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Ptisos (neurological disease) eyes drooping

Dysarthria difficult to speech

Dysphagia difficult to swallow

Romberg test neurological test for balance with open and close eyes cerebral ataxia (Romberg test
negative) ataxic gate dysarthria present, nystagmus (uncontrollable eye movement)

Only with close eyes sensory ataxia (positive) stamping gate dysarthria absent nystagmus absent

Piriformis test

De- quervain's test tenosynovitis (extensor pollicis longus and brevis ) pinch test resisted test

Manipulation of lumber mobilization

Lumber extension (spinous process mobilize

Traction cervical and lumber

Median nerve (carpel tunnel syndrome) thumb and two fingers

Radia nerve (Saturday night palsy) wrist drop (all except little finger

Ulnar nerve cubital tunnel syndrome

Parkinson disease (dopamine reduction (bradykinesia (slow movement) termers balance speech loss)

Bradycardia (slow 60to 100)

Tachycardia above 100 per mint

2 multiply with pulse rate in 15 sec 4 multiply with 30

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