The cerebellum examination involves observing the patient's gait, speech, eye movements, arm movements, leg movements, and muscle tone. The examiner watches the patient walk, tests their balance by having them stand with feet together and eyes closed, and listens to their speech for slurring. Eye movements are checked for nystagmus. The arms are tested for tremors, coordination, and muscle tone by having the patient perform finger-to-nose tests and other movements. Reflexes and coordination of the legs are also assessed.
The cerebellum examination involves observing the patient's gait, speech, eye movements, arm movements, leg movements, and muscle tone. The examiner watches the patient walk, tests their balance by having them stand with feet together and eyes closed, and listens to their speech for slurring. Eye movements are checked for nystagmus. The arms are tested for tremors, coordination, and muscle tone by having the patient perform finger-to-nose tests and other movements. Reflexes and coordination of the legs are also assessed.
The cerebellum examination involves observing the patient's gait, speech, eye movements, arm movements, leg movements, and muscle tone. The examiner watches the patient walk, tests their balance by having them stand with feet together and eyes closed, and listens to their speech for slurring. Eye movements are checked for nystagmus. The arms are tested for tremors, coordination, and muscle tone by having the patient perform finger-to-nose tests and other movements. Reflexes and coordination of the legs are also assessed.
The cerebellum examination involves observing the patient's gait, speech, eye movements, arm movements, leg movements, and muscle tone. The examiner watches the patient walk, tests their balance by having them stand with feet together and eyes closed, and listens to their speech for slurring. Eye movements are checked for nystagmus. The arms are tested for tremors, coordination, and muscle tone by having the patient perform finger-to-nose tests and other movements. Reflexes and coordination of the legs are also assessed.
Wash hands Explain procedure, ask for consent Inspection o End of bed – obvious signs of distress, walking aids etc Gait o Watch patient standing up – observe posture and steadiness o Ask patient to walk to other side of room and back Looking for any changes in stance, arm swinging, shuffling, waddling etc o Ask patient to walk heel-to-toe – exaggerated unsteadiness in cerebellar problems o Romberg’s test – ask patient to stand with feet close together, arms by their sides and close eyes – keep as still as possible. +ve test indicates proprioceptive problem Stand close to pt in case they fall Speech o Ask patient to repeat “british constitution” and/or “baby hippopotamus” Nystagmus o Do the H pattern – looking for nystagmus at ends of vision Arms o Observe for resting tremor “rest hands on your lap and close your eyes” or “hold your hands out straight while I rest this piece of paper on them” o Observe for intention tremor - e.g. remove watch, write sentence o Examine muscle tone – tell patient to fully relax and put joints through full ROM – elbow flex/extend, wrist flex/extend/adduct/abduct o Test for dysdiadochokinesis o Finger-to-nose test – “can you touch your nose, then my finger, and keep doing that” o Fine finger movements – get pt to oppose thumb with each finger in turn as fast as possible o Test for reflexes (biceps, triceps, supinator) or state would normally do so Legs o Repeat tone and reflexes if necessary o Heel-to-shin test Thank the patient Wash hands