What is included in the neurologic exam to evaluate hemiplegic shoulder pain?

Updated: Feb 08, 2019
  • Author: Robert Gould, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

The neurologic examination includes the following:

  • Cognition – Orientation, memory, attention span

  • Manual muscle testing - Assess strength and tone, evaluate spasticity (modified Ashworth scale)

  • Sensory evaluation - Light touch, pinprick, vibration, proprioception, 2-point discrimination, stereognosis

  • Reflexes

  • Coordination

  • Cranial nerves and visual fields

  • Evaluate for neglect - Letter cancellation test, line bisection test

  • Evaluate for apraxia

Fugl-Meyer index to test motor performance


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