Lower Limb

Question 1

1

Answer 1

Introduction

Question 2

2

Answer 2

Inspect lower limbs with them on the bed

Walking - on heels on tip toes tandems gait

Question 3

3
PRONATOR FOR UPPER
ROMBERGS AND GAIT (IF ASKED) FOR LOWER

Answer 3

Gait -
Walk normal
Heel to heel

have a good look

Question 4

4

Answer 4

Rombergs modified

Close eyes, feet together and put hands supinated in front of them. Put arms round them to be there if they fall. Should maintain balance

Question 5

5

Answer 5

Tone (legs go floppy…) get them on the bed for this one

• roll knee
• pick up knee briskly and put it back down
• lift leg and hold ankle, rolling it around
• ankle clonus!! Roll in circular motions and then keep it there for 3 seconds

Question 6

6

Answer 6

Power

Hip (flex/ext/abd/add)

• hip extension (lift leg up straight slightly, push down)
• hip flexion (same thing but put hand underside)
• hip abduction/adduction (put hands between thighs… and push them together. put hands on outside…and push them apart)

Question 7

7

Answer 7

Knee (flex/ext)
Bend knee
“put your ankle towards your bottom and stop me straightening”
“and kick out against me”

Question 8

8

Answer 8

Ankle flexion and extension and inversion and eversion

“bring toes towards you” and “push down against my hand”

Question 9

9

Answer 9

Big toe

flexion and extension

Question 10

10

Answer 10

REFLEXES 4:
Knee,
ankle (out to side),
ankle clonus
babinski (neuro tip along foot),

Leg go floppy, bend knee for them by grabbing and

ankle clonus if forgot!! after you keep rolling ankle around, flex the ankle upwards quickly and keep it there for 3 seconds under tension

Question 11

11

Answer 11

Coordination

Heel to shin test

Question 12

12

Answer 12

Sensation - soft touch (cotton wool or finger)

inside of thigh
patella
inside of calf
middle toe
outside of foot

“does that feel the same on both sides”

Question 13

13

Answer 13

Vibration

put on inside of big toe

Question 14

14

Answer 14

Proprioception

do big toe

thatll be up, thatll be down and i want you to tell me…

Question 15

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Answer 15

REMEMBER HEEL TO SHIN IF HAVENT DONE

COORDINATION

Question 16

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Answer 16

Summary

"i performed.... 
on inspection there was no abnormal posturing or deformities, no wasting or fasiculations 
tone was normal throughout
power was 5/5 in all muscle groups bilaterally
reflexes were normal
coordination was normal
sensation was intact
gait was normal

to complete i would examine the upper limbs neurologically and do a cranial nerve exam