Page 436 - 2021 IDMT Digital

124. Evaluate muscle strength of “ankle strength _/5”
ankles (dorsiflexion, plantar flexion)
125. Palpate the soft tissues, bones “no soft tissue swelling, tenderness,
and joints of feet/toes boney enlargements or masses”
(metatarsals, MTP, DIP, PIP, plantar fascia)
126. Assess passive ROM of forefoot “full passive range of motion of forefoot
(inversion, eversion) without pain”
127. Assess active ROM of the toes “full active range of motion without
(flexion, extension) pain”
128. Evaluate muscle strength of great “great toe strength _/5”
toe
Spine
129. Inspect soft tissue and joint “no deformity of the spine; scapulae,
alignment shoulder and iliac height are
symmetrically aligned and there is no
atrophy, swelling or discoloration”
130. Palpate spinous processes and “no step-off deformity or tenderness of
paravertebral muscles spinous processes AND there is no
swelling, heat or tenderness of soft
tissues”
131. Assess active ROM of the lumbar “full active range of motion without
spine (flexion, extension, right and left pain”
lateral bending, right and left rotation)
Neurologic
Cranial Nerves (Completed throughout exam)
Sensory System
132. Test sharp vs. dull tactile “no deficit with pain stimulation”
stimulation of dermatomes (face,
UE, LE, trunk)
133. Test light touch tactile stimulation “no deficit with tactile stimulation”
of dermatomes (face, UE, LE,
trunk)
134. Test vibratory sense “no deficit with vibratory stimulation”
135. Test position sense “no deficit with proprioception”
136. Test stereognosis “correct interpretation”
Motor System (Completed throughout MS exams)
Reflexes
137. Test Biceps reflex “Biceps reflex _ (grade)”
138. Test Triceps reflex “Triceps reflex _ (grade)”
139. Test Brachioradialis reflex “Brachioradialis reflex _ (grade)”
140. Test Patellar reflex “Patellar reflex _ (grade)”
141. Test Achilles reflex “Achilles reflex _ (grade)”
142. Test Plantar (Babinski) reflex “toes curl down”
143. Test Clonus “No clonus”
Cerebellar
144. Test heel-to-shin “smooth and accurate”
145. Test RAM for upper and lower “quick, smooth, rhythmic and
extremities symmetrical”
146. Test finger-to-nose “smooth and accurate”
147. Assess gaits (NL, H, T, H/T) “balanced and coordinated without
weakness or hesitation”
148. Shallow knee bend “balanced and coordinated without
weakness or hesitation”
149. Test Romberg “maintains balance with eyes closed”
150. Test pronator drift “no drift”

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