Neuro Lab

• 1. Orientation
• 2. Level of alertness, attention and cooperation
• 3. Memory
• 4. Language
• 5. Calculations
• 6. Aparxia
• 7. Sequencing tasks
• 8. Abstraction

Ask the pt's name, location and date

• Ask pt to spell a word forward and backward
• Ask pt to repeat a string of integers forward and backward
• Ask pt to name the months forward and backward

• Recent - recall three items after 5 minute delay
• Remote - recall certain historical facts within pts memory
• "where did you go to high school"

• Object naming
• Repetition of single words and sentences

simple additions and subtractions, should be two or more steps

Following a complex motor command like "pretend to comb your hair" or "pretend to brush your teeth"

Ask pt to tap the table with: fist, open palm, then side of open hand(rock, paper, scissors) perform as rapidly as possible

abstration interpertation of a proberb or colloquialism :the early bird getsthe worm

• 1. Inspection
• 2. Testing Muscle Strength

• check limbs and trunk for fasciculations's (hands, shoulders and thigh)
• look for atrophy/hypertrophy
• observe posture

• 1. Passively move limbs through range of motion noting resistance and rigidity
• 2. Ask pt to hold arms straight out front palms up for 20 to 30 secs with eyes closed, look for drift to one side or pronator drift.
• 3. test muscle strength at multiple joints and record

• 0 - nothing
• 1 - evidence of contraction
• 2 - and motion gravity neutral
• 3 - and motion against gravity
• 4 - and resistance
• 5 - and joint lock