Neurological Sheet Examination of the Motor System n

Neurological Sheet

Examination of the Motor System n Inspection :

Examination of the Muscle Tone Passive Movements n Shaking n Gower’s method n

Abnormal Muscle tone n Hypertonia n Hypotonia

Types of Hypertonia Site of lesion Distribution Spasticity Rigidity Pyramidal Extra pyramidal Distal> proximal Proximal>distal Extensors of L. L Trunk Flexors of U. L &L. L &Flexors of U. L. &Trunk Character Clasp - knife Lead pipe or Cogwheel Deep Reflexes Hyper reflexia Hypo reflexia

Examination of the Muscle Power n Upper Limb : . Shoulder. Elbow. Wrist. Hand

Examination of the Muscle Power Abdomenal Muscles(T 6 -T 12) : Lower Limb : . Hip. knee. Ankle

Examination of Reflexes • • Deep Reflexes Superficial reflexes

Examination of the Sensory System n Superficial Sensations : Pain – Temperature – Touch n Deep Sensation : * Vibration Sense * Joint Sense * Muscle Sense * Nerve Sense * Romberg’s Test

Examination of the Sensory System n Cortical Sensation :

Examination of Coordination n Upper Limb :

Examination of Coordination n Lower Limb :

Examination of the Back and Spine n Examine for : 1 - Tenderness 2 - Deformity 3 - Hair tuft 4 - Swelling 5 - Abnormal pigmentation

Examination of the Cranium n Examine for : 1 - Size, Shape, Sutures&Fontanelles 2 - Bony tenderness 3 - Dilated veins 4 - Mc. Ewin’s sign in brain tumors

Examination of the Gait.

Thank you