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A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
The test itself assesses the nervous tissue between and including the L2 and L4 segments of the spinal cord. [ 1 ] The patellar reflex is often tested in infants to test the nervous system.
The Hoffmann's reflex test itself involves loosely holding the middle finger and flicking the fingernail downward, allowing the middle finger to flick upward reflexively. A positive response is seen when there is flexion and adduction of the thumb on the same hand. [4] Eg. in hypertonia, the tips of other fingers flex and the thumb flexes and ...
[5] Other characteristics: distal Wallerian degeneration; distal sensory and motor deficits; nerve conduction distal to the site of injury (3 to 4 days after injury) absent; fibrillation potentials (FP), and positive, sharp EMG waves (2 to 3 weeks post injury).
[3] [4] [5] [1] Nerve conduction studies are also used for evaluation of paresthesias (numbness, tingling, burning) and/or weakness of the arms and legs. [6] The type of study required is dependent in part by the symptoms presented. A physical exam and thorough history also help to direct the investigation. [6]
In medicine, reflexes are often used to assess the health of the nervous system. Doctors will typically grade the activity of a reflex on a scale from 0 to 4. While 2+ is considered normal, some healthy individuals are hypo-reflexive and register all reflexes at 1+, while others are hyper-reflexive and register all reflexes at 3+.
Clinical neurophysiology is a medical specialty that studies the central and peripheral nervous systems through the recording of bioelectrical activity, whether spontaneous or stimulated. It encompasses both research regarding the pathophysiology along with clinical methods used to diagnose diseases involving both central and peripheral nervous ...
The Peabody Picture Vocabulary Test, the 2007 edition of which is known as the PPVT-IV, is an untimed test of receptive vocabulary for Standard American English and is intended to provide a quick estimate of the examinee's receptive vocabulary ability. It can be used with the Expressive Vocabulary Test-Second Edition (EVT-2) to make a direct ...
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