SKILL

TESTING PROCEDURE

MATERIALS NEEDED

SPECIAL NOTES

MOUSE OVER PICTURE TO VIEW MOVIE

1. Patient is asked to stand with arms flexed 90 degrees & eyes closed

2. Hold position for 30 seconds

3. Note to see if one arm tends to drift outward or downward

1. Be prepared to catch unsteady patient

2. Lesion opposite of + test side

1. Patient sits on table edge or chair with legs extended in front & not touching floor & eyes closed

2. Hold position for 30 seconds

3. Note if 1 leg tends to move/drift

1. Be prepared to catch unsteady patient

2. Lesion opposite of + test side

1. Stand with feet together, arms by side, eyes open

2. Note problems with balance

3. Then close eyes for 20 seconds

4. Note any balance differences

Safe unobstructed area

1. Be prepared to catch unsteady patient

2. + if pt. sways or falls to one side

1. Walk in tandem (heel of one foot directly in front of toe of other foot, in a straight line)

2. Stand in tandem (heel of one foot directly in front of toe of other foot)

1. Be prepared