Neurological Examination of the Arm 11: Sensation

General:

  • Explain each test before you do it
  • For all modalities, first demonstrate normal sensation on the patient's sternum
  • Unless otherwise specified, the patient's eyes should be closed during the actual testing
  • Compare symmetrical areas on the two sides of the body
  • Also compare distal and proximal areas of the extremities
  • When you detect an area of sensory loss map out its boundaries in detail

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Sensory exam includes:
  • Light touch
  • Pain or pinprick
  • Vibration sense
  • Joint position sense
  • Temperature
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for other examinations
Power
(grades)
Power
(tests)
Co-ordination
(rapid alternating movements)
Co-ordination
(point-to-point movements)
Sensation
Sensation
(light touch)
Dermatomes
(revision)
Sensation
(vibration)
Sensation
(joint position)
Sensation
(temperature)