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[Clinical techniques for use in neurological physical examinations. II. Motor and reflex functions]. / Técnicas clínicas para el examen físico neurológico. II. Función motora y refleja.
Rodríguez-García, P L; Rodríguez-Pupo, L; Rodríguez-García, D.
Afiliação
  • Rodríguez-García PL; Servicio de Neurología, Hospital General Docente Dr. Ernesto Guevara de la Serna, Las Tunas, Cuba. lrpupo@cucalambe.ltu.sld.cu
Rev Neurol ; 39(9): 848-59, 2004.
Article em Es | MEDLINE | ID: mdl-15543502
AIMS: The aim of this study is to highlight the chief practical aspects of the techniques used in the neurological physical examination of the motor and reflex functions. DEVELOPMENT: We recommend clinicians to carry out a brief but consistent and effective exploration in a systematic, flexible and orderly manner to check for abnormalities in the motor and reflex functions of the nervous system. Should any anomalies be detected, then a more detailed and thorough neurological exploration must be performed selectively. We present a detailed review of the practical aspects of the main techniques used in the physical examination of these neurological categories. The motor function is explored using techniques that examine muscle tone, muscle strength, muscle fatigability, hypokinesia, tremor, coordination and gait. Lastly, in this category several manoeuvres that are useful in hysterical or mimicking paralyses are also dealt with. Reflexes to examination are usually divided into: 1. Myotatic reflexes; 2. Cutaneomucous reflexes; 3. Spinal cord or defence automatism reflexes; 4. Posture and attitude reflexes. We also add the study of primitive pathological reflexes, remote reflexes, synkinesias and signs of meningeal irritation. CONCLUSIONS: We present a detailed description of the main clinical techniques used in the neurological physical examination of motility and reflexes, as well as an approach that allows them to be performed on adult patients. In addition, we underline the importance of physically examining the nervous system in contemporary medicine and the need to continually perfect the way these techniques are performed in order to achieve an efficient clinical practice.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reflexo / Atividade Motora / Exame Neurológico Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: Es Revista: Rev Neurol Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Cuba País de publicação: Espanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reflexo / Atividade Motora / Exame Neurológico Tipo de estudo: Diagnostic_studies Limite: Humans Idioma: Es Revista: Rev Neurol Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Cuba País de publicação: Espanha