Neuro Lower limb Flashcards
What must you perform in addition to tone, power, reflexes, co-ordination and sensation?
Romberg’s test and Gait assessment
What is the test called where the patient stands with their feet together and their arms outstretched and then close their eyes?
Romberg’s test
In Romberg’s test, what does a loss of balance upon closure of the eyes suggest?
proprioception
How would you ask the patient to walk in a gait assessment?
both normally and heel to toe
Which reflexes are tested?
knee, ankle, plantar
How is co-ordination tested?
heel-shin test
What is a sign of increased tone?
clonus
How do we test sensation?
soft touch pain/pinprick temperature proprioception vibration sense
How do we grade motor power?
the MRC grading system
What score would no muscle contraction get on the MRC grading system?
0
What score would movement against gravity with full power against resistance get on the MRC grading system?
5
what does a score of 3 mean in the MRC grading system for power?
movement against gravity only without applied resistance
A patient walks with their arm adducted at the shoulder and their elbow flexed. The ankle is plantar flexed and the foot scraped across the ground. What type of gait is this?
hemiplegic
What is an apraxic gait like?
shuffling, decreased stride length
Describe gait in parkinson’s disease?
shuffling, loss of arm swinging, patient takes increasingly rapid steps to maintain upright posture
