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Chiropractic Doctor


Physical Diagnosis 187
Chiropractic In Office Neurological Examination

4.0

  • List the major divisions and subcomponents of the neurological examination. 
  • List, contrast and compare the neurological signs associated with “release phenomenon” and “deficit phenomena”.
  • Contrast and compare the effects of neurological lesions on the neurological examination of the central nervous system versus the peripheral nervous system.
  • Recite the implications of neurological examination findings on disorders involving various components of the central and peripheral nervous system.
  • Draw the anatomy of the lower motor neuron in its relation to the spinal cord, nerve root, spinal nerve, and the neuro-myal junction.
  • Describe the physical positioning of the patient during aspects of the neurological examination.
  • List the subjects to question when in taking a good patient history.
  • Describe and perform aspects of the neurological examination of the Cranial Nerves of the patient.
  • Draw the neurologic pathways associated with the eye light reflexes.  Include reference to cells of the retina, the optic nerve, the optic chiasm, the optic tract, the Pretectal nucleus, and the Edinger Westphal nucleus.
  • Describe and perform aspects of the neurological examination of the Motor Systems of the patient.
  • Describe and perform aspects of the neurological examination of the Sensory Systems of the patient.
  • Recite findings related to neurological “drift” performed during the neurological examination.
  • Describe and perform aspects of the neurological examination of the Reflex Systems of the patient.
  • Illustrate components of the muscle stretch reflex including the role of the Alpha motor neuron, Gama motor neuron, and large sensory fibers in relation to the muscle fibers and spinal cord.
  • Discuss the common shorthand used for grading muscle stretch reflex responses and discuss the results of the neurological examination associated with each grade.
  • Perform and discuss three versions of the extensor plantar response (extensor toe sign, Babinski sign).
  • Describe and perform aspects of the neurological examination of movement of the patient.

Joseph Ferezy, DC, DACAN, FIACN

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