CLINICAL SKILLS OSCE S5 - MOTOR EXAM (LL)

Question 1

Inspection

Answer 1

• expose legs, inspect muscle bulk
• observe for abnormal posture
• tremor/chorea/fasciculations?
• lift one leg up (bradykinesia)

Question 2

Tone

Answer 2

• relax for me
• roll leg
• quick knee lift (spasticity)
• rotate ankle, lift up quickly (clonus)
• comment on hyper/N/hypertonia
• “assessed for lead pipe rigidity/cog wheel spasticity”

Question 3

Power

Answer 3

• Hip flexion (L2)
• knee flexion (L5)
• knee extension (L3)
• ankle dorsiflexion (L4)
• ankle plantarflexion (S1)
• Power for all muscles is rated 5
• No weakness noted

Question 4

Reflexes

Answer 4

• knee reflex (clasp hands reinforcement)
• plantar reflex (toes curl, negative Babinski sign)