the neuro exam - coordination testing

coordination tests are only performed if the patient has adequate ____ to complete the required movements

strength

coordination testing assess function and the ability to use _____ info during _____

cerebellar, movement

if the dysfunction is cerebellar, _____ will be normal

conscious proprioception

if the dysfunction is proprioceptive, ____ and ____ will be impaired, and ____ reflexes will be diminished or absent

conscious proprioception, vibratory sense, ankle

abnormal voluntary movemenrs that are of normal strength but are jerky and inaccurate

ataxia

involuntary, rhythmic shaking that worsens during voluntary movement

intention tremor

inability to move the precise distance

dysmetria

rapid alternating movements assess ____, ____, ____, ____ of movement and any muscle _____

speed, smoothness, symmetry, rhythm, substitution/compensation

rapid alternating movements normal performance

10 cycles in less than 10 seconds

abnormal rapid alternating movements

dysdiadochokinesia

rapid alternating movements requires coordination of _____

agonist and antagonist muscle groups

rapid alternating movements test

pronate and supinate forearms `

finger chase and finger to nose both assess

quality of movement and accuracy

finger chase test

50% of patients reach, 5 consecutive sudden and fast pointing movements, in frontal plane

finger chase test movements have an amplitude of ____ and frequency of _____

30 cm, 1 movement every 2 seconds

finger to nose test

touch finger and then nose, at 90% of patient reach

heel-shin slide test

heel from tibial tuberosity to ankle

heel-shin slide test should be done ____

quickly