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OrthoNeuroEval 1
ONE Week 2: Cerebellar/UMN Lesion/SensoryDoral Column/Extrapyramidal/VBAI Evaluations
72
Health Care
Graduate
09/19/2013

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Cards

Term
2 tests for Muscular Hypotonia
Definition
Rag doll posture and gait
Pendular reflexes
Term
2 tests for Ataxia
Definition
Rombergs Test
Heel-toe & tandem gait
Term
4 tests for Dysdiadochokinesia
Definition
Finger Tapping
Hand Patting
Foot Patting
Pronation/Supination
Term
Test for Dysmetria
Definition
Finger-nose, finger-finger, heel-knee, toe-finger
Term
3 tests for Rebound Phenomenon
Definition
Holmes
Andre Thomas
Rebound Checking
Term
3 tests for Accessory Movements
Definition
Intention tremors
Dysarthria
Nystagmus
Term
Test Names/Categories for Cerebellar Dysfunction Assessment
Definition
Muscular Hypotonia
Ataxia
Dysdiadochokinesia
Dysmetria
Rebound Phenomenon
Accessory Movements
Term
Patient looks like they are drunk & have floppy posture
Definition
Rag Doll Posture & Gait

Muscular Hypotonia/Cerebellar Dysfunction
Term
The appendage continues to swing many times after a reflex is hit
Definition
Pendular Reflexes

Muscular hypotonia/Cerebellar Dysfunction
Term
Feet close together w/out touching, arms out front, eyes open
Definition
Romberg's Position
Term
Inability to stand in Romberg's Position
Definition
Romberg's Test

Ataxia/Cerebellar Dys./ Posterior Column affected
Term
Patient unable to walk heel-toe, on heels or toes w/out staggering
Definition
Heel-toe, tandem gait

Ataxia/Cerebellar Dys.
Term
Difficulty with alternating: fingers to thumb, hand patting thighs, tapping foot on floor, pronating/supinating hands on thighs
Definition
Finger tapping/hand patting/foot patting/pronation/supination

Dysdiadochokinesia/Cerebellar Dys.
Term
Patient has difficulty touching nose, finger, heel down calf to ankle, toe to finger
Definition
Finger-nose, Finger-finger, heel-knee, toe-finger

Dysmetria/Cerebellar Dysfunction
Term
Inability to properly rebound from bicep pull/resistance
Definition
Holmes

Rebound Phenom/Cerebellar
Term
Patient can't hold hand over head
Definition
Andre Thomas

Rebound Phenom/Cerebellar
Term
Patient's movements become tremulous as they reach for an object
Definition
Intention tremors

Accessory movements/Cerebellar
Term
Speech slurred and articulation difficult
Definition
Dysarthria

Accessory movement/Cerebellar
Term
Nystagmus seen at rest, fatigued, or most importantly in lateral gaze
Definition
Nystagmus

Accessory movements/Cerebellar
Term
Highest risk group to perform George's Test
Definition
FEmales 20-40 yo, taking BCPs and smoking
Term
4 Tests for Georges Test
Definition
Barre Leiou
Maigne's
Dekleyn's
Hautant's
Term
What test(s) for VBAI: Vertebrobasilar artery insufficiency evaluation
Definition
Georges Test
Term
What else should be performed in VBAI besides George's Test
Definition
Case history
PE
Vascular bruits
Bilateral pulse volume, BP
Term
Patient may exibit nausea, vertigo, sycope, visual changes or nystagmus when head is turned right and left while seated
Definition
Barre Leiou Test

Georges Test/VBAI
Term
Patient may exibit nausea, vertigo, sycope, visual changes or nystagmus when head is rotated, extended, and held for 15-30 seconds
Definition
Maigne's Test

George's Test/VBAI
Term
Patient may exibit nausea, vertigo, sycope, visual changes or nystagmus while in supine, head is declined off table and rotated, held for 15-30 seconds each side
Definition
Dekleyn's Test

George's Test/VBAI
Term
Pronator drift occurs when patient is seated, brings arms to shoulder level, head is rotated, extended, eyes closed
Definition
Hautant's Test

George's Test/VBAI
Term
2 test categories for Extrapyramidal evaluation
Definition
Parkinsonism
Dyskinesia
Term
Symptoms for Parkinsonism
Definition
Festinating/shuffling gait
Resting tremors/pill rolling
Mask faces
Rigidity
Positive Soques Test
Term
Patient falls over when back support is pulled away
Definition
Soque's Test

Dyskinesia/Extrapyramidal evaluation
Term
Jerky quick movements mostly in extremities and may be present in sleep
Definition
Choreas

Dyskinesia/Extrapyramidal Eval
Term
Snake like movements that are continuous and slow, not present in sleep
Definition
Athetosis

Dyskinesia/Extrapyramidal Eval
Term
Jerking movements of half the body only, twitching of extremities
Definition
Hemiballism

Dyskinesia/Extrapyramidal Eval
Term
Abnormal trunk movements and postures
Definition
Dystonias

Dyskinesia/Extrapyramidal Eval
Term
Ticks and twitches
Definition
Myoclonus

Dyskinesia/Extrapyramidal Eval
Term
4 tests for Sensory/Dorsal Column Dysfunction
Definition
Apallesthesia
Akinesthesia
Absence of deep pressure
Multi Modal sensations
Term
2 tests for Akinesthesia
Definition
Rombergs
Positional change digits
Term
3 tests for Absence of Deep Pressure
Definition
Abadie's Achilles
Biernacki's
Pitre's Testes
Term
2 tests for Multi Modal Sensations
Definition
Stereognosis
Graphesthesia
Graphognosis
Term
Patient cannot determine letters/numbers written on palms/soles
Definition
Graphesthesia/Graphognosis

