Cerebellar Flashcards
1
“I’d like to test your coordination today, so all that will involve is watching you walking, moving your arms and legs and testing your eyes, is that ok”
2
assess gait
3
Tandem gait
“walk one foot in front of the other and walk back”
4
Rombergs
& rebound phenomenon
“im just going to test your balance. if you could put your arms by your side and your feet together. Im just going to put my arms out if you feel unsteady. if you could close your eyes for me”
5
assess speech
- british constiution
- baby hippo
- west register street
6
H test
“I’m just going to get you to follow my finger with your eyes, keep your head still for me … any double vision at all?”
7
finger to nose test
8
Dysdiadochokinesia
(difficulty controlling the rate, rhythm and force of movement)
THINK WHATS NEXT
9
Rebound phenomenon - ALWAYS FORGET
“now if you could put your arms out straight for me like this, and if you could close your eyes. I’m going to push down on your arms on either side, just try to keep your arms up for me”
10
Tone in arms
Assess for tone (hypotonia is noted in cerebellar disease)
“im just going to move your arm around now, if you let me just take the weight and go floppy, have you got any pain at all”
11
Reflex knee (hyporeflexia)
-knee reflex (get them on the bed and dangle their knee)
12
Heel to shin test
“if you coud just swing your legs round on the bed. if oyu could place this heel on the front of your knee for me, and run it down the front of your leg… lift it up and bring it back to the knee… and keep doing that.”
14
complete
“today i completed a cerebellar exam on…
on assessment of the gait, there was no evidence of a broad based ataxic gait. there was no loss of coordination of the truncal limbs and no evidence of nystagmus in the eyes. this was a normal cerebellar examination.
to complete:
- full upper and lower examination
- cranial nerve examination
