A neurological examination systematically assesses motor function (muscle strength, coordination, reflexes) and sensory function (touch, pain, vibration, joint position) through structured testing protocols, where the examiner guides the patient through specific movements and sensations to evaluate neurological integrity.
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Okay. Can I get you to just put your arms up like that for me and close your eyes?
Okay. And if you just turn your palms around the other way.
Okay, that's great. And just relax for me. Just going to have a closer look at you.
Okay. Now, I want you to go lovely and floppy. I'm just going to move you move your arms for you.
Okay. And relax.
Okay.
Right. Can I get you to put your arms up like that for me and stop me pushing you down? Brilliant. Push down into my arms.
Okay. And relax that arm. Spend your elbow. Now push me away and pull me towards you. Brilliant. Do exactly the same with this side. So push me away and pull me towards you. Okay. Squeeze my fingers nice and tightly.
Okay. And relax. Now, can I get you to your wrists up like that for me?
And stop me pushing you down. Stop me pushing you down. And if you them down and stop me pushing you off. Stop me pushing you up. Put your fingers like that for me and stop me bending them.
Stop me bending them.
Spread them out like that. Stop me pushing them in. Stop me pushing them in. Okay.
Now, can you get your hands like that?
So, your palms up, your thumbs up like that. Brilliant. And stop me pushing you down. Okay. Just going to use a piece of paper. Going to get you to put your fingers like that for me. I'm just going to put that in into your fingers. Just open it up and try and stop me.
Brilliant. And same the other side. Stop me. Okay.
You get your little finger and your thumb together.
Yep. And stop me. Brilliant.
Okay. Great. So, that's all your power done. Just going to test your coordination if that's okay. going to get you to place your palm up like this.
And if you slap it with your hand like that, if you copy me and just keep doing it. Say palm. Yeah.
Brilliant. If you swap hands, do exactly the same.
Okay. And relax. Now, using your index finger, I want you to touch your nose and then touch my finger. And I'm going to keep moving it. So, if you use this finger and touch your nose, then my finger and keep doing it.
Okay, brilliant. Swap hands. Do exactly the same with the other.
Okay, excellent. So, that's done for coordination. So, I'm just going to test your reflexes now. So, I still want you to go lovely and floppy. And I'm just going to use this. It doesn't hurt.
Try and relax.
Send your side.
Okay. And relax.
Okay, brilliant.
Now I'm going to test for sensation. So, can you feel this cotle more there?
>> Yes.
>> It's all soft. Okay. Just going to get your arms in the right position and just open them out. Okay. Say yes when you feel it.
>> Yes. Yes.
Yes. Yes.
Yes.
Yes.
Yes. Yes. Yes. Yes.
Yes.
Yes.
Yes.
Yes. Brilliant. Okay.
Now I'm going to test pin break. Now I know it sounds a bit scary. It's a pin.
It does feel quite sharp, but it doesn't break the skin. So you can feel that there.
>> Yes.
>> So you feel it's different to the to the other one. So again, I want you to close your eyes and say yes when you feel it.
Yes.
Yes.
Yes. Yes.
Yes. Yes.
Yes. Yes. Yes. Yes. Yes. Yes.
Yes. Yes. Okay.
Now I'm just going to test vibration sense. So can you feel it vibrating? Not the pressure, just the vibration.
>> Yes.
>> And see and then it stops. So I want you to tell me if you feel the vibration, not that you feel the pressure. Okay. So I'm just going to get under the corner of your finger. First of all, you close your eyes. Can you feel that?
>> Yes.
Tell me when it stops.
>> No.
>> Okay. And do the same again. Can you feel that?
>> Yes.
>> Tell me when it stops.
>> No. Brilliant.
>> Can you feel that?
>> Yes.
>> Tell me when it stops.
>> No.
>> And again. Can you feel that?
>> Yes.
>> Tell me when it stops.
>> No.
>> Brilliant.
Okay.
Now going to try and test for whether you can say where your joint is in.
What I'm going to do is you can keep your eyes open. First of all, it's holding that. I'm going to move your finger up or down. And I'm wanting you to tell me whether your finger's up or down. Okay? So, close your eyes.
>> Down. Up. Down.
>> Okay. That's brilliant. So we'll do exactly the same on the other side.
I'm just going to hold your finger so you can open your eyes again. So going to move it up or down. So you tell me which way.
>> Up. Down.
>> Okay. Brilliant.
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