Question

What is a test that could be used to assess a patients Cerebellar functioning?

1. observe a person walk 10 to 20 feet, turn, and return to starting point

2. ask a person to walk heel-to-toe fashion

3. Have patient shrug shoulders and turn head from side to side

4. ask person to stand up with feet together and arms at sides; when in stable position, ask person to close eyes and hold position for 20 seconds

5. Ask person to pat knees with both hands, lift up, turn hands over, and pat knees with backs of hands; then ask person to do this faster

Answer 1

Cerebellar functionality can be assessed with coordination tests such as the finger-to-nose and gait analysis, as well as the Romberg test for proprioceptive input, where a wide stance suggests cerebellar dysfunction.

Step-by-step explanation:

Tests to assess cerebellar functioning typically involve evaluating coordination, balance, and fine motor skills. One well-known test is the finger-to-nose test, where the patient alternates touching their nose and the examiner's finger, which assesses coordination and the ability to alternate muscle movements. Another test is gait analysis, which includes the patient walking normally, then with modifications such as tandem gait or walking on heels or toes, to assess balance and coordination. The Romberg test assesses proprioceptive input by having the patient stand with feet together and eyes closed to observe any swaying or loss of balance. A wide stance during these tests suggests cerebellar dysfunction as the person may be compensating for poor balance by trying to increase their base of support.