Cerebellar Function

Question 1

Nystagmus

Answer 1

Move finger up down right and left quickly to elicit nystagmus

Question 2

Speech

Answer 2

Ask to say baby hippopotamus (look for slurring)

Question 3

Upper limb coordination

Answer 3

Rebound test (eyes closed)
Finger nose test
Dysdiadochokinesia

Question 4

Lower limb coordination

Answer 4

Foot tapping

Heel shin test

Question 5

Gait assessment

Answer 5

Sitting at edge of bed and on standing feet together

While sitting ask to cross arms in front

Question 6

Romberg’s test

Answer 6

Feet together and close eyes

Positive test = imbalance on closing eyes indicating proprioceptive loss

Question 7

Features of cerebellar gait

Answer 7

Wide based
Lateral veering and unsteadiness
Irregular steps

Heel to toe walking unsteadiness