Nerve Function: Controls trapezius and sternocleidomastoid (SCM) muscles. Inspection: Inspect the shoulders for asymmetry and atrophy Trapezius Power: Ask the patient to shrug their shoulders against resistance SCM Power: Ask the patient to turn their head to either...
Examination Technique: use a 128 hertz vibration fork apply the stimulus over the distal phalanx of the index finger or large toe. ask the patient to report whether they feel vibration sense and then to report when it stops in order to assess the minimal threshold to...
Examination Technique: demonstrate to the patient initially with eyes open that you will be moving their digit up (towards their head) or down (towards their feet). ask the patient to close their eyes. stabilize the distal interphalangeal joint of the upper extremity...
Pain – Examination Technique: use a disposable pin. ask the patient to close their eyes and report whether they feel sharp or dull. be sure to apply the sharp stimulus to all sites since if only the dull stimulus is applied, pain sensation has not been assessed....
Examination Technique: use a cotton wisp. apply a gentle touch (do not drag the stimulus). ask the patient to close their eyes and report “yes” every time they perceive the stimulus.
