Cerebellar and coordination exam

Question 1

Spastic Hemiparesis gait- what is it seen in and presentation (upper + lower extremity)

Answer 1

Seen in unilat UMNL (stroke)

Upper- help in rigid, semiflexed pos
Lower- Ridgid, foot planter flexed and needs to be swung to account for foot drag

Question 2

Trendelenburg- why does it occur and presentation

Answer 2

Weakness of abductor mm

• during stance phase the weekend abductor mm allow pelvis to dip to unaffected side
• upper trunk lurches to weekend side to maintain level

Question 3

Parkinsions gait- presenation

Answer 3

Basal ganglia disease

• stooped posture
• flexion of head, arms , knees, hip
• slow getting started and will have Festination (involuntary speed up w difficulty stopping)

Question 4

cerebellar ataxia gait- presentation

Answer 4

• staggering, unsteady wide based gait
• diffuculty taking turns
• cant stand w feet together

Question 5

Sensory ataxia gait- presentation and when is it worse

Answer 5

• loss of pos sense
• wide based and unsteady
• wosens with eyes closed

Question 6

Steppage gait- why and presentation

Answer 6

In foot drop due to L5 nerve root lesion

-drags foot or lifts it high and brings it down with a slapping sound

Question 7

Scissors gait- why and presentation

Answer 7

Spinal cord diseases causing spasticity (cerebral palsy)

• Stiff gait, short steps
• thighs cross forward on each other w each step
• appears to be walking thru water

Question 8

What does a pos rombergs test indicate

Answer 8

indicates ataxia from dorsal column disease and loss of pos sense

Question 9

If a pt has trouble with standing with feet together even when eyes open what does that suggest

Answer 9

Cerebellar ataxia

Question 10

What does a positive pronator drift test suggest

Answer 10

Corticospinal tract lesion (contralat)

Question 11

What does inability to perform thumb rolling suggest

Answer 11

Inability indicates motor cortex lesion, involving corticospinal tract

Question 12

inability to perform rapid alternating movements suggest what

Answer 12

dysdiadochokinesis- slow uncoordinated and clumsy movement

Question 13

What is a positive for point to point movement and what does it suggest

Answer 13

• overshooting past point
• Clumsy and unsteady mvmd
• mvmts that inappropitly vary in speed, direction

Dymetria

Question 14

What does CASE stand for

Answer 14

cognitive abilities
Appearance
Speech and language
Emotional stability

Question 15

what are some post concussion symptoms

Answer 15

• Post traumatic headaches
• Sleep-wake disturbances
• Persistent mental health issues
• Persistent cognitive difficulties
• Persistent vestibular and vision dysfunction
• Persistent fatigue