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Patient has Upper Motor Neuron Lesion.
What are the Pathological Reflex (Upper Limb) tests?
- Gordon's Finger - pressing pisiform
- Rossolimo's Hand Sign - tapping palmar side 3 MCP joint
- Hoffman's - "OK" sign
- *These are Bi-lateral tests
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Patient has Upper Motor Neuron Lesion.
What are the Pathological Reflex (Head) test?
- Snout Reflex - tapping face
- *This is a Bi-lateral test
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Patient has Upper Motor Neuron Lesion.
What are the Pathological Reflex (Lower Limb) tests?
- Babinski - backwards "7" on plantar aspect of foot
- Gordon's - squeezing calf
- Chaddock's - "C" shape on lateral aspect of leg
- Schaefer's - pinching KI-3, BL-60 Achilles
- *These are Bi-lateral tests
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Patient has Dorsal Column Dysfunction.
What test is performed?
- Apallesthesia - tuning fork on any bony area (one above, one below)
- *This is a Bi-lateral test
- *You will self-stop the tuning fork, patient must will notify you when it stops
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Patient has Dorsal Column Dysfunction.
What are the Akinesthesic test?
- Romberg's - Jesus-like pose, head up, eyes closed
- Positional Change Digits - pinching sides of 2 different fingers and patient will tell you what position it is going
- *These are Bi-lateral tests
- *Eyes closed
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Patient had Dorsal Column Dysfunction.
What is the Absence of Deep Pressure test?
- Abadie's Achilles - like Schaefer's but patient should feel pressure
- *This is a Bi-lateral test
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Patient has Dorsal Column Dysfunction.
What are the tests for Multi Modal Senstaions?
- Stereognosis - identify different objects
- Graphesthesia - writing numbers on palmar aspect of hand
- Graphognosis - writing letters on palmer aspect of hand
- *These are Bi-lateral tests
- *Eyes Closed
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Patient has Cerebellar Dysfunction.
What is the Ataxia test?
Heel-to-Toe / Tandem Gait
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Patient has Cerebellar Dysfunction.
What is the Dysdiadochokinesia test?
- Finger Tapping - fingers to thumb
- Hand Patting - alt. patting on thighs
- Foot Patting - alt. foot tappping
- Pronation/Supination - palms up / palms down
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Patient has Cerebellar Dysfunction.
What is the Dysmetria test?
- Finger-to-Nose
- Finger-to-Finger
- Heel-to-Knee (must perform this one)
- Toe-to-Finger
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Patient has Cerebellar Dysfunction.
What are the Rebound Phenomenon tests?
- Holmes - face punch test
- Andre Thomas - hand above head, should drop freely
- Rebound Checking - hand out, slap down, should stabilze
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Patient has Cerebellar Dysfunction.
What are the Accessory Movements tests?
- Intention Tremors - grabbing object off table, no dragging to grasp
- Nystagmus - shaking of eyes at extremities in "H in the sky" test
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Patient has Ankylosing Spondylitis.
What are the tests performed?
- Forestier's Bowstring Sign - hands on head, lateral bending
- Lewin's Supine Test - situp w/o using arms
- Chest Expansion - measure chest on inhale & exhale, (+) if > 3 cm
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What is the Soto Hall test?
- Patient lays supine
- Have patient "head down"
- Test if (+) is there is pain anywhere in the body
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Patient has Meningitis.
What are the tests performed?
- Brudzinski's Test = Soto Hall + involuntary knee flexing (buckling) with diffuse pain
- Kernig's Test = Soto Hall + involuntary flexion of the hip / knee on opposite side
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