Lower Limb Neuro Flashcards
How to test tone?
Roll thighs
Knee lift drop
Clonus
How to test power lower limb
Hip
Knee
Ankle
EHL
What is included in relex?
Knee
Ankle
Plantar response
Look at dermatomes for sensation
What direction do you map?
Blunt to sharp
What is covered in sensation for lower limb nero exam?
Light touch
Pin prick
Vibration
Joint sensation
Rombergs
What is the last stage of lower limb exam?
Assessment of gait
How to assess gait?
Walking and turning (leg movements, posture, arm-swing)
Walking heel-toe
Rising from sitting
Walking on tip-toes and on heels
How do you record deep tendon reflexes?
+++ = increased
++ = normal
+ = reduced
+/- = only present with reinforcement
- = absent
Plantar response = only large toe extends
Abnormal plantar response
Plantar response = large toe extends and other toes abduct
Positive babinski sign
No movement of large toe
No response
Large toe and other toes extend and ankle dorsiflexes
Withdrawal response - repeat the exercise more gently to assess
What is the MRC scale for power?
0 no muscle contraction is visible
1 flicker of contraction but no movement
2 Joint movement when effect of gravity is eliminated
3 movement against gravity but not against resistance
4 movement against resistance but weaker than normal
5 normal power
