Category:Neurology Assessment

This is the page where you can find all of the pages relating to Neurology Assessment.

Contents

Introduction

Assessment is arguably the most important step in the rehabilitation process, as our clinical reasoning is based on th einformation it provides and provides the basis for our decision making throughout the rehabilitation process. Johnson & Thompson (1996) outlined that treatment can only be as good as the assessment on which it was based. So in order for us to progress and manage our treatment plan and ensure we are identifying out patients problems assessment should be an ongoing and continuous, and should allow us toindividualised, patient-centred goals and ultimately a tailor-made treatment plan for the individual.

Database

History of Present Condition

  • Progression of the Condition
  • Date of Onset of Signs & Symptoms
  • Medical Management
  • Medical Observations
  • Other management
  • Previous Therapy
  • Results of Specific Investigations (X-rays, CT Scans, Blood Tests)

Past Medical History 

  • Co-morbidities and other non-related conditions
  • Special Equipment, Technology Dependency
  • Previous Surgery
  • Medication History

Subjective Assessment

The subjective assessment is used to provide a detailed picture of how the present condition affects the patient. 

Social History

  • Social Situation
  • Family Support
  • Accommodation
  • Social Service Support

Activity

  • Normal Daily Routine
  • Employment
  • Leisure Activities

Mobility

  • General
  • Indoor
  • Outdoor
  • Steps & Stairs
  • Falls

Personal Care

  • Washing
  • Continence
  • Dressing

Other

  • Vision
  • Hearing
  • Swallowing
  • Fatigue
  • Pain
  • Perceptions of own Problems/Main Concern
  • Expectations of Treatment

Objective Assessment

Posture and Balance

  • Alignment
  • Neglect
  • Sitting Balance
  • Standing Balance

Voluntary Movement

  • Range of Movement
  • Strength
  • Endurance
  • Coordination 
    Finger to Nose Test
    Heel to Shin Test
    Rapidly Alternating Movement

Involuntary Movement

  • Tremor
  • Clonus
  • Chorea
  • Associated Reactions

Tone

  • Decreased / Flaccid
  • Increased
    Spasticity (Clasp-knife)
    Rigidity (Cogwheel or Lead Pipe)

Reflexes

  • Deep Tendon Reflexes
    Biceps (C5/6)
    Triceps (C7/8)
    Knee (L3/4)
    Ankle (S1/2)
  • Plantar Response (Babinski’s Sign)

Sensory

  • Light Touch
  • Pin Prick
  • Two Point Discrimination
  • Vibration Sense
  • Joint Position Sense
  • Temperature
  • Vision and Hearing

Functional Activities

  • Bed Mobility
  • Sitting Balance
  • Transfers
  • Upper Limb Function
  • Mobility
  • Stairs

Gait

  • Pattern
  • Distance
  • Velocity
  • Use of Walking Aids
  • Orthoses
  • Assistance
  • Cognitive Status
  • Attention
  • Orientation
  • Memory