Neuro objective assessment

Question 1

What are some neuro impairments?

Answer 1

Weakness
Overuse (⬆️tone)
Hypersensitivity - fear of moving 
Contracture's - stiff deformity 
Altered perception - feeling unsafe 
Habitual way of standing - habit

Question 2

What does observation look at?

Answer 2

Bos
Asymmetry
Overuse/underuse?
Muscle work to maintain posture

Question 3

What does AROM look for?

Answer 3

Look at functional movement and judge why there is immobility

Question 4

What could AROM immobility be due to?

Answer 4

Joint stiffness 
Atrophy and weakness
Degeneration of articular surface 
Osteoporotic changes to bone 
Psychological

Question 5

What are the types of rehab and match them to a condition

Answer 5

Full recovery - TIA
Some recovery - stroke
Slow deterioration - MS and Parkinson’s
Fast deterioration - MND

Question 6

What do reflexes test?

Answer 6

Test sensory and motor neurones together

Question 7

What are the possible reflex findings?

Answer 7

No reflex
Reduced reflex
Hyper excitable reflex

Question 8

What are the sensory tests for neuro patients?

Answer 8

Stereognosis - differentiate objects
Sharp-blunt - sharp or blunt prick
Two point test - two or one point prick
Light touch - identify where you’re touching
Proprioception - mimic movement with other limb
Temperature - hot or cold liquid
Coordination - finger-nose or heel-shin

Question 9

What are the measurement tools for sensory testing?

Answer 9

Fugl-Meyer sensation

Nottingham sensory assessment

Question 10

What are the sensory pathways?

Answer 10

Dorsal column - tactile sensation

Spinothalamic - pain