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Neurological Hand Examination Introduction W ash hands, I ntroduce self, ask P atients name & DOB & what they like to be called, E xplain examination and get consent Expose arms above elbows; place pillow on their lap and rest hands on General inspection: patient risk factors – pregnancy, hypothyroidism, obesity, trauma, acromegaly etc Hand. Look for intrinsic hand, thenar and hypothenar muscle wasting. Test the patient's grip by having the patient hold the examiner's fingers in their fist tightly and instructing them not to let go while the examiner attempts to remove them. Normally the examiner cannot remove their fingers. This tests the forearm flexors and the intrinsic hand muscles. The Grasp and Release Test is described and recommended for clinical trials involving persons in the chronic stages of SCI. Lastly, we note that much work remains in the development, validation, and clinical deployment of an assessment of upper-limb function in SCI.
The Grasp and Release Test is described and recommended for clinical trials involving persons in the chronic stages of SCI. Lastly, we note that much work remains in the development, validation, and clinical deployment of an assessment of upper-limb function in SCI. touched. 4. Repeat test on opposite hand. Space test: 1. Ask patient to close their eyes. - clinician moves the patient’s arm or leg into a different position. 3. The patient is asked to copy the position with the opposite limb. Movement test: 1. Ask patient to close their eyes. 2. The clinician grasps a . Nursing Brain: Head-to-Toe Assessment Patient ID Name, Rm, M/F, DOB, LOS Vital Signs T, HR, BP, RR, O2sat, pain Alert & Oriented X 3 Speech normal, appropriate PERRLA Facial symmetry Mouth, gums Head/Neuro Equal bilateral hand grips Nodes esp. subclavian JVD Neck/Lymph Palpate thyroid while swallow Color, temperature, moisture Turgor Lesions.

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