Clinical Orientation Manual - University of Kansas Medical Center
Clinical Orientation Manual - University of Kansas Medical Center
Clinical Orientation Manual - University of Kansas Medical Center
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v. Extinction (light touch on symmetrical sides concurrently)<br />
6. Motor (strength, coordination, gait)<br />
. Strength<br />
. Shoulder strength (chicken wings) and ROM<br />
i. Arm flexion/extension<br />
ii. Wrist flexion/extension<br />
iii. Finger abduction/flexion/extension<br />
iv. Thumb opposition<br />
v. Hip flexion/extension/abduction/adduction<br />
vi. Knee flexion/extension<br />
vii. Foot dorsiflexion/plantarflexion<br />
viii. Coordination (checking cerebellar, motor, vestibular and proprioception)<br />
ix. Rapid alternating movements - checks cerebellar fxn<br />
1. Arms - pancake flip or pointer to thumb tap<br />
2. Legs - have pt tap their foot against your hand<br />
x. Point to point movements<br />
1. Finger to nose - cerebellar<br />
2. Outstretched arm to finger with eyes closed - cerebellar & vestibular<br />
3. Heel-to-shin - cerebellar and proprioception<br />
xi. Stance<br />
1. Romberg Test - tests proprioception<br />
2. Pronator Drift - significant for upper motor neuron lesion<br />
3. Extend arms, close eyes and tap - strength, proprioception, coordination<br />
a. Overshoots & bounces, but returns to original position = cerebellar<br />
b. Upward drift w/ searching, writhing movements = proprioception<br />
a. Gait - cerebellar, proprioception, motor<br />
. Rising from seated position<br />
i. Walk across room (tandem, toes, heels)<br />
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