Tone

Question 1

how to assess tone

Answer 1

ask patient to fully relax their legs n be floopy

1. leg roll
2. leg lift
3. ankle clonus

Question 2

how to do leg roll

Answer 2

roll the patient’s leg and watch the foot – it should flop independently of the leg

Question 3

how to do leg lift

Answer 3

briskly lift leg off the bed at the knee joint – the heel should remain in contact with the bed

Question 4

how to do ankle clonus

Answer 4

1. Position patient’s leg so that the knee and ankle are slightly flexed, supporting the leg with your hand under their knee, so they can relax.
2. Rapidly dorsiflex and partially evert the foot
3. Keep the foot in this position
   Clonus is felt as rhythmical beats of dorsiflexion/plantarflexion (>5 is abnormal)