1. Neurological Sheet

2. Examination of the Motor System
Inspection :

3. Examination of the Muscle Tone
Passive Movements
Shaking
Gower’s method

4. Abnormal Muscle tone
Hypertonia
Hypotonia

5. Types of Hypertonia Rigidity Spasticity Site of lesion Distribution
Extra pyramidal
Pyramidal
Site of lesion
Proximal>distal Flexors of U.L &L.L &Trunk
Distal> proximal Extensors of L.L Trunk &Flexors of U.L.
Distribution
Lead pipe or Cog-wheel
Clasp - knife
Character
Hypo reflexia
Hyper reflexia
Deep Reflexes

6. Examination of the Muscle Power
Upper Limb :
. Shoulder
. Elbow
. Wrist
. Hand

7. Examination of the Muscle Power
Abdomenal Muscles(T6-T12) :
Lower Limb :
. Hip
. knee
. Ankle

8. Examination of Reflexes
Deep Reflexes
Superficial reflexes

9. Examination of the Sensory System
Superficial Sensations : Pain – Temperature – Touch
Deep Sensation : * Vibration Sense
* Joint Sense
* Muscle Sense
* Nerve Sense
* Romberg’s Test

10. Examination of the Sensory System
Cortical Sensation :

11. Examination of Coordination
Upper Limb :

12. Examination of Coordination
Lower Limb :

13. Examination of the Back and Spine
Examine for :
1- Tenderness
2- Deformity
3- Hair tuft
4- Swelling
5- Abnormal pigmentation

14. Examination of the Cranium
Examine for :
1- Size,Shape,Sutures&Fontanelles
2- Bony tenderness
3- Dilated veins
4- McEwin’s sign in brain tumors

15. Examination of the Gait.

16. Thank you