Neurologisch onderzoek

Myelopathie
1. Clinical Prediction Rules, US:2, sen ↓, spec ↑
  1. 1.Afwijkend gaan
  2. 2. Positieve Hoffmann's test
  3. 3. Inverted Supinator Sign
  4. 4. Positieve Babinski Test
  5. 5. leeftijd >45
2. Hoffman's reflex, US:2, sen ↓, spec ↑
3. Babinski Sign, US2, sen ↓, spec ↑
4. Lhermitte's Sign, US3, sen ↓, spec ↑
5. Crossed Upgoing Toe Sign (cut), US 2, sen ↓, spec ↑
6. Clonus, US 2, sen ↓, spec ↑
7. Deep Tendon Reflex test, US 2, sen ↓, spec ↑
8. Suprapatellar Quadriceps Test??????? Staat niet in een cluster, onderzoek 9 is in een setting met mensen die al gediagnosticeerd zijn met spinal cord compression. Mee nemen of niet?
9. Inverted Supinator Sign, US:?, sen ↓, spec ↑
10. Achilles Tendon Reflex test, US: 2, sen ↓, spec ↑
11. Infrapatellar Tendon Reflex, US: 3, sen ↑, spec ↓
Upper Motor Neuron Reflex
1. Palmomental Reflex, US: 2, sen ↑, spec ↓
Monohemishperic Brain Tumor/Lesions
1. Clinical Prediction rules, US: 1, sen ↑, spec ↑
  1. Pronator Drift
    1. Finger Tap
      1. Deep Tendon Reflexes
2. Digit Quinti Sign, US:3, sen ↓, spec ↓
3. Pronator Drift Test, US: 1, sen ↓, spec ↑
4. FInger Rolling Test, US: 1, sen ↓, spec ↑
5. Forearm Rolling test, US: 1, sen ↓, spec ↑
6. Finger Tap, US: 1, sen ↓, spec ↑
7. Modified Mingazzini's Maneuver, US: 2, sen ↓, spec ↑
8. Rapid Alternating Movements of the Hand, US: 2, sen ↓, spec ↑
9. Barre Test, US: 2, sen ↑, spec ↑
cranial nerve
1. 2: Optic Nerve (Zien)
2. 3: Oculomotor (oogbeweging)
3. 4: Trochlear (beneden kijken/roteren)
4. 5: Trigeminal (Sensibiliteit gelaat/kauwspieren)
5. 6: Abducens (rotatie oog naar buiten)
6. 7: Fascialis (Mimiek)
7. 8: Vestibulocochlearis (evenwicht/gehoor)
8. 9: Glossopharyngicus (slikken
9. 1: Olfactory (Reuk)
10. 10: Vagus (stem)
11. 11: Accessorius (nek/hoofd)
12. 12: Hypoglossus (tong/hals)
(Post) Concussion Syndrome
1. Tandem Walk Test
2. Single Limb Stance
3. Finger to Nose test
4. ICD-10 Criteria ( ↓ Sen, ↑Spec,)
Peripheral Neuropathy
1. Clinical Prediction Rules, US: 2, sen ↑, spec ↑
  1. Absence of the Achilles reflex
    1. Position sense of dominant side great toe
      1. Vibration sense using a 128 Hz tuning fork. Test + bij minder dan 8 seconden waarneming proximaal bij het nagelbed bij de 1e straal
2. Superficial Pain, US: 1, sen ↓, spec ↑
3. Vibration Testing, US: 1, sen ↓, spec ↑
4. Monofilament testing, US: 1, sen ↓, spec ↑
5. Position Sense of the Great Toe, US: 2, sen ↑, spec ↓
6. Achilles Reflex, US: 2, sen ↓, spec ↑
7. Phalen's Test, US: 3, sen ↑, spec ↓
Peripheral Nerve Pathology
1. Long Thoracic Nerve Injury
2. Pronator Teres Syndrome Test
3. Common Fibular Nerve Injury
4. Pencil test
Fascioscapulohumeral Dystrophy
1. Beevor's Sign, US: 2, sen ↑, spec ↑
Lumbar Radiculopathy
1. Achilles Tendon Reflex, US: 2, sen ↓, spec ↑
2. Quadriceps Tendon Reflex, US: 3, sen ↓, spec ↑
3. Extensor Digitorum Brevis Tendon Reflex, US: 3 sen ↓, spec ↑
4. Muscle Power Testing, US: 3
  1. L1 - L2: Hip Flexion
    1. L3-L4: Knee Extension
      1. L4-L5: Dorsiflexion
        L5: Great toe Extension
        L5-S1: Pelvic drop
        S1: Toe walking
Cervical Radiculopathy
1. Biceps Tendon Reflex, US: 2,sen ↓, spec ↑
2. Triceps Tendon Reflex, US: 3, sen ↓, spec ↑
3. Brachioradialis Tendon Reflex, US: 3, sen ↓, spec ↑
4. Muscle Power Testing, US: 2, sen ↓, spec ↑
  1. C1 - 3: Cervical Rotation
    1. C4: Shoulder Shrug
      1. C5: Shoulder Abduction
        C6: Biceps Flexion
        C7: Flexion Wrist
        C8: Thumb Extension
        T1: Finger Abduction
5. Sensibility Testing, US: 2, sen ↓, spec ↑
6. Combined test upper extremity, US: 3, sen ↓, spec ↑

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Neurologisch onderzoek

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	Created by Michiel van Kalsbeek almost 10 years ago