The Upper Limb Neuro Exam - MedSchool
Sign up to start your free trial of MedSchool Premium!Get Started
 

The Upper Limb Neuro Exam

 
 
Bookmark
When performing an upper limb neurological exam it is important to attempt to localise where the patient's lesion is - within the brain, the spinal cord or the peripheral nervous system. Knowledge of anatomy combined with an attentive examination will assist with this.
 
 

Read More...

 Bumbasirevic M, Palibrk T, Lesic A, Atkinson HD. Radial nerve palsy. EFORT open reviews. 2016 Aug;1(8):286-94.
Chang IT, DePold Hohler A. Bilateral radial nerve compression (crutch palsy): A case report. Journal of Neurology & Neurophysiology. 2012;3(3):10-1.
 Deuschl G, Wenzelburger R, Löffler K, Raethjen J, Stolze H. Essential tremor and cerebellar dysfunction clinical and kinematic analysis of intention tremor. Brain : a journal of neurology. 2000;123 ( Pt 8):1568-1580. Dichgans J. Clinical Symptoms of Cerebellar Dysfunction and their Topodiagnostical Significance. Human Neurobiology. 1984; 2(4): 269-279. Florman JE, Duffau H, Rughani AI. Lower motor neuron findings after upper motor neuron injury: insights from postoperative supplementary motor area syndrome. Frontiers in Human Neuroscience. 2013 March; 7(85): 1-7. Gilman S. Joint position sense and vibration sense: anatomical organisation and assessment. J Neurol Neurosurg Psychiatr. 2002;73:473-477. Gonzalez-Alegre P, Recober A, Kelkar P. Idiopathic brachial neuritis. The Iowa orthopaedic journal. 2002;22:81. Ilg W, Golla H, Thier P, Giese M. Specific Influences of Cerebellar Dysfunctions in Gait. Brain. 2007 March; 130(3): 786-798.
Johnson EO, Soucacos PN. Proprioception. International Encyclopedia of Rehabilitation. 2010.
Katz JN, Simmons BP. Carpal tunnel syndrome. New England Journal of Medicine. 2002 Jun 6;346(23):1807-12.
 Kelley MJ, Kane TE, Leggin BG. Spinal accessory nerve palsy: associated signs and symptoms. journal of orthopaedic & sports physical therapy. 2008 Feb;38(2):78-86. Khadilkar SV, Khade SS. Brachial plexopathy. Annals of Indian Academy of Neurology. 2013 Jan;16(1):12. Love S. Demyelinating diseases. Journal of Clinical Pathology. 2006;59(11):1151-1159. doi:10.1136/jcp.2005.031195. Neal SL, Fields KB. Peripheral nerve entrapment and injury in the upper extremity. American family physician. 2010 Jan 15;81(2). Pattanshetty RB, Gaude GS. Critical illness myopathy and polyneuropathy - A challenge for physiotherapists in the intensive care units. Indian Journal of Critical Care Medicine. 2011;15(2): 78-81. Pedroso JL, Barsottini OG, Goetz CG. Babinski's contributions to cerebellar symptomatology: building the basis of the neurological examination. Arq Neuropsiquiatr. 2013 Dec; 71(12): 973-5. Poncelet AN. An algorithm for the evaluation of peripheral neuropathy. Am Fam Physician. 1998; 57: 755. Rezania K, Roos RP. Spinal Cord: Motor Neuron Diseases. Neurologic Clinics. 2013 Jan; 31(1): 219-239. Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus: a systematic review. The Journal of bone and joint surgery. British volume. 2005 Dec;87(12):1647-52. Sharshar T, Citerio G, Andrews PJ, Chieregato A, Latronico N, Menon DK, Puybasset L, Sandroni C, Stevens RD. Neurological examination of critically ill patients: a pragmatic approach. Report of an ESICM expert panel. Intensive Care Med. 2014 Feb. Sosa RG, Blackburn J. Identifying Common Movement Disorders in the Emergency Department. Clinical Pediatric Emergency Medicine. 2015;16:55-61.
Spinner RJ, Poliakoff MB, Tiel RL. The origin of “Saturday night palsy”?. Neurosurgery. 2002 Sep 1;51(3):737-41.
 Sullivan SJ, Hammond-Tooke GD, Schneiders AG, Gray AR, McCrory P. The Diagnostic Accuracy of Selected Neurological Tests. Journal of Clinical Neurology. 2012; 19(3): 423-427 Sutaria RB. Mononeuritis Multiplex. InMusculoskeletal Sports and Spine Disorders 2017; 239-241 Walsworth MK, Mills III JT, Michener LA. Diagnosing suprascapular neuropathy in patients with shoulder dysfunction: a report of 5 cases. Physical therapy. 2004 Apr 1;84(4):359-72. Warburton KL, Wakerley B. Dermatological Clues to Neurological Diagnoses. Practical Neurology. 2011; 11: 289-295. Wiater JM, Flatow EL. Long thoracic nerve injury. Clinical orthopaedics and related research. 1999 Nov(368):17-27. Willison HJ, Winer JB. Clinical evaluation and investigation of neuropathy. J Neurol Neurosurg Psychiatr. 2003;74 Suppl 2:ii3-8.
Feedback