Proprioceptio & Cerebellar Exam Flashcards
is important for motor learning and timing of motor activity
cerebellum
cerebellar dysfunction results in
decomposition of movements and dysmetria (under or overshooting of movements)
if Romberg test is abnormal with eyes open and closed it could indicate
cerebellar issue
if Romberg test is abnormal with eyes closed only it could indicate
proprioception (dorsal column) issue
if hopping on one foot is an issue with eyes open and closed it could indicate
cerebellar issue
if hopping on one foot is an issue with eyes closed only it could indicate
proprioception (dorsal column) issue
if squatting on one foot is an issue with eyes open and closed it could indicate
cerebellar issue
if squatting on one foot is an issue with eyes closed only it could indicate
proprioception (dorsal column) issue
dysmetria
inaccuracy in measuring distance
hypometria
undershooting
hypermetria
overshooting
if finger to nose test causes dyssynergia or dysmetria it could indicate an issue here
in cord or cerebellum
finger to nose to finger test is specifically testing this area since eyes have to be open
cerebellum
the only test to be performed with eyes open only! (the rest are eyes open and closed)
finger to nose to finger test
finger to nose to finger test is specifically testing this area since eyes have to be open
cerebellum
diadochokinesia test
performed with rapid turning of hands then tapping feet
abnormal diadochokinesia test indicates issue here
cerebellum
joint position test is this type of test
proprioception
an abnormal joint proprioception test would indicate an issue here
posterior column
Abadies test
pinching achiles
Biernacki test
pinching ulnar nerve
Pitre’s test
pinching testicle
multimodal sensation
combined superficial and deep sensations which are also subject to higher function of memory
stereognosis
identifying object in hand
barognosis
assessing weight of object in hand
topognosis
touching patient somewhere on skin and having pt point to the area
graphognosis
writing a letter or number on pt and having them identify it
2 point discrimination on fingertips should be this measurement
2-4 mm
2 point discrimination on dorsum of fingers should be this measurement
4-6 mm
2 point discrimination on palm should be this measurement
8-12 mm
2 point discrimination on dorsum of hand should be this measurement
20-30 mm
during a sensory exam this dermatome or area is the most affected
C5 C6 C7
during a sensory exam if the primary sensory modality is not in working order then the deficit is referred to as
anesthesia and analgesia
neuropathway for light touch is in this tract
anterior spinothalamic
deficits to light touch in dermatomal pattern may indicate
nerve root compression or peripheral nerve lesion
neuropathway for pain is in this tract
lateral spinothalamic
analgesia
area insensitive to pain
hypalgesia
decreased sensation
hyperalgesia
increased sensitivity
loss of vibration sense
pallanasthesia
vibration sensation to upper extremity is carried in this tract
cuneatus
vibration sensation to lower extremity is carried in this tract
gracilis
neuropathway for temperature is in this tract
lateral spinothalamic
