Practical 1 Cerebellar/ Proprioceptive Flashcards Preview

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Flashcards in Practical 1 Cerebellar/ Proprioceptive Deck (28):
1

What is Abadie's

Deep pain exam, squeezing the Achilles

2

What is Rombergs test

Patient stand with heels together, have patient close eyes and stand still

If lose balance test is positive

3

What does Romberg test?

Falls with eyes open and closed- Cerebellar deficit, vestibular mechanism deficit

Falls with eyes ONLY closed- Dorsal column pathology

4

Hopping on one foot tests?

Cerebellar and proprioceptive exam

Ideally land in same spot

Eyes open and closed problem indicate-cerebellar or vestibular mechanism deficit

Eyes closed only- dorsal column pathology

5

Squatting on one foot tests

GOOD way to assess minor weakness of lower extremity!!!!!!

Open and closed problem- indicated cerebellar or vestibular mechanism deficit

Eyes closed only- dorsal column pathology

6

Finger to nose test is

Arms straight out to side touch tip of nose. PERFORM EYES OPEN AND CLOSED.


Dyssynergia: uncoordinated movement

Dysmetria: inaccuracy in measuring distance

7

What is hypometria

Undershooting during finger to nose test

8

What is hypermetria

Overshooting during finger to nose test

9

Finger to finger test tests

Movement should be smooth and accurate

Cerebellar and proprioceptive exam

10

Finger to nose to finger test

MAKE SURE YOU HAVE PATIENT DO BOTH HANDS!!!!!

Tests cerebellar and proprioceptive

11

Heel to shin test is

Perform bilaterally with eyes open and closed!

Tests cerebellar and proprioceptive

12

Diadochockinesia is

Rapid alternating movements

Tests cerebellar and proprioceptive

Abnormal- Dysdiadochoknesia indicates cerebellar dysfunction

13

What is the Holmes Rebound Phenomenon

Patient contracts forearm against doctors resistance, doc randomly lets go

DO WITH EYES OPEN AND CLOSED

Cerebellar problem

14

Tandem gait

Walk in straight line heel to toe

Performed eyes open and closed

Cerebellar and proprioceptive

SHOES OFF

15

Joint position test

Exam one digit or toe and move up or down with patients EYES closed

Can't pinpoint where joint is indicates POSTERIOR column disease

16

What is pitre's

Pinching the testicles

Deep pain

Dorsal columns

17

Biernacki's is

Pinching or striking the ulnar nerve

Deep pain exam

Mediated by the dorsal columns

18

What does deep pain exams test

Dorsal columns

NOT CEREBELLUM

19

Multimodal exams are

Combined superficial and deep sensations which are subject to higher function of memory

20

What is stereognosis

Place a common object in the hand with eyes closed patient must identify

Perform bilaterally

21

What is Barognosis

Assess relative weight of similarly sized and shaped objects that have different weights eye closed

22

What is topognosis

Touch patient somewhere and have patient identify eyes closed and point to area

23

What is Graphognosis

Test by writing letter or number on palm, chest or back, patients eyes closed bilaterally examine

24

2 point discrimination is

Fingertips 2-4mm dorsum of fingers 4-6mm

Test with toothpicks until patient says feels like 1

Multi-modal exam!!!`

25

Sensory Exam touch patient in same area on both sides with same instrument

1. Posterior aspect of shoulder (C4)
2. Lateral aspect of upper arms (C5)
3. Medial aspect of lower arms (T1)
4. Tip of thumb (C6)
5. Tip of middle finger (C7)
6. Tip of the pinky finger (C8)

26

Light touch examination tests

The anterior/ lateral columns of the cord to the thalamus (SPINOTHALAMIC) tract

Problem indicates nerve compression or peripheral nerve lesions

27

Pain exam for the sensory examination aka sharp touch

Lateral Spinothalamic tract if problem present

28

Pallanathesia we are testing

Loss of vibration

Cuneatus for= upper extremity

Gracilis for= lower extremity