2021 Phase 1 Physical Examination – Neurology – Lower Limb

Student Name:

Student Number:

Campus:

Assessment items *Quality of performance

U MU MS CS E
1. General inspection: □ □ □ □ □
□ Postural asymmetry
□ Facial asymmetry
□ Gait
□ Mobility problems/aids
□ Scars

2. Limb inspection: □ □ □ □ □
□ Symmetry
□ Posture
□ Wasting and fasciculation: impinged
nerve = muscle wasting, random
twitching
□ Abnormal movement: involuntary
movement
3. Motor: □ □ □ □ □
□ Tone: bend leg up
□ Power at hip, knee, ankle: resistance.
Test hip: flexion, extension (flexion:
one arm either side of leg bent 90 and
pull) adduction (pull out), knee (bent
w/ foot on bed, lift up for grade 3,
push down shin while holding thigh):
flexion, extension, ankle dorsi/plantar
flexion, inversion, eversion

4. Reflexes (KJ, AJ, Babinski): □ □ □ □ □

□ Technique: KJ: hit below patella while
feeling quad, LET HAMMER DROP, or
knee relaxed over forearm, hit with
other arm. AJ: half frog pose (knee
bent facing outward), watch
gastrocnemius, hit Achilles, Babinski:
run point of finger along lateral aspect
from heel inwards to big toe = flex toe
or no reflex. Abnormal if toes abduct,
 or everything extends
□ Symmetry
□ Briskness

5. Sensation: spinothalamic □ □ □ □ □
□ Temperature: tuning fork up leg, from
foot
□ Pattern of any loss

6. Sensation: dorsal column □ □ □ □ □

□ Vibration feel buzz on medial
malleolus, nail of big toe, tibial
tuberosity
□ Proprioception: bend big toe up and
down only a little bit
□ Pattern of any loss
7. Cerebellar: □ □ □ □ □
□ Romberg’s: stand with feet together,
eyes closed, they fall = positive
□ Hop on one foot, if safe
□ Tapping toes (sitting) or heel/shin
(lying): touch finger w/ toe, draw
straight line down shin w/ heel
8. Symmetry □ □ □ □ □
Assessment items *Quality of performance
U MU MS CS E
9. Clinical Question □ □ □ □ □

10. Performs examination without causing □ □ □ □ □

pain, distress or embarrassment

11. Performs organised and efficient □ □ □ □ □

examination of the system within the
nominated timeframe

12. Infection control: □ □ □ □ □

□ Hand hygiene at beginning
□ Appropriate dress, nails, jewellery
□ Cleans equipment before and after
use
□ Hand Hygiene at the end

13. Communication: □ □ □ □ □
□ Introduces themselves and explains
what they will do
□ Obtains permission to conduct the
exam
□ Gives appropriate instructions and
explanations to the patient throughout
□ At the end, thanks the patient for
allowing them to conduct the
examination

General comments to student