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Reflexes are not counted as awareness but should be recorded separately in comments.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/nottingham-sensory-assessment-instructions/503162/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/nottingham-sensory-assessment-instructions/503162.png","ImageObject",300,407,{"name":42,"@type":43},"Rainbow Cat","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-10","2026-10-03",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How should the patient be prepared before testing begins?","Question",{"text":63,"@type":64},"Assess the patient sitting and in a suitable state of undress, ideally in shorts and underwear, in a quiet area with no distractions. Demonstrate each test before blindfolding, and remove the blindfold regularly during the assessment to avoid disorientation.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How are tactile sensations scored?",{"text":68,"@type":64},"Score tactile sensation using the provided criteria: 0 absent, 1 impaired (not consistent or feels duller), 2 normal (correctly identifies on all three occasions), and 9 unable to test. Reflex presence does not count as awareness and should be commented on.",{"name":70,"@type":61,"acceptedAnswer":71},"What equipment is required for the assessment?",{"text":72,"@type":64},"Equipment includes a blindfold, cotton wool ball, neurotip, two test tubes with hot and cold water, and talcum powder. Additional items for stereognosis include specified coins and household objects such as a biro, pencil, comb, scissors, sponge, flannel, cup, and glass.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},503162,1792138005,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":97,"preview_page_count":4},962090769181,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","NOTTINGHAM SENSORY ASSESSMENT  \nInstructions  \nThe patient should be assessed in sitting and in a suitable state of undress (ideally in shorts & underwear, without TED stockings) . It should be ensured the patient is comfortable and in a quiet area with no distractions. Each test is described and demonstrated to the patient before he or she is blindfolded. The blindfold is removed regularly throughout the test to avoid the patient becoming disorientated.  \nThe body area to be tested is as marked on the body chart. Apply the test sensation to the test area, to the left and right side in a random order. The patient is asked to indicate, either verbally or by a body movement, whenever he or she feels the test sensation.  \nEach part of the body is assessed three times for each of the tests.  \nPresence of a reflex does not count as awareness of sensation, though this should be commented on in the comment box.  \nTactile Sensation  \nIf the patient has problems communicating begin testing light touch, pressure and pinprick sections.  \nScoring criteria  \n0 Absent Fails to identify the test sensation on three occasions  \n1 Impaired Identifies the test sensation, but not on all three occasions in  \neach region of the body or feels duller  \n2 Normal Correctly identifies the test sensation on all three occasions  \n9 Unable to test  \nLight Touch Touch, not brush, the skin lightly with a cotton wool ball.  \nPressure Press the skin just enough to deform the skin contour using the index finger.  \nPinprick Prick the skin with a neurotip, maintaining even pressure.  \nTemperature Touch the skin with the side of one of two test tubes, one filled with hot water, one filled with cold water (use the sides, not the bases of the test tubes) . Apply hot and cold tubes in random order.  \nTactile localisation Only test those areas on which the patient has scored 2 on the pressure section.  \nRecord all others as 9.  \nRepeat the pressure test with the index fingertip coated with talcum powder to mark the spot touched and ask the patient to point to the exact spot that has been touched. If communication permits, the test may be combined with the pressure test. 2cm of error are allowed.  \nBilateral Touch corresponding sites on one or both sides of the body using the fingertips and Simultaneous ask the patient to indicate if both or one (and which) have been touched. Only test Touch those items on which patient has scored 2 on pressure section. Record all others as 9.  \nEquipment required: Blindfold, cotton wool ball, Neurotip, two test tubes, hot and cold water, talcum powder.  \nKinaesthetic Sensations  \nAll three aspects of movement are tested: appreciation of movement, its direction and accurate joint position sense are assessed simultaneously. The limb on the affected side of the body is supported and moved by the examiner in various directions but movement is only at one joint at a time. The patient is asked to mirror the change of movement with the other limb. Three practice movements are allowed before blindfolding.  \nThe upper limb is tested in sitting, and the lower lying supine.  \nScoring  \n0 Absent No appreciation of movement taking place.  \n1 Appreciation Patient indicates on each movement that a movement takes place but the of movement direction is incorrect.  \ntaking place  \n2 Direction of Patient is able to appreciate and mirror the direction of the test movement movement taking place each time, but is inaccurate in its new position.  \nsense  \n3 Joint Position Accurately mirrors the test movement to within 10°of the new test position sense  \n9 Unable to test  \nEquipment required: Blindfold.  \nStereognosis  \nThe object is placed in the patient's hand for a maximum of 30 seconds. Identification is by naming, description or by pair-matching with an identical set. Affected side of the body is tested first. The object may be moved around the affected hand by the examiner.  \nScoring for each object  \n2 Normal Item is correctly named or matched.  \n1 Im","cbCaijrO9KOKXFWP","https://ap.wps.com/l/cbCaijrO9KOKXFWP","pdf",123706,"English","# Instructions\n## Tactile Sensation\n## Scoring criteria\n## Light Touch, Pressure, Pinprick\n## Temperature and Tactile localisation\n## Bilateral Touch\n## Kinaesthetic Sensations\n## Stereognosis","[{\"question\":\"How should the patient be prepared before testing begins?\",\"answer\":\"Assess the patient sitting and in a suitable state of undress, ideally in shorts and underwear, in a quiet area with no distractions. Demonstrate each test before blindfolding, and remove the blindfold regularly during the assessment to avoid disorientation.\"},{\"question\":\"How are tactile sensations scored?\",\"answer\":\"Score tactile sensation using the provided criteria: 0 absent, 1 impaired (not consistent or feels duller), 2 normal (correctly identifies on all three occasions), and 9 unable to test. Reflex presence does not count as awareness and should be commented on.\"},{\"question\":\"What equipment is required for the assessment?\",\"answer\":\"Equipment includes a blindfold, cotton wool ball, neurotip, two test tubes with hot and cold water, and talcum powder. Additional items for stereognosis include specified coins and household objects such as a biro, pencil, comb, scissors, sponge, flannel, cup, and glass.\"}]","Nottingham Sensory Assessment - Instructions | PDF",1791051330]