{"id":4790,"date":"2020-12-30T21:17:24","date_gmt":"2020-12-30T21:17:24","guid":{"rendered":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/?page_id=4790"},"modified":"2020-12-31T17:21:35","modified_gmt":"2020-12-31T17:21:35","slug":"sensory-evaluation","status":"publish","type":"page","link":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/sensory-evaluation\/","title":{"rendered":"Sensory Evaluation"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><strong>Sensory evaluation<\/strong> is generally performed last. The animals response to both pressure (hyperpathia) and pin prick stimuli (sensory level) applied to along the spinal column musculature may help localize the lesion. Application of painful stimuli to each limb and the tail (deep pain perception) should elicit a behavioral response (e.g., vocalization, turns to look or bite, or attempts to get away from the examiner) indication the presence of sensation.<\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:30px;--awb-content-font-size:16px;--awb-icon-alignment:left;--awb-hover-color:#f9f9fb;--awb-border-color:#e2e2e2;--awb-background-color:#ffffff;--awb-divider-color:#e2e2e2;--awb-divider-hover-color:#e2e2e2;--awb-icon-color:#ffffff;--awb-title-color:#ff552e;--awb-content-color:#4a4e57;--awb-icon-box-color:#13294b;--awb-toggle-hover-accent-color:#e84a27;--awb-title-font-family:&quot;Montserrat&quot;;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:21px;--awb-title-line-height:1.36;--awb-content-font-family:&quot;Montserrat&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-4790-1\"><div class=\"fusion-panel panel-default panel-e975acac8ae678045 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e975acac8ae678045\"><a aria-expanded=\"false\" aria-controls=\"e975acac8ae678045\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4790-1\" data-target=\"#e975acac8ae678045\" href=\"#e975acac8ae678045\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Hyperpathia<\/span><\/a><\/h4><\/div><div id=\"e975acac8ae678045\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e975acac8ae678045\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p><b>Hyperpathia<\/b> is noted when pressure applied to spinous processes and paraspinal muscles of the cervical region or the thoracolumbar regions results in pain and a behavioral response. Pain perception occurs at the level of spinal cord involvement, making hyperpathia an accurate localizing feature of the neurologic exam.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/cervicalpressure.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/tl_pressure.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-60a2359400ae2e47f fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_60a2359400ae2e47f\"><a aria-expanded=\"false\" aria-controls=\"60a2359400ae2e47f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4790-1\" data-target=\"#60a2359400ae2e47f\" href=\"#60a2359400ae2e47f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Cervical Manipulation<\/span><\/a><\/h4><\/div><div id=\"60a2359400ae2e47f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_60a2359400ae2e47f\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><p>Manipulate the neck through a complete range of motion, extension, flexion and lateral motion. Dogs with cervical pain will resist manipulation and may cry out.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/neck_bend1.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f698cd41c8f2134fd fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f698cd41c8f2134fd\"><a aria-expanded=\"false\" aria-controls=\"f698cd41c8f2134fd\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4790-1\" data-target=\"#f698cd41c8f2134fd\" href=\"#f698cd41c8f2134fd\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Sensory Level<\/span><\/a><\/h4><\/div><div id=\"f698cd41c8f2134fd\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f698cd41c8f2134fd\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><p><b>Sensory level<\/b> is determined by pin-prick stimulus applied to the skin over the back, beginning in the region of the L7 vertebrae and continuing cranially. The junction between an area of depressed behavioral response and one of normal behavioral response is the sensory level. Pain perception is noted one or two segments caudal to the level of spinal cord involvement.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/panniculus.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-3e5f393e61a3ce7b7 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3e5f393e61a3ce7b7\"><a aria-expanded=\"false\" aria-controls=\"3e5f393e61a3ce7b7\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-4790-1\" data-target=\"#3e5f393e61a3ce7b7\" href=\"#3e5f393e61a3ce7b7\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Deep Pain Evaluation<\/span><\/a><\/h4><\/div><div id=\"3e5f393e61a3ce7b7\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3e5f393e61a3ce7b7\"><div class=\"panel-body toggle-content fusion-clearfix\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-5\"><ul>\n<li>Presence or absence of deep pain perception is the most important prognostic test of the neurologic examination and is a reliable indicator of spinal cord integrity.<\/li>\n<li>Apply a painful stimuli to an affected limb. A significant behavioral response (e.g., animal attempts to vocalize, turns to look or bite, or attempts to get away from the examiner) indicates the presence of sensation.<\/li>\n<li>Withdrawal of a limb is a reflex, not a behavioral response.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;width:48%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-video fusion-selfhosted-video\" style=\"max-width:100%;\"><div class=\"video-wrapper\"><video playsinline=\"true\" width=\"100%\" style=\"object-fit: cover;\" muted=\"true\" preload=\"auto\" controls=\"1\"><source src=\"https:\/\/vetmed.illinois.edu\/sa-ortho-20\/no_deep_pain.mp4\" type=\"video\/mp4\">Sorry, your browser doesn&#039;t support embedded videos.<\/video><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><div class=\"fusion-separator-border sep-double\" style=\"--awb-height:20px;--awb-amount:20px;border-color:#e2e2e2;border-top-width:0px;border-bottom-width:0px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-4790","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4790","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/comments?post=4790"}],"version-history":[{"count":7,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4790\/revisions"}],"predecessor-version":[{"id":4803,"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/pages\/4790\/revisions\/4803"}],"wp:attachment":[{"href":"https:\/\/vetmed.illinois.edu\/demo-sa-orthopedics\/wp-json\/wp\/v2\/media?parent=4790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}