motor function test

The motor function can be divided into two types: random and involuntary. The voluntary movement is controlled by the cone bundle, and the involuntary movement (involuntary movement) is performed by the extrapyramidal system and the cerebellum system. Motor function tests include voluntary exercise and muscle strength, muscle tension, involuntary movement, and mutual aid exercise. The body and mind should be relaxed during the examination to prevent the emotions from being too tight and affecting the results of the examination. Basic Information Specialist Category: Neurological Classification: Other examinations Applicable gender: whether men and women apply fasting: not fasting Tips: Relax your body and mind during the check to prevent the emotions from being too tight and affecting the results. Normal value The results of muscle tension, muscle strength, and brachial plexus pull test were consistent with the standard measurement results, and no abnormal gait occurred. Clinical significance Abnormal results: abnormal posture and gait suggest that muscle strength, muscle tension, deep sensation, cerebellum and vestibular function have lesions; involuntary movements suggest extrapyramidal diseases, often manifested as dance-like movements, torsion sputum, acromegaly. People who need to be examined: patients with abnormal motor function or patients with abnormal walking posture. Precautions Taboo before inspection: Prepare cotton and other items before inspection. The examiner should wash his hands. Requirements for inspection: 1. Check too many items, and have patience to finish the items that need to be checked. 2, the body and mind should be relaxed during the examination, in order to prevent the emotions from being too nervous and affect the results of the examination. Inspection process The methods of exercise function check are: 1. Observe the general appearance, speech, posture and gait of the patient; 2. Determine the strength and scope of the active movement; 3. Check passive movement and muscle tone; 4. Check the mutual aid movement; 5. Determine the electrical activity of nerves and muscles. Simply examining the patient's appearance yields a number of important materials and allows the examiner to detect certain motor and muscle state defects such as muscle atrophy and limb contracture, abnormal posture, too little or too much exercise. When talking to the patient, you can find incomplete paralysis of the expression muscles, speech and pronunciation disorders, see tremors, convulsions, and so on. In addition, the patient's gait must be checked, and a "hemiplegic circle" gait can be found in the upper motor neuron palsy. In the upper limb paraplegia of the upper motor neuron, there is a "sexual paralysis" gait. When the patient walks, the legs are straight and the palms are not off the ground; when the lower limbs are moved, the muscles of the lower limbs can be found. When the lower motor neuron is lightly paraplegic, there is often a foot drop, and the patient has to lift his leg in order to avoid the toe (the so-called "rooster" or "leap-over" gait). Active movements are checked from top to bottom; usually only the extent of some major movements is determined. The face can be checked for wrinkles, closed eyes, eye movements, mouth opening, mouth movements, tongue extension, etc. In addition, the range in which the head rotates to the side should be measured. Ask the patient to lift both shoulders (shrug). Lifting or lifting the upper limbs, flexing or straightening the elbows, wrists and knuckles; pre-rotation and supination of the wrist; examining mild paralysis and fine movement disorders, the patient should be allowed to flex and stretch quickly by hand while both hands are Stretch to observe the endurance of its flat. Secondly, the movement of the trunk forward and backward should be checked. Then check the flexion and extension exercises of the hip joint, knee joint, ankle joint, and toe joint, and walk with the toe and the heel. In individual cases, a finer individual movement of individual muscles must be examined. Not suitable for the crowd Inappropriate population: Patients with disabilities on their limbs or disease. Adverse reactions and risks Nothing.