Some textbooks and neurologists include co-ordination
as a separate category of the neurological exam whereas
here it is included as part of the motor exam. To perform
tasks of co-ordination one requires normal motor, sensory,
and cerebellar systems. Lesions affecting any of these
areas could give rise to abnormal tests of co-ordination.
Examination Technique (upper extremities):
- finger to nose.
- rapid index to thumb movements or individual digits
to thumb, rapid small index finger circles over the
opposite dorsal webspace, rapidly alternate each hand
palmar then dorsal aspect down over thigh or opposite
Examination Technique (lower
- ask the patient to place their heel on their opposite
knee and slide their heel down their shin to the ankle.
- ask to the patient to tap their opposite knee with
- have the patient reach for your finger with their
- ask the patient to perform rapid foot taps.