Cerebellum

Question 1

2 types of examination for cerebellum

Answer 1

Equilibrium
Non-equilibrium (test this first)

Question 2

which movements do pts c cerebellar problems usually find hard to do

Answer 2

fast movements

Question 3

things to test for in non-equilibrium

Answer 3

1 UE
1 LE
1 Equilibrium

Question 4

Finger to nose

Answer 4

Pt’s shoulder is abducted to 90º and is asked to bring tip of index finger to tip of their nose

Question 5

Finger-to-Therapist’s finger

Answer 5

PT and pt sit opposite each other; pt is asked to touch PT’s index finger with their index finger

Question 6

Finger to finger (huii)

Answer 6

Both shoulders abducted to 90º; pt is asked to bring both hands to midline and approximate both index fingers

Question 7

Alternate nose-to-finger

Answer 7

Pt alternately touches his nose and the PT’s finger

Question 8

Finger opposition

Answer 8

Pt touches the tip of the thumb to the tip of each finger in sequence

Question 9

Mass grasp

Answer 9

Alternation is made between opening and closing fist

Question 10

Pronation/Supination

Answer 10

Elbow flexed to 90º and held close to the body, pt alternately pronates/supinates (also in shoulder flexed to 90º c elbows extended)

Question 11

Rebound test

Answer 11

Pt positioned in 90º elbow flex; PT applies sufficient resistance to produce isometrics of biceps then resistance is suddenly released

Question 12

Tapping (hand)

Answer 12

Elbow flexed and FA pronated, pt is asked to tap the hand on the knee

Question 13

Tapping (foot)

Answer 13

Pt is asked to tap the ball of one foot on the floor s raising the knee; heel maintains contact c the floor

Question 14

Pointing and past pointing

Answer 14

PT and pt sit opposite each other; both PT and pt’s shoulders flexed to 90º c elbows extended; pt is asked to fully flex the shoulder and return to a horizontal position such that index fingers will again approximate

Question 15

Alternate heel-to-knee; heel-to-toe

Answer 15

Supine: pt is asked to touch the knee and big toe alternately c the heel of opposite extremity

Question 16

Toe-to-examiner’s finger

Answer 16

Supine: pt is instructed to touch the great toe to the examiner’s finger

Question 17

Heel on shin

Answer 17

Supine: heel of one foot is slid up and down the shin of the opposite LE

Question 18

Drawing a circle

Answer 18

Pt draws an imaginary circle in the air with either UE or LE

Question 19

Fixation or opposition holding

Answer 19

UE: pt holds arms horizontally in front (sitting or standing)

LE: pt is asked to hold the knee in an extended position (sitting)

Question 20

Non-Equilibrium Testing Grade: 4

Answer 20

Normal Performance

Question 21

Non-Equilibrium Testing Grade: 3

Answer 21

Minimal Impairment: able to accomplish activity, slightly less than normal control, speed, and steadiness

Question 22

Non-Equilibrium Testing Grade: 2

Answer 22

Moderate Impairment: able to accomplish activity; movements are slow, awkward, and unsteady

Question 23

Non-Equilibrium Testing Grade: 1

Answer 23

Severe Impairment: able to only initiate activity s completion; movements are slow c significant unsteadiness, oscillation and/or extraneous movements

Question 24

Non-Equilibrium Testing Grade: 0

Answer 24

Activity impossible

Question 25

Equilibrium Coordination Testing Grade: 4

Answer 25

Normal

static: able to maintain steady balance s handhold support

dynamic: accepts maximal challenge and can weight shift easily within full range in all directions

Question 26

Equilibrium Coordination Testing Grade: 3

Answer 26

Good

static: able to maintain balance s handhold/external support, limited postural sway

dynamic: accepts moderate challenge; able to maintain balance while picking object off floor

Question 27

Equilibrium Coordination Testing Grade: 2

Answer 27

Fair

static: able to maintain balance c handheld support; may require occasional minimal assistance – no external support

dynamic: accepts minimal challenge; able to maintain balance while turning head/trunk s any support

Question 28

Equilibrium Coordination Testing Grade: 1

Answer 28

Poor

static: requires handheld support and moderate to maximal assistance to maintain position – requires external support and PT’s support

dynamic: unable to accept challenge or move s loss of balance

Question 29

Equilibrium Coordination Testing Grade: 0

Answer 29

Absent

unable to maintain balance