ommneruotesting Flashcards
what is the main question in a neurologic exam
where is the lesion
what are the two regions for a neruologic lesion
central or peripheral nervous system
if its effecting a large region where is the lesion
probably in the spinal cord.
when you think of the head and spine what is inside
bones with a bunch of nerves inside
what are the important distribution of nuerological exams
dermatome, myotome, nerve branch distribution, sclerotome
what should you suspect with cognitive changes and language problems
the brain
what test should you do with balance problems
romberg test
what is it called when they have problems planning movements
apraxia
with a flaccid paralysis would you expect peripheral or central nervous system
peripheral
what should you look for in a gait/station exam
free walking, tandem walking, heel walking, toe walking, deep knee bend.
what does rombergs test for
proprioceptive testing when the eyes are closed cannot stand up with feet together they have to fall not just sway.
what is dysdiadochokinesia
impairment with ability to perform rapid alternating movements
what is hoffmanns reflex
upper extremity reflex in the fingers
what are superficial reflexes
skin to muscle reflex like babinski or plantar
what is a normal relex
2/4 is normal 4 is clonus and 0 is areflexia
what nerve root is bicepts
c5
what nerve root is brachioradialis
c6
what nerve root is triceps
c7
what nerve root is quadriceps femoris ..patellar
L4
what nerve root is the Achilles or triceps surae
S1
test strength scale
5/5 full rom full strength, 4/5 less than normal strenght, 3/5full rom of motion only against gravity, 2/5 full rom with gravity, 1/5 slight muscle contraction, 0/5 no motion
what is the 4 muscles that the examiner should not overcome
shoulder shrug trapezius, triceps, quadriceps, and gastocnemius
