Neuro assessments Flashcards
neurological exam
observation- posture/ muscle waste
neurological LMNL- reflexes/ myotomes/ dermatomes
UMNL- babinski/ clonus
test nerve conduction
neurodynamic exam
test nerve movements
nerve palpation
neurodynamic- amount of neural tissue movements
aims of neurological exams
confirm/ classify history of neuro
establish baseline and assess progress
clarify peripheral signs and symptoms or due to local nerve
idntify contrainidications and precautions
indications for lower limb neuro treatment
lower motor neuron
- spinal pain extending bellow hip
- pins and needles/ numbness in legs
- weakness in legs
indications for lower limb neuro treatment upper motor neuron
- bilateral symptoms
- didturbance of gait/ balance
- distubrance in bladder/ bowl function
- saddl aesthesia
bilateral sciatica
serve bilateral deficet legs
lower limb neurological test
myotome- muscle power- record 0-5
lower limb reflexes 0-4
dermatome
babinski
clonus
lower limb reflexes recording
0- no response
1- slight
2- brisk- normal
3- very brisk
4- clonus
mechanical function of nerve
move/ withstand force
slide
compress
withstand tension
continue conduction
mechanical interface
any tissue nerve is in contact with that will move
nuropathic pain
reptitive mechanical force
compression/ tension/ fucntion/ vibration
ischeamia- compression
inflammation
aim of neurodynamic exam
identify if pain reproduced via palpation movement
identify which neuro path
identify baseline
identify contraindication and precautins
5 guidelines for neurodynamic
ALWAYS DO NEUROLOGICAL FIRST
- areas of symptoms
- pain may b in line or clumps
at vunerable sites
anatomy logic
2- QUALITY OF PAIN
- burning lacerating shooting cramps
superficial or deep sensory loss hypranalgesia
3- behaviour- convention provokd spontanious/ latency
4- mechanisim/ past history
causitive event/ MSK injury/ non MSK injury
5- physical exam findings
contrainidcaitons
acute nerve root injury
recent onset of neuro symptoms
cord of cauda equina symptoms
upper motor nuron signs
tethered cord syndrom
serve pain
serve headache
serve nausea
serve dizziness
cord of cauda equina symptoms
bilateral symptoms/ difficult/ loss of coordination with gait
numbeness loss of sensation in saddle
bladder retention
how extensive should P/E
how strong a test should be
how far should movement be taken
how much resistance
level 0 of function
contraindication
level 2 function
standard
comfortable provocation of symptoms
precautions of treatment
iritable conditions
acute stress
nerve palpation
areas nerve closet to skin
gentle
movement of inervated tissue
joint open/ closed
sensitising movements
increase force on neuro structures
differentiating movements
difference between neural/ non- neural
