Lower Limb Assessment Flashcards
1
Q
Equipment
A
- Tendon hammer
- Neurotip
- Cotton wool
- Tuning fork (128Hz)
2
Q
Gait
A
Stance, Stability, Arm swing, Steps and turning
Assess for tandem gait - cerebellar vermis lesion
3
Q
Special Tests
A
Rombergs
4
Q
Tone
A
Legs and ankle clonus
Hip, knee and ankle
5
Q
Hip flexion
A
L1/2 Iliopsoas
6
Q
Hip extension
A
Myotome L5/S1/S2
Gluteus maximus
7
Q
Knee flexion and extension
A
S1 - Hamstrings - Flexion
Extension - L3/4 - quadriceps
8
Q
Ankle dorsiflexion and plantarflexion
A
Dorsi - L4/5 tibialis anterior
Plantar - S1/2 Gastrocnemius and soleus
9
Q
Big toe extension
A
L5 - extensor hallucis longus
10
Q
Reflexes
A
Knee jerk
Ankle
Plantar
11
Q
Sensation
A
- L1:inguinal region and the very top of the medial thigh
- L2:middle and lateral aspect of the anterior thigh
- L3:medial aspect of the knee
- L4:medial aspect of the lower leg and ankle
- L5:dorsum and medial aspect of the big toe
- S1:dorsumand lateral aspect of the little toe
12
Q
Co-ordination
A
Heel to shin test
13
Q
Further investigations
A
Full neuro, cranial nerves, upper limbs and cerebellar assessment
Neuroimaging.
14
Q
Proprioception
A
Big toe
15
Q
Vibration
A
medial aspect of big toe
