Sunday 26 December 2010

neurological examination - extended



look - inspect for tremors muscle twitches (fasciltations)
posture ( hypertonia UL flexion LL extension)

feel - muscle wastage

move


look for tone (smooth resistance to passive force)
power ( dominant side normally stronger )
coordination - rapid alternating movements
/ point to point - eyes open => cerebellar - eyes close => proproception
walking - hopping - narrow lunging
romberg - cerebellar/position sense
pronator drift - downward drifting ( mild hemiparesis - less severe than
hemiplegia)
sensation tests ( missing from main
reflexes - biceps reflexes triceps reflex briachoradialis
knee reflex ankle reflex ( babinski )

special tests