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CNS_Motor_Examination_Proforma

The CNS Motor Examination Proforma is a structured assessment tool for evaluating motor function, including inspection of muscle bulk, tone, power, reflexes, coordination, and gait. It utilizes various scales and tests to document findings for both upper and lower limbs. The form allows for a comprehensive evaluation of neurological function in patients.

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Siddharth Sahai
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12 views2 pages

CNS_Motor_Examination_Proforma

The CNS Motor Examination Proforma is a structured assessment tool for evaluating motor function, including inspection of muscle bulk, tone, power, reflexes, coordination, and gait. It utilizes various scales and tests to document findings for both upper and lower limbs. The form allows for a comprehensive evaluation of neurological function in patients.

Uploaded by

Siddharth Sahai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CNS Motor Examination Proforma

1. Inspection
- Muscle bulk: Normal / Wasting / Hypertrophy
- Fasciculations: Present / Absent
- Involuntary movements: Tremors / Chorea / Athetosis / Myoclonus / Dystonia
- Posture of limbs: Normal / Abnormal

2. Tone
- Assessed by passive movement of major joints
- Upper Limbs: Shoulder, Elbow, Wrist
- Lower Limbs: Hip, Knee, Ankle
- Findings:
- Normal / Hypotonia / Hypertonia
- Type of hypertonia: Spasticity / Rigidity

3. Power (Muscle Strength)


Graded using MRC Scale: 0 = no movement, 5 = normal power

Upper Limbs

Movement Side MRC Grade

Shoulder Abduction (C5) L/R ___

Elbow Flexion (C5-C6) L/R ___

Elbow Extension (C7) L/R ___

Wrist Extension (C6) L/R ___

Finger Flexion/Extension L/R ___


(C8)

Finger Abduction (T1) L/R ___

Lower Limbs

Movement Side MRC Grade

Hip Flexion (L1-L3) L/R ___

Hip Extension (L5-S1) L/R ___

Knee Flexion (L5-S1) L/R ___


Knee Extension (L3-L4) L/R ___

Ankle Dorsiflexion (L4-L5) L/R ___

Ankle Plantarflexion (S1) L/R ___

4. Reflexes
Graded: 0 = Absent, 1+ = Diminished, 2+ = Normal, 3+ = Brisk, 4+ = Clonus

Deep Tendon Reflexes

Reflex Side Grade

Biceps (C5-C6) L/R ___

Triceps (C7-C8) L/R ___

Supinator (C5-C6) L/R ___

Knee (L3-L4) L/R ___

Ankle (S1-S2) L/R ___

Superficial Reflexes

Reflex Side Present/Absent

Abdominal (T6–T12) L/R ___

Plantar (Babinski) L/R ___

Cremasteric (L1-L2, males) L/R ___

5. Coordination
- Upper Limbs: Finger-nose test, Dysdiadochokinesia
- Lower Limbs: Heel-shin test
- Findings: Present / Absent / Delayed / Ataxic

6. Gait & Balance


- Gait: Normal / Spastic / Ataxic / Parkinsonian / High-stepping
- Romberg’s test: Negative / Positive

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