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A complete neurologic examination should contain an assessment of sensorium, cognition, cranial nerves, motor, sensory, cerebellar, gait, reflexes, meningeal irritation, and long tract signs. Specific scales are useful to improve interobserver variability.
Rapid Neurological Exam Checklist Lift arms away from side. Push arms towards side. Pull forearm towards upper arm. Push forearm away from upper arm. Lift wrist up. Push wrist down. Squeeze examiners finger. Pull fingers apart*
Rapid Neurological Exam Checklist Eyes - Can patient see, is vision normal, is eye movement normal. Hearing - Can patient hear equally in both ears, is hearing normal. Smell - Can patient smell (coffee, peppermint, etc.) Facial Muscles - Is the face equal in muscle tone and control, have patient smile.
The neurologic examination is typically divided into eight components: mental status; skull, spine and meninges; cranial nerves; motor examination; sensory examination; coordination; reflexes; and gait and station. The mental status is an extremely important part of the neurologic examination that is often overlooked.
What is done during a neurological exam? Mental status. ... Motor function and balance. ... Sensory exam. ... Newborn and infant reflexes. ... Reflexes in the older child and adult. ... Evaluation of the nerves of the brain. ... Coordination exam:
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The Hammersmith Infant Neurological Examination (HINE) [1] is a standardized neurological exam for infants adjusted age 2 to 24 months. The HINE evaluates nerve function, movements, reflexes and reactions, posture, and tone and can help clinicians identify movement disorders including cerebral palsy (CP).
The revised Hammersmith Scale for Spinal Muscular Atrophy (RHS) was developed as a psychometrically robust and clinically relevant outcome measure designed to test a broad range of physical abilities seen in children and adults with SMA types 2 and 3.
It should be assessed first in all patients. Mental status testing can be divided into five parts: level of alertness; focal cortical functioning; cognition; mood and affect; and thought content.
Spinal muscular atrophy (SMA) is a disorder affecting the motor neurons\u2014nerve cells that control voluntary muscle movement. These cells are located in the spinal cord. Because the muscles cannot respond to signals from the nerves, they atrophy \u2014 weaken and shrink \u2014 from inactivity.
The HFMS is an assessment of the physical abilities of SMA type 2 and type 3 patients with limited ambulation. It is an ordinal scale consisting of twenty items with individual item scoring as 2 for unaided, 1 for performed with modification or adaption and 0 for unable [10].

revised hammersmith scale for sma pdf