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NMS 1 > Cerebellar And Proprioception Tests > Flashcards

Cerebellar And Proprioception Tests Flashcards

0
Q

Normal clinical finding for Romberg?

A

Patient maintains posture

Little or no swaying

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1
Q

Procedure for Romberg test?

A

Patient stands erect, looking straight ahead, first with eyes open
Patient’s feet are approximated
Doctor stands near to patient to catch if fall
Patient then closes his or her eyes

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2
Q

Abnormal finding for Romberg?

A

Patient takes a step to maintain posture OR the patient falls

  • falls with eyes open and closed indicates Cerebellar and/or Vestibular deficit
  • Falls with eyes closed only may indicate Dorsal Column Pathology
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3
Q

What are the procedures of Hopping on one foot?

A

Requires intact function of the nervous system: the long motor and sensory tracts, cerebellum, basal ganglia, and peripheral nerves

Patient hops on one leg with eyes open and closed and then hops on the other leg with eyes open and closed

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4
Q

What is a normal finding for hopping on one foot?

A

Patient maintains posture with eyes open and closed

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5
Q

What is an abnormal finding for hopping on one foot?

A
  • Patient takes a step to maintain posture OR the patient falls
  • Falls with eyes open and closed may indicate a cerebellar deficit and/or Vestibular Mechanism deficit
  • falls with eyes closed may indicate Dorsal Column Pathology
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6
Q

What are the advantages to having patient perform squatting on one foot?

A
  • good way to find minor weakness in the lower extremities
  • requires intact function of the nervous system: the long motor and sensory tracts, cerebellum, basal ganglia and peripheral nerves
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7
Q

What are the procedures for squatting on one foot?

A

Patient squats on one leg with eyes open and closed and then squats on the other leg with eyes open and closed

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8
Q

What is a normal finding for squatting on one foot?

A

Patient maintains posture with eyes open and closed

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9
Q

What is an abnormal finding for squatting on one foot?

A
  • patient takes a step to maintain posture OR the patient falls
  • Falls with eyes open and closed may indicate Cerebellar deficit and/or Vestibular deficit
  • falls with eyes closed only may indicate Dorsal Column Pathology
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10
Q

What is the procedure for Finger to Nose test?

A

The patient has his or her arms straight out to the side and attempts to touch the tip of their nose with the tip of their finger bilaterally with eyes open and closed

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11
Q

What is a normal finding for finger to nose test?

A

Should see smooth and accurate movement

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12
Q

What is an abnormal finding for finger to nose test?

A

dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance

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13
Q

What is the procedure for finger to finger test?

A

The patient has their arms straight out to their side and attempts to touch the tips of their index fingers, together, straight out in front of them, with eyes open and closed

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14
Q

What is a normal finding for finger to finger?

A

Should see smooth and accurate movement

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15
Q

What is an abnormal finding for finger to finger?

A

Dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance

16
Q

What is the procedure for finger to nose to finger?

A

The Doctor stands with hi finger about 2 feet from the patient and has the patient alternate touching his or her finger from their nose to the doctor’s finger, with the doctor constantly changing positions of his finger. This is performed with eyes open only….

17
Q

What is a normal finding for finger to nose to finger?

A

Should see smooth and accurate movement

18
Q

What is an abnormal finding for finger to nose to finger?

A

Dyssynergia: uncoordinated movement

Cannot be performed for dysmetria

19
Q

What is the procedure for heel to shin?

A

The patient attempts to run their heel from one side down the anterior shin from the knee to the ankle of the opposite leg. This is performed bilaterally with eyes open and closed

20
Q

What’s is a normal finding of heel to shin?

A

Should see smooth and accurate movement

21
Q

What is abnormal finding of heel to shin?

A

Dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance

22
Q

What is the procedure for testing the ability to perform rapid alternating movements?

A

Patting knees rapidly, tapping forefinger to thumb, pronation/supination of the hands. This is performed eyes open and closed

23
Q

What is a normal finding for rapid alternating movements test?

A

Diadochokinesia: performing actions properly

24
Q

What is an abnormal finding for rapid alternating movements?

A

Dysdiadochokinesia: inability to perform actions properly indicates possible cerebellar dysfunction

25
Q

what is the procedure for holmes rebound phenomenon?

A

patient contracts the flexors of the forearm against resistance by the doctor. the doctor releases the artm quickly. this is performed with eyes open and closed

26
Q

what is a normal finding for holmes rebound?

A

should see a normal check reflex

27
Q

what is an abnormal finding for holmes rebound test?

A

Dysnergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance

28
Q

what is the procedure for tandem gait test?

A

patient walks along a straight line on the floor by placing one heel directly in front of the opposite toe with eyes open and then again with the eyes closed

29
Q

what is a normal finding for tandem gait?

A

patient is able to perform both tasks with eyes open and closed

30
Q

what is abnormal finding for tandem gait?

A

Dyssynergia: uncoordinated movement
Dysmetria: inaccuracy in measuring distance

31
Q

what is the procedure for joint position test?

A

doctor examines one digit of the patient’s hand or foot by stabilizing the hand and/or foot and grabbing a single digit from the sides and flex or extend that digit without placing any pressure on the top or bottom of the digit. Ask the patient to inform you whether you are moving the toe or the finger up or down. this is performed with eyes closed

32
Q

what is an abnormal finding for joint position test?

A

Patient cannot determine accurately whether his finger or toe is being moved up or down; would indicate possible Posterior Column Disease (proprioception)

33
Q

Position sense, vibration, pressure, texture movement, localization of touch, 2-point discrimination, weight, and the ability to decipher letters or numbers written on skin are carried in what part of the cord?

A

Posterior columns

34
Q

Lesio s that affect posterior column sensations while sparing sensations associated with anterior and lateral spinothalamic cord functions are likely of?

A

Spinal cord lesion

35
Q

What sensations are carried in the anterior and lateral spinothalamic tracts?

A

Light touch, pain, temperature

NMS 1 (20 decks)

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