tests Flashcards
Hopping on one foot
eyes open and closed the patient falls = cerebellar deficit and/or vestibular mechanism deficit
only falls with eyes closed = dorsal column pathology
Romberg test
eyes open and closed the patient falls = cerebellar deficit and/or vestibular mechanism deficit
only falls with eyes closed = dorsal column pathology
squatting on one foot
eyes open and closed the patient falls = cerebellar deficit and/or vestibular mechanism deficit
only falls with eyes closed = dorsal column pathology
finger to nose test
Dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance
finger to finger test
Dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance
what is Dyssynergia
uncoordinated movement
what is dysmetria
inaccuracy in measuring distance
Finger to nose to finger test
Dyssynergia
Heel to shin test
Dyssynergia
Dysmetria
testing for the ability to perform rapid alternating movements ( normal and abnormal findings)
Diadochokinesia: performing actions properly
abnormals: Dysdiadochokinesia: inability to perform actions properly indicates possible cerebellar dysfunction
what is dysdiadochokinesia
the inability to perform actions properly indicating possible cerebellar dysfunction
Holmes Rebound Phenomenon (normal and abnormal)
normal : should see a normal “check reflex”
abnormal: Dyssynergia and dysmetria
Tandem Gait
Dyssynergia and dysmetria
Joint position test
patient cannot determine accurately whether his finger or toe is being moved up or down, indicating possible posterior column disease (proprioception)
deep pain and pressure sensation
Abadie's sign Pitres sign Biernacki sign placing pressure on the eyeball diminished sensation from any of these are indicative of dorsal column disease (tabesdorsalis is a classic example)
