Motor System Assessment Sheeba Jacob RN Victoria Kim RN
Motor System Assessment Sheeba Jacob BSN ,RN Victorian Kim BSN ,RN Motor System What Is Motor System Assessment Motor System Assessment Assessment of the motor system include
evaluation of bilateral muscle strength and coordination and balance tests. Be sure to assess bilaterally and compare findings. Motor system Inspection Start by looking at the patient. Do muscles look wasted? Is there asymmetry? If the nurse strike the affected muscle with
a jerk hammer, it may induce fasciculation. Motor System Assessment findings on YouTube http://www.youtube.com/watch?v=z62JMY2dKjU &feature=related http://www.youtube.com/watch?v=Ul6sAiJY9cA& feature=related http://www.youtube.com/watch?v=UgycfWSn_0
w&feature=related You Tube on Motor System Assessment http://www.youtube.com/watch?v=UgycfWSn_0w&featur e=related http://www.youtube.com/watch?v=hvkT08HYEbM&featur e=related http://www.youtube.com/watch?v=15oh7rs-1jE&feature=
related http://www.youtube.com/watch?v=Ul6sAiJY9cA&feature =related http://www.youtube.com/watch?v=PcZuTEwHSrw&featur e=related How To Examine Muscle Strength Examine arm and leg muscles looking for atrophy and abnormal movements such as
tremors. For a quick check of muscle tone, perform passive range of motion exercises and note any resistance. Assess upper leg muscle strength of a bed patient by having him flex his hip and knee so that the knee is about 8 inches off the bed. Coordination and Balance Tests
Coordination can be checked by having the patient close the eyes and touch the finger to the nose. Coordination can also be assessed by having the patient perform rapid alternating movements (RAMs). These tests will help you evaluate coordination and detect intentional tremors.
You Tube http://www.youtube.com/watch?v=Ul6sAiJ Y9cA http://www.youtube.com/watch? v=6XAPsAKLJN4 http://www.youtube.com/watch? v=oYeqavQiZdg Rapid alternating movements test
Seat the patient. Instruct him to pat his knees with his hands, palms down then palms up. Have him alternate palms down and palms up rapidly. Watch the patient to notice if his movements are stiff, slow, nonrhythmic, or jerky. The movements should be smooth and rhythmic as he does the task faster.
Rapid alternating movements test Ask the patient to walk back and forth across the room. Observe for equality of arm swing , balance and rapidity and ease of turning. Next, ask the patient to walk on his tiptoes, then on heels. Ask the patient to tandem walk.
Rom berg test Instruct the patient to stand with his feet together and his arms at his side. Have the patient do this with his eyes open and then with his eyes closed. (Stand close to the patient to keep him upright if he starts to sway.) Expect the patient to sway slightly but not
fall. This is a test of balance A reflex A reflex is defined as an immediate and involuntary response to a stimulus.( Details were covered in the DTR PPT) Superficial reflexes. Stroke the skin with a hard object such as an applicator stick. What is felt is a superficial reflex
5 Ps Pain Pallor Pulses Paresthesia Paralysis Tests used clinically to assess motor system function.
Motor system Tone: Flex and extend limbs. Rapidly pronate and supinate forearms. Look for spasticity ('clasp-knife'), rigidity ('lead-pipe'), and clonus. Tests used clinically to assess motor system function. Power:
oppose active flexion and extension at each major joint: biceps (C5,6); triceps (C6-8); grip (C8); psoas (L2,3); quadriceps (L2-4); glutei (L5;S1); hamstrings (L5;S1); tibialis anterior (L4); extensor hallucis longus (L5). Tests used clinically to assess motor system function.
Reflexes: biceps (C5,6); patellar (L3,4); wooden spatula along outer sole, note first movement of big toe. Flexor (downgoing) is normal. Extensor response indicates upper motor neurone lesion. Stance and gait: observe and record.
DVDs Available PHYSICAL EXAMINATION AND HEALTH ASSESSMENT DVD SERIES: DVD 1: NEUROLOGIC: MOTOR SYSTEM AND REFLEXES, VERSION 2
To order this title, and for more information, click here By Carolyn Jarvis, PhD, APN, CNP, Family Nurse Practitioner, Chestnut Health Systems, Bloomington; Adjunct Assistant Professor of Nursing, School of Nursing, Illinois Wesleyan University, Bloomington, IL
http://www.elsevier.com/wps/find/bookdescription.cws_home/ 713169/description#description Post-Test 1. Assessment of the motor system include: A. Bilateral muscle strength B. Bilateral muscle coordination C. Balance test
D. All of the above Correct Answer D. All of the above. The test includes strength, coordination, and balance Post-Test True or False It is not necessary to test extremities
bilaterally and compare findings. Correct Answer False It is necessary to compare extremities to determine if there is a weakness in one and perhaps the degree of weakness Post-Test
Which of the following is an example of how to test coordination A. Have the patient push up both of their hands as you push down with your hands to create resistance B. Have a patient touch the nose with the tip of their index finger, alternating fingers from both hands C. Have a patient in a sitting position push both
feet up against your hands Correct Answer B. Having the patient place their finger to nose will show how well the patient is coordinating movements. A and C will help you to test muscle strength. References
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