Neuro Upper Limbs Examination Flashcards
Neuro Upper Limbs Order?
Observation Tone Power Coordination Reflexes Sensation
Neuro Upper Limbs Examination
What to look for on observation
Muscle Atrophy Fasiculation Skeletal Deformity Scars Tremor Involuntary Movement eg Dystonia, Chorea, Ticks
Name 3 types of involuntary movement in Neuro Upper Limb Exam?
Dystonia, Chorea, Ticks
Neuro Upper Limbs
What to look for in tone?
Normal
Hypotonic
Hypertonic
Check Passive Movement of
Elbow Flex + Extend
Forearm Pronation and Supination
Wrist Flexion and Extension
Neuro Upper Limbs
What to test for in Power against Resistance?
Shoulder Abduction Elbow Flex and Extend Wrist Flex and Extend Finger Flex and extend Intrinsic Muscles of Hand Pronator Drift
Neuro Upper Limbs
How to test Power in Shoulder Abduction
Elbows in Air
Push against me with arms flexed at elbow
Neuro Upper Limbs
How to test power in Elbows
Pull me towards them
Push me away
Neuro Upper Limbs
How to test power in wrist
Make Fist and Cock Back
Ask patient to bend fist down against my resistance
Neuro Upper Limbs
How to test power in hand
Hold fingers out and then I try to flex them at metacarpophalangeal joint
Neuro Upper Limbs
How to test power in fingers
Squeeze my fingers
Neuro Upper Limbs
How to test power in intrinsic hand muscles?
Spread fingers and I try to push them together
Neuro upper limbs
How to test coordination in outstretched arms
Hold arms out in front of them
Look for tremor or dystonia
Neuro upper limbs
How else to test coordination
Finger to Nose Test
Dysdiadochokinesis: Tap left hand then tap and turn right hand on left hand
Neuro Upper Limbs
Which reflexes to test
Biceps
Supinator
Triceps
Neuro Upper Limb
Biceps Reflex is which C
C5/C6
