Quiz 3 NMS 1 Flashcards
How do you test for vibration?
- use a 128 or 256 Hz tuning fork and place on ankle with eyes closed and ask what they feel
- if they don’t feel move up to knee, if not felt move to hip
Loss of vibratory perception is referred to as….
pallanesthesia
Romberg Test
- patient stands looking straight ahead with eyes open
- feet are approximated and doc stands near pt.
- patient closes their eyes
Normal Romberg test
patient maintains posture
little or no swaying
abnormal Romberg
-patient takes a step to maintain posture or falls
Falls with eyes open or closed on Romberg test may indicate
-Cerebellar Deficit and/or vestibular mechanism deficit
fall with eyes closed only on romberg may indicate…
-dorsal column pathology
Hopping on one foot test
-pt. hops on one leg with eyes open and closed and then hops on the other leg with eyes open and closed
Normal hopping on foot test
-pt. maintains posture with eyes open and closed
Abnormal Hopping on foot test
-patient takes a step to maintain posture OR the patient falls
Falls with eyes open and closed on hopping on one foot test may indicate…
cerebellar deficit and/or vestibular mechanism deficit
Falls with eyes closed only in hopping on one foot test may indicate…
dorsal column pathology
Squatting on one foot test
- good way to find minor weakness in lower extremities
- patient squats on one leg with eyes open and closed and then squats on the other leg with eyes open and closed
Normal squatting on foot test
-patient maintains posture with eyes open and closed
Abnormal squatting one foot test
-patient takes a step tp maintain posture or falls
falls with eyes open and closed on squatting test may indicate…
-cerebellar deficit and/or vestibular mechanism deficit
falls with eyes closed only on squatting test may indicate…
-dorsal column pathology
Finger to nose test
-patient has their arms straight out to the side and attempts to touch the tip of his or her nose with the tip of his or her finger bilaterally with eyes open and closed
Normal finger to nose test
-should see smooth and accurate movement
Abnormal finger to nose test
- dyssynergia: uncoordinated movement
- dysmetria: inaccuracy in measuring distance