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The hand is grasped like a handshake and the arm is moved in various directions to determine the tone. [1] The tone is the baseline contractions of the muscles at rest. The tone may be normal or abnormal which would indicate an underlying pathology. The tone could be lower than normal (floppy) or it could be higher (stiff or rigid).
Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
Posture: muscle tone is reflected in the infant's preferred posture at rest. As maturation progresses, the foetus gradually assumes increasing passive flexor tone at rest that precedes in a centripetal direction with lower extremities slightly ahead of upper extremities. Term newborn (flexed posture) and preterm newborn (extended posture).
Paratonia is the inability to relax muscles during muscle tone assessment. There are two types of paratonia: oppositional and facilitatory. There are two types of paratonia: oppositional and facilitatory.
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.
In neuroanatomical circles, it is often joked, for example, that hemisection of the cervical spinal cord leads to an "upper lower motor neuron syndrome and a lower upper motor neuron syndrome". The saying refers to lower motor neuron symptoms in the upper extremity (arm) and upper motor neurons symptoms in the lower extremity (leg).
Ankle clonus. Clonus is a set of involuntary and rhythmic muscular contractions and relaxations. Clonus is a sign of certain neurological conditions, particularly associated with upper motor neuron lesions involving descending motor pathways, and in many cases is accompanied by spasticity (another form of hyperexcitability). [1]
For example, a person can be high tone with normal to poor flexibility in most areas, but be able to put the palms of the hands on the floor with straight knees due to hypermobile sacroiliac joints. [citation needed] It is important to assess several areas before deciding if a person has high, low, or normal muscle tone.