INDS 212 Lecture Notes - Lecture 11: Tibialis Anterior Muscle, Basal Ganglia, Spasticity

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It is important to pay attention to these things even in normal patients because it helps you learn what normal is. Muscle bulk: look and (sometimes) feel the bulk, look for fasciculations* Tips for the neuro exam: always use the same order, within overall exam there are subdivisions, such as for motor exam, what we actually do may vary between patients. Standard exam in most patients, a screening exam in patients i think. The red line is along the edge of the tibia. As the tibialis anterior muscle atrophies this edge because more prominent (to both inspection and palpation). Muscle tone: resistance to passive movement at a joint, concentrate on increased tone, spasticity with umn problems; velocity dependent; it is felt with fast movement. You feel sudden increase in resistance, described as spastic catch or clasp- knife . It can be constant, described as lead pipe .

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