Neurological tests

Question 1

what are the three categories of neurological test

Answer 1

Sensory
Motor
Co ordination

Question 2

Symptons of
Sensory
Motor
Co ordination

Answer 2

changes in sensation - increase/decrease sensation to pain light touch or vibrations.

Involuntary movements, weakness or loss of function

difficulty with fine motor skills, writing typing

Question 3

Signs of
Sensory
Motor
Co ordination

Answer 3

altered ability to detect pain, light touch or vibration

muscle wastage, involunarty movements, weakness of muscles

difficulty with fine motor tasks of the hand

Question 4

how do you test the sensory functions

Answer 4

you use a pin to test for pain sensation
cotten bud for light touch sensation
Tuning fork for vibration

Question 5

How do you test the dermatone levels for pain

Answer 5

Push the sharp then dull side and compare the sides

C4 - traps 
C5 shoulder 
C6 pinki finger 
C7 rude finger
C8 thumb 
T1 posterior forearm/arm

Question 6

How do you test for Light touch

Answer 6

you lightly brush a q tip around an area

C4 - traps 
C5 shoulder 
C6 pinki finger 
C7 rude finger
C8 thumb 
T1 posterior forearm/arm

Question 7

How do you test for Vibration

Answer 7

you hit a tuning and the place on the distal phalanges of the hand

C6 pinkie finger
C7 rude fingers
C8 thumb

if the patient unable to feel the vibrations go to the epicondyles of the forearm, if still struggling to feel move to the acromian process.

Question 8

What are the Tests that assess motor nerves

Answer 8

Reflex test - Graded 0 - 4

muscle strength test 0 - 5

Question 9

To test the reflex/dermatone.

Answer 9

C5 - Biceps Tendon
C6 - Brachioradialis
C7 - Triceps

Grade the Response on 0 - 4
0 - absent 
1+ - Diminished 
2++ - Normal 
3+++ - Hyeractive without clonus 
4++++ - Hyperactive with clonus

Question 10

Test dermatone muscle strength

Answer 10

C4 - Shoulder Shrug
C5 - Shoulder abduction 
C6 - Elbow flexion 
C7 - elbow extension 
C8 - Finger Flexion 
T1 - Finger adduction/ Grip 

using a grading scale 0 - 5
5 - Normal - Complete ROM with full resistance
4 - Good - Complete ROM with some resistance
3 - Fair - Complete ROM with no resistance
2 - Poor - Passive ROM with gravity elimated
1 - Trace - Evidence of slight muscular contraction, no joint motion
0 - Zero - No evidence of muscle contraction

Question 11

How do you test Co ordination

Answer 11

Propreception

Co ordinatin

Question 12

How do you test propreception

Answer 12

Have the patient seated, ask the patient are you flexing or extending a joint

C6 - pinkie
C7 - rude finger
C8 - Thumb

if patient struggles slowly move proxially and test the joints

Question 13

How to test co ordination

Answer 13

you ask the patient to perform rapid movements

fingers - get them to touch there first digit to the joint in there thumb rapidly. if abnormal its called Dysdiadochokinesia

wrists - have them place hands on their legs and quickly pronate and supanate the wrist. If abnormal its called dysmetria

point to point - have the patient touch the tip of their nose and then your finger tip, do that a couple times. after start slowing moving your finger around while the patients still trys to touch the tip. If any issues its called
dysmetria