Neurological Assessment
Neurological Assessment
Neurological Assessment
ASSESSMENT IN CHILDREN
COMPONENTS
History
Behaviour and development
Cranial Nerves
Power
Tone
Co-ordination
The Sensory System
Loss of consciousness
Reduced muscle tone
ASSESSING LEVEL OF
CONSCIOUSNESS
GCS
BCS: Motor response, verbal response, and eye
movement.
Rating of 0 to 5
Kernig’s Sign
Flex patient’s leg at hip and knee, then
straighten knee.
If painful on extension, sign present
1 Olfactory Smell
Elbows-flex/extend
Wrists-flex/extend
Grasp-test grip
Legs
Abduct/adduct
Hips-flex/extend
Knees-flex/extend
Feet-invert/evert
MOTOR EXAMINATION (TONE)
Determine resistance to passive movement
Arms
Forearm – supinate/pronate
Elbow - flex/extend
Wrist – circumduction
Fingers-flex/extend
Legs
Support leg and roll gently from side to side
Knees-flex/extend
Ankles-flex/extend
DEVELOPMENTAL MILESTONES
Gross motor
Fine motor
Vision
swallowing
Palmar grasp
Plantar grasp
Moro or startle
Babinski
PRIMITIVE REFLEXES
Crawling
Glabellar reflex
Deep tendon
Galent
Magnet
ASSESSMENT OF REFLEXES IN CHILDREN
Plantar
Biceps
Cremaster
Abdominal
Jaw
Corneal reflexes