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Prior to referring a patient to a neurologist, a general practitioner or MS nurse will perform a finger-to-nose test. [5] The clinician will raise a finger in front of the patient and ask him to touch it with his finger and then touch his nose with his forefinger several times. This shows a patient's ability to judge the position of a target.
In a finger-to-nose test, a physician has the individual touch their nose with their finger while monitoring for irregularity in timing and control of the movement. An individual with intention tremors has coarse side-to-side movements that increase in severity as the finger approaches the nose. Similarly, the heel-to-shin test evaluates ...
The examiner holds their hand in front of the patient, who is then asked to repeatedly touch their index finger to their nose and the examiner's finger. The distance between the examiner's hand and patient's nose should be larger than the forearm length of the patient, so that the patient need to move both their shoulder joint and elbow joint ...
Romberg test – 2 out of the following 3 must be intact to maintain balance: i. vision ii. vestibulocochlear system iii. epicritic sensation "intact to sharp and dull throughout" Cerebellum: Cerebellar testing Dysmetria. Finger-to-nose test; Ankle-over-tibia test; Dysdiadochokinesis. Rapid pronation-supination; Ataxia Assessment of gait; Nystagmus
inability to coordinate fine motor activities (intention tremor), e.g. "past-pointing" (pointing beyond the finger in the finger-nose test) inability to perform rapid alternating movements (dysdiadochokinesia), e.g. inability to rapidly flip the hands; involuntary horizontal eye movements
The walk-and-turn test is composed of two phases: the Instruction Phase and Walking Phase. During the test, the individual is directed to take nine steps along a straight line. The individual is supposed to walk heel to toe, and while looking down at a real or imaginary line, count the steps out loud. The test subject's arms must remain at ...
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