Clinical signs in UMN/LMN disease Flashcards
Normal or reduced muscle tone
LMN or cerebellar lesion
Spastic muscle tone
UMN
Rigid muscle tone
Extrapyramidal
Reduced reflexes
LMN
Brisk reflexes
UMN
Plantar “up”
UMN
Resting tremor
Extrapyramidal
Intention tremor
Cerebellar
Nystagmus
Cerebellar
Postural instability
Extrapyramidal
Clonus
UMN
Wasting
LMN
Badly reduced co-ordination
Cerebellar
Nerve root(s) and named nerve tested by shoulder abduction
C5- axillary
Nerve root(s) and named nerve tested by elbow flexion
C5/C6- musculocutaneous
Movements to test C7 and the radial nerve
Elbow extension, wrist extension, finger extension
Movements to test T1
Thumb (median nerve) and finger (ulnar nerve) abduction
Nerve root(s) and named nerve(s) tested by finger flexion
C8 and median + ulnar