Extra

Question 1

MRC 5/5 power grading

Answer 1

Movement against gravity with full power against resistance

Question 2

MRC 4/5 power grading

Answer 2

Movement against gravity with reduced power against resistance
4-,4 and 4+ indicate slight moderate and strong resistance respectively

Question 3

MRC 3/5 motor power

Answer 3

Movement against gravity only without applied resistance

Question 4

MRC 2/5

Answer 4

Muscle contraction with active movement only when gravity is eliminated

Question 5

MRC 1/5

Answer 5

Flicker of muscle contraction seen, no movement

Question 6

MRC 0/5

Answer 6

No muscle contraction

Question 7

What is hemiplegic gait

Answer 7

Px lurches his upper body toward the un paralysed side to elevate the pelvis and swing the paralysed leg around. Plantar flexed foot scrapes along the ground.

Question 8

What is Apraxic gait

Answer 8

Slow and shuffling. Stride length smaller. Can lose balance when turning.
In Parkinson’s there is a loss of arm swinging with rapid steps

Question 9

What is steppage gait

Answer 9

Paralysis of the dorsifkexors results in drop foot. Patient has to lift knee high and slap sound when foot hits the floor.
Unilateral - nerve palsy
Bilateral - polyneuropathy

Question 10

What is ataxic gait

Answer 10

Wide based gait. Patient sways while walking. Heel to toe make more pronounced.

Question 11

To complete a spine exam

Answer 11

Full upper and lower neuro
Examine peripheral pulses in upper and lower limbs
Neck pain - examine the shoulder
Lower back pain - examine hips and abdo exam