Neuromusculoskeletal Examination and Assessment A handbook for therapists

Whittaker, Maggie; GradDipPhys,

doi:10.1016/s0031-9406(05)60704-3

Cited by 3 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most identified tactile sensitivity tests examined the somatosensory systems, predominantly the spinothalamic tract (including tests of pain, temperature, and light touch) 19 and the dorsal column (including tests of localized touch, pressure, vibration, and joint position sense). 19,38 Consensus findings were consistent with upper limb assessments identified by clinicians in a study by Auld and Johnston, 16 with the exception of stereognosis tests. Stereognosis tests are typically used for the upper limb and their omission by clinical experts within this Delphi supports a perceived lack of importance for use on the lower limb.…”

Section: Discussionmentioning

confidence: 99%

“…17 Muscle strength, tactile sensitivity, and reflex tests are commonly reported within the literature when evaluating neurological integrity and form the focus of this study. 9,18,19 Tests in other domains, such as muscle tone, are predominantly limited to evidence within neurodevelopmental tests for children younger than 6 years. 20 Standardized protocols for measuring muscle strength in children developing typically have been proposed 1,21,22 ; however, these are not inherently transferrable to children with a neurological condition.…”

mentioning

confidence: 99%

See 1 more Smart Citation

International Delphi Recommendations for Pediatric Lower Limb Neurological Test Protocols for Muscle Strength, Reflexes, and Tactile Sensitivity

Clark

Baque

Bialocerkowski

2022

Pediatric Physical Therapy

View full text Add to dashboard Cite

Purpose: To gain consensus from physical therapists on pediatric lower limb neurological tests of muscle strength, tactile sensitivity, and reflexes. Methods: A Delphi technique was used for 2 sequential questionnaire rounds to gain consensus from a panel of pediatric physical therapists (n = 28). Physical therapists rated their agreement to items from statements on pediatric lower limb neurological tests, their protocols, and interpretation using a 6-point Likert scale. Results: Ninety percent of items gained consensus: 80% on pediatric lower limb neurological tests, 88% on test protocols, and 92% on test interpretation. Fifty-one percent of items had high agreement and high importance. Conclusion: There is variability in pediatric neurological tests used, their protocols, and interpretation. Identification of items with high agreement and importance is the first step to develop a standardized lower limb neurological assessment for pediatric clients of varying ages and diagnoses.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

International Delphi Recommendations for Pediatric Lower Limb Neurological Test Protocols for Muscle Strength, Reflexes, and Tactile Sensitivity

Clark

Baque

Bialocerkowski

2022

Pediatric Physical Therapy

View full text Add to dashboard Cite

show abstract

“…While the subject was sitting on the MR‐table, the four electrodes were positioned on the left side according to the three branches of the trigeminal nerve and the GON (Figure 1). The GON was located by palpation according to validated procedures (Loukas et al., 2006; Petty & Ryder, 2017) and the electrode was positioned immediately above. V1 was stimulated by means of an electrode placed on an arbitrary vertical line between the medial and lateral quarter of the face corresponding the middle of the eyebrow and approximately 1 cm above.…”

Section: Methodsmentioning

confidence: 99%

Cerebellar somatotopy of the trigemino‐cervical complex during nociception

Basedau,

May,

Mehnert

2023

European Journal of Pain

View full text Add to dashboard Cite

IntroductionThe somatotopic organization of the human cerebellum processes somato‐motoric input. Its role during pain perception for nociceptive input remains ambiguous. A standardized experimental trigeminal nociceptive input in functional imaging might clarify the role of the cerebellum in trigeminal nociception. Also of interest is the greater occipital nerve, which innervates the back of the head, and can influence the trigeminal perception due to functional coupling within the brainstem, forming the so‐called trigemino‐cervical complex.MethodsIn our preregistered study (clinicaltrials.gov: NTC03999060), we stimulated the greater occipital as well as the three main branches of the trigeminal nerve during functional magnetic resonance imaging in two independent cohorts of young healthy volunteers without psychiatric, neurological or pain‐related disorders to disentangle overlapping somatotopic cerebellar organization of the nerves innervating the human head.ResultsWe found a dominant effect of the first trigeminal branch in the cerebellum, underpinning its particular role for headache diseases, and somatotopic representations in bilateral cerebellar lobules I–IV, V, VIIb, VIIIa and Crus I as well as in the brainstem.SignificanceThe study expands the current knowledge on facial and head pain processing by the cerebellum and provides an initial somatotopic map of the trigemino‐cervical complex in the human cerebellum with a predominant representation of the first trigeminal branch.

show abstract

“…The testing procedures involved executing a detailed musculoskeletal and neurological examination to help establish the extent of neuropathy and motor performance ability of the FRDA subject [10]. Range of motion and strength were tested using goniometry and manual muscle testing respectively [11]. Upper extremity assessment revealed full range of motion in all joints.…”

Section: Case Presentation Patient Descriptionmentioning

confidence: 99%

“…The right lower limb was slightly weaker than the other side, which might have been related to the prior right patellar fracture. Screening for scoliosis was done as it is a common feature of FRDA, nevertheless the patient did not have such condition [11]. The sensory integrity was evaluated [11].…”

Section: Case Presentation Patient Descriptionmentioning

confidence: 99%

Intensive Multimodal Treatment for A Young Adult with Friedreich Ataxia: A Case Report

Battal¹,

Pinsault²,

Hanna-Boutros³

2023

IJPR

View full text Add to dashboard Cite

Background: Friedreich’s ataxia (FRDA) is a progressive, neurodegenerative autosomal recessive disorder affecting multiple systems of the body. Physical therapy has been found to be beneficial for improving function and quality of life in individuals with FRDA. However, there is little evidence supporting specific interventions that would address functional concerns in these patients, and the most optimal rehabilitation strategy has yet to be determined. Case Presentation: The participant was a twenty-six-year-old female who had been diagnosed with FRDA ten years earlier. After discontinuing physical therapy for three years, she started using a wheelchair and her function declined. The primary outcome measures employed to assess FRDA were the scale for assessment and rating of ataxia (SARA) and the functional independence measure (FIM). Other measures included strength, range of motion and neurologic screening. At initial examination, the participant presented with muscle weakness, poor balance and coordination, and mobility restrictions. The patient received intensive physical therapy with five weekly sessions over a period of three months. Interventions focused on coordinative, balance, and strength training activities. Results: The patient demonstrated a 30-point increase in the FIM, a 9-point decrease in the SARA, and amelioration in manual muscle testing scores upon completion of the rehabilitation program. Conclusion: The FRDA patient displayed improvement in all outcome measures. Strength, ataxia severity and functional abilities were enhanced while a higher level of independence was gained. Our observations suggest that an intensive multimodal approach holds potential in the management of FRDA and call for further research. KEYWORDS: Friedreich’s ataxia, Rehabilitation outcomes, Physical therapy.

show abstract

Neuromusculoskeletal Examination and Assessment A handbook for therapists

Cited by 3 publications

References 0 publications

International Delphi Recommendations for Pediatric Lower Limb Neurological Test Protocols for Muscle Strength, Reflexes, and Tactile Sensitivity

International Delphi Recommendations for Pediatric Lower Limb Neurological Test Protocols for Muscle Strength, Reflexes, and Tactile Sensitivity

Cerebellar somatotopy of the trigemino‐cervical complex during nociception

Intensive Multimodal Treatment for A Young Adult with Friedreich Ataxia: A Case Report

Contact Info

Product

Resources

About