MultiModal Sensations/SensoryDorsal Column Dys.
Term
Patient cannot guess what's in their hand
Definition
Stereognosis

MultiModal Sensations/SensoryDorsal Column Dys.
Term
Discomfort when pushing on ulnar nerve
Definition
Biernacki's

Absence of deep pressure/SensoryDorsal Column Dys.
Term
Discomfort when squeezing achilles
Definition
Abadie's achilles

Absence of deep pressure/SensoryDorsal Column Dys.
Term
Patient has difficulty telling direction of movement when fingers are moved up and down
Definition
Positional change digit

Akinesthesia(Proprioception)/SensoryDorsal Column Dys.
Term
Patient falls over with eyes closed in Rombergs position
Definition
Rombergs Test

Akinesthesia(Proprioception)/SensoryDorsal Column Dys.
Term
Patient cannot sense vibration of tuning fork
Definition
Apallasthesia (Vibration)

SensoryDorsal Column Dys.
Term
Test Name/Category for Pyramidal/Corticospinal/UMN Lesions
Definition
Muscular Hypertonia
Pathological Reflexes (upper limb)
Pathological Reflexes (head)
Pathological Reflexes (lower limb)
Absence of Superficial Reflexes
Term
3 tests for Muscular Hypertonia
Definition
Clonus
Hyperreflexia
Clasp Knife Rigidity
Term
Test for Pathological Reflexes (head)
Definition
Snout reflex
Term
6 tests for Pathological Reflexes (lower limb)
Definition
Babinski
Gordon's
Chaddocks
Oppenheims
Schaefers
Rossolimos
Term
7 tests for Absence of Superficial Reflexes
Definition
Corneal/Sclera
Gag
Abdominal
Cremasteric/Geigel
Plantar
Gluteal
Anal
Term
Patient's appendage shakes continuously with tremors after reflex is hit
Definition
Clonus test

Muscular Hypertonia/UMN Lesions
Term
Reflex is larger than normal when hit
Definition
Hyperreflexia

Muscular Hypertonia/UMN Lesions
Term
ROM on upper/lower extremities shows initial resistance followed by easier movement
Definition
Clasp Knife Rigidity

Muscular Hypertonia/UMN Lesions
Term
When wrist is cupped and pisiform squeezed, fingers extend
Definition
Gordon's Finger

Pathological Reflexes (Upper Limb)
Term
Fingers extend when Palmaris Longus is pressed
Definition
Chaddock's Wrist

Pathological Reflexes (Upper Limb)
Term
Fingers flex when the base of the third MCP is tapped
Definition

Rossolimo's Hand Sign

Pathological Reflexes (Upper Limb)/UMN Lesions

Term
Fingers flex when patient supinates arm and taps 2nd & 3rd digits into extension
Definition
Tromner's

Pathological Reflexes (Upper Limb)
Term
Thumb and 1st finger make an OK sign when patient pronates & 3rd digit held on sides and then flicked into flexion
Definition
Hoffman's

Pathological Reflexes (Upper Limb)
Term
When patient grimaces on ipsilateral side when tapped on nose and cheek
Definition
Snout Reflex

Pathological reflex (head)/UMN lesions
Term
Patient extends great toe and fans other toes when plantar surface is stimulated
Definition
Babinski

Pathological reflexes (lower limb)/UMN lesions
Term
Patient extends great toe and fans other toes when the calf is squeezed
Definition
Gordon's

Pathological reflexes (lower limb)/UMN lesions
Term
Patient extends great toe and fans other toes when a C is drawn from lateral malleolus to toes
Definition
Chaddock's

Pathological reflexes (lower limb)/UMN lesions
Term
Patient extends great toe and fans other toes when a stimulus is run down the tibial plateau
Definition
Oppenheim's

Pathological reflexes (lower limb)/UMN lesions
Term
Patient extends great toe and fans other toes when the achilles is pinched firmly
Definition
Schaefer's

Pathological reflexes (lower limb)/UMN lesions
Term
PAtient flexes all toes when the 3rd MTP is tapped on the plantar side
Definition
Rossolimo's

Pathological reflexes (lower limb)/UMN lesions
Term
Patient does not blink when cornea/sclera stroked
Definition
Corneal/Sclera test

CN V/Absence of Superficial Reflexes/UMN Lesions
Term
No gag reflex
Definition
Gag test

CN IX/X/Absence of Superficial Reflexes/UMN Lesions
Term
No umbilical reponse when abdominal quadrants stroked
Definition
Abdominal Test

Absence of Superficial Reflexes/UMN Lesions
Term
Male scrotum/female LabiaMajora doesn't elevate when medial thigh is stroked
Definition
Cremasteric/Geigel test

Absence of Superficial Reflexes/UMN Lesions
Term
Toes don't curl down or move when lateral foot across metatarsals is stroked
Definition
Plantar test

Absence of Superficial Reflexes/UMN Lesions
Term
Absence of glut reflex/anal wink when gluts stroked or skin around anus manipulated
Definition
Gluteal/Anal Test

Absence of Superficial Reflexes/UMN Lesions
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