Cerebellar and proprioception

Question 1

what does the cerebellar hemisphere function?

Answer 1

controls appendicular skeleton

includes movement and fine motor control of extremities

Question 2

vermis function

Answer 2

help control gait and axial function

includes movement and fine motor control of coordination of gait and axial function

Question 3

vestibulocerebellum functions

Answer 3

provide connections with vestibular nuclei

includes movement and find motor control of eye movements

Question 4

romber’s test

Answer 4

performed with patient standing straight ahead, socks and shoes off

Question 5

if patient falls to the right with eye closed only

Answer 5

dorsal column pathology

Question 6

if patient falls to the right with eyes open and closed

Answer 6

cerebellar and vestibular mechanism deficit

Question 7

hopping on 1 foot/squatting on one foot is performed

Answer 7

with eyes open and closed

Question 8

if a patient falls to the right eyes closed wile trying to hop on 1 foot these exam findings

Answer 8

dorsal column pathology

Question 9

what exams test for both dyssynergia and dysmetria?

Answer 9

finger to nose
finger to finger
heel to shin
Holmes Rebound phenomenon

Question 10

finger to nose to finger test assesses the patient for…

Answer 10

dyssynertia

Question 11

what exam can be performed in the upright or supine position?

Answer 11

heel to shin

Question 12

diadochokinesia

Answer 12

abilitiy to perform rapid alternating movements successfully

Question 13

dysdiadochokinesia

Answer 13

inability to perform rapid alternating movements

Question 14

your patient has difficulty with tandem gait and falls to the right with their eyes open only.

Answer 14

cerebellar mechanism deficit

Question 15

your patient has difficulty with tandem gait and falls to the right with her eyes closed only

Answer 15

dorsal column deficit

Question 16

proprioception should be performed..

Answer 16

with eyes open and closed

Question 17

what is proprioception?

Answer 17

knowledge of knowing oneself, arise from information about movment and postiion of apin from recetpros inthe joints, bones, muscles, tendons and ligaments

Question 18

if patient cannot feel vibratory sensation equal from side to side

Answer 18

posterior/dorsal column deficit
spinal cord turmors, osteophyte-spur formation and encroachment into the cord
metastatic bone disease
disc bulge/herniation affecting posterior aspect of spinal cord
tabes dorsalis

Question 19

if patient doesn’t feel vibration at all

Answer 19

peripheral neuropathy

correlate with past history (diabetes)

Question 20

pallenesthesia

Answer 20

loss of vibratory perception

Question 21

what kind of tuning fork is used in assessing for pallenesthesia?

Answer 21

128 or 256 Hz

Question 22

if the patient has lost the sense of vibration from the knee down to the ankles then the pateint has a suspected…

Answer 22

dorsal column lesion

Question 23

joint position test

Answer 23

grab a single digit from the side and either flex or extend the digit without placing any pressure on the top or bottom.
upper and lower extremity test

Question 24

if the patient cannot correctly determine whether the digit is pointing up or down on the right, then the patient would have a suspected problem…

Answer 24

with the posterior column

Question 25

what sensation is more diffuse adn less well localized and superfiical pain?

Answer 25

deep pain

Question 26

what is deep pain mediated by?

Answer 26

dorsal column by pressing on deep structure

Question 27

abadie’s test

Answer 27

pinching achilles tendon

Question 28

pitre’s sign

Answer 28

pinching the testcles

Question 29

biernacki’s sign

Answer 29

pinching or striking ulnar N