Neuro - Lower Limb

Question 1

What must be done on inspection (LL neuro)?

Answer 1

Question 2

How do you test tone (LL neuro)?

Answer 2

Question 3

How do you test power (LL neuro)?

Answer 3

Question 4

How do you test the reflexes (LL neuro)?

Answer 4

Question 5

How do you test coordination (LL neuro)?

Answer 5

Heel-shin test:

• Ask the patient to touch their heel to their contralateral knee.
• Then ask them to move their heel down the tibia to their contralateral ankle.
• Now get them to move it back up, through the air, back to their contralateral knee again.
• Repeat this about 3 times for each side

(mal-coordination = cerebellar lesion).

Question 6

How do you test sensation (LL neuro)?

Answer 6

• Pain (spinothalamic): use neurological pin
  
  • “Close your eyes and every time you feel it say ‘sharp’ if it feels sharp like it did on your sternum or ‘blunt’ if it feels blunt”
• Light touch (dorsal column): use cotton wool bud
  
  • “Close your eyes and every time you feel it say ’yes’”
• Proprioception (dorsal column):
• Vibration (dorsal column):
• Temperature (spinothalamic):