Wish The Examiners

Sanitize Your Hands

Introduce Yourself to The Patient

Look Around for Any Walkers, Crutches, Wheelchairs, Slippers

Check The Neck and Back for Any Scars

1.Gait Gait Ask the Patient Can He/she Walk. Make Sure You Walk Along Side and Do Not Let Him Fall, If They Are Fine Enough Check Tandem Walking and Finally Romberg’s.

2.Expose The Legs All the Way Up.

3.Inspection For Muscle Bu, Atrophy, External Rotation of Legs, Scars, Amputated Toes, Loss of Hair On Shins, Skin Changes, Arch of Foot.

Minds Protocol

Muscle Wasting

Involuntary Movements (Including Fasciculations)

Neurocutaneous Markers

Deformities

Scars

4.Check For Fasciculations by Tapping Firmly on The on Bulk of Muscles

+ Check For Peripheral Nerves

5.Tone-Ask for Any Pain Near the Knee, Look Out for Any Knee Joint Replacement Scar Log Roll the Leg and Lift It Intermittently Looking for Spasticity or Hypotonia Flexion and Extension at Knee to Check Tone Asking the Patient to Relax And Leave Weight Of Leg On Your Hands Clock And Anti-Clock Wise Rotation Near Ankle Joint For Tone

6.Power-Hip Extension, Flexion (Ask Patient to Lift Leg Without Bending the Knee)

Abduction And Adduction

Flexion And Extension at The Knee Joint (Support the Knee)

Dorsiflexion And Extension of The Ankle

Dorsiflexion And Extension of The Big Toe

Testing For Power Same as For Upper Limb

7.Reflexes-Knee, Ankle, Plantar (Always Check Plantar with Orange Stick and Not with the “Back of The Knee Hammer”)

8.Coordination-Heel to Knee Shin Method, Circle Drawing.

9.Sensations- As in Upper Limb

Fine Touch

Pin Prick with The Neurotic (They Will Provide)

Vibration Sense

Joint Position

10.Look At the Back for Scars of Previous Surgeries.