Advanced Practice Providers: Motor Examination-Neuromuscular Exam: Motor Examiniation - Connie Wolford, MS, FNP-BC & Dr. Sarado Sakamuri

Video Transcription

Video Summary

In this video, Ms. Connie Wolford, a nurse practitioner at Stanford University's neuromuscular clinic, and Dr. Sarada Sakamori, a clinical assistant professor of neurology, present a session titled "Neuromuscular Exam, Motor Examination." They discuss the purpose of the neuromuscular motor exam, which is to determine the presence, patterns, and types of motor deficits. They explain that weakness can indicate pathology of upper motor neuron systems, lower motor neuron systems, or both. They discuss the characteristics of upper motor neuron involvement, such as hyperreflexia, spasticity, and weakness, as well as the characteristics of lower motor neuron involvement, such as weakness, loss of function, atrophy, and fasciculations. They emphasize the importance of observation during the exam, including looking for muscle atrophy or hypertrophy, involuntary movements, deformities, and cutaneous findings. They also discuss techniques for palpation, percussion, and manipulation to assess muscle tone and myotonia. They explain that strength testing is the most important part of the motor exam and can be done using isometric manual testing and functional testing. They provide details on how to perform strength testing for various muscles, and they also discuss coordination and reflex testing. The video includes a demonstration of the neuromuscular motor exam performed by Dr. Sakamori. The presenters also answer questions from the audience regarding motor exam documentation, strategies for assessing giveaway weakness, and incorporating functional testing. The video concludes with Ms. Wolford's closing remarks and an invitation for feedback.

Asset Caption

There are 2 questions in the Post Exam. Please use these questions to help test your knowledge after viewing the course. There is not a minimum score needed to pass.

Keywords

Neuromuscular Exam

Motor Examination

Upper Motor Neuron Systems

Lower Motor Neuron Systems

Hyperreflexia

Spasticity

Muscle Atrophy