Myelopathy

Combination of Spinal Cord and Peripheral

Nerve Lesions: Subacute Combined

Degeneration

Brain Stem Lesions

Thalamic Lesions

Sensory Cortex Lesions

Sensory Syndromes Associated with Psychogenic Sensory Loss General Management Goals Reviews and Selected Updates References

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