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Cerebellar Examination

The document describes performing a cerebellar examination on a patient. Various tests are described to assess coordination, gait, balance, speech, eye movements, reflexes, and tone. Tests included tandem walking, Romberg's test, finger-nose coordination, rapid hand movements, knee jerks, and heel-to-shin movement. The conclusion was that the examination was normal, with no evidence of ataxia, loss of coordination, or other abnormalities.

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divyamuthyala
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43 views4 pages

Cerebellar Examination

The document describes performing a cerebellar examination on a patient. Various tests are described to assess coordination, gait, balance, speech, eye movements, reflexes, and tone. Tests included tandem walking, Romberg's test, finger-nose coordination, rapid hand movements, knee jerks, and heel-to-shin movement. The conclusion was that the examination was normal, with no evidence of ataxia, loss of coordination, or other abnormalities.

Uploaded by

divyamuthyala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CEREBELLAR EXAMINATION

Hi I am divya one of the medical students at windsor


university school of medicine .

- Can i check with your name and date of birth


please
- Okay great! I would like to test your coordination
today , so it’s gonna involve me observing you
walking, moving arms and also testing your
eyes.
- Is that okay?
- Can we start ?
Okay can you please walk towards ( assessing
gait,stability )

- I will ask the patient to walk with one foot in front


of the other back to the other wall
( tandem gait- it exaggerates unsteadiness)
- I am gonna test your balance now , so if you
can put your arms down by your side and
feet together, i’m just gonna put my arms 0ut
if you feel unsteady …. So can you just
close your eyes for me now…(
ROMBERG’S TEST positive if the patient
falls without correction , this is a test of
proprioception rather than cerebellar
disease)
Now you can open your eyes.

- INSPECT PATIENT’S POSTURE- note any


truncal ataxia
- ASSESS SPEECH - slurred staccato speech is
characteristic of cerebellar disease.
‘I am just gonna ask you to repeat a few words
for me to test your speech”
Contemporary ; spectacular;
- I m just going to ask you to follow my finger with
your eyes try and keep your head still as you
can ASSESS FOR NYSTAGMUS
- ( If nystagmus is present note direction of gaze
and nystagmus)
- ASSES COORDINATION finger to nose test
-past pointing is noted in cerebellar disease.
So now if you can touch my index finger with
your right hand and touch your nose and touch
my finger and keep going back and forth .
Can you repeat it with the other finger .
Assess for rebound phenomenon- now if you
can put your arms out straight for me like this
and if you can close your eyes now i’m going to
push down on your arms one either side just try
and keep your arms ups for me.

ASSESS TONE - SO i m just gonna move your


arms around so just let me take your weight and
just go floppy , have you got any pain in your
arm at all? On both sides.
(HYPOTONIA IS NOTED IN CEREBELLAR
DISEASE.)

DYSDIADOCHOKINESIA - inability to perform


rapidly alternating movements.
- Can you place one of your hands on top of
the other like this for me and just turn the top
over and keep doing back and forth again as
quick as you can ,
- Now with the other hand.

Now I’m gonna test your reflexes now so i'm


gonna be tapping your knees on both sides.
Knee reflex - hyporeflexia in cerebellar
disease.
Okay so now if you can swing your legs
around in the bed
Now if you can place this heel on that knee
for me and then just run it down the front
your leg and lift it up and go back to the
knee and please keep doing it.
Incoordination is noted in cerebellar disease
ASSESS COORDINATION - HEEL TO SHIN
TEST.
Can you repeat it with the other leg.

Thank you very much

Today i performed a cerebellar examination on --- yr


old .
On assessment of the gait there was no evidence of
a broad based ataxic gait , there was no loss of
coordination of trunk or limbs no nystagmus in eyes .
it was a normal examination

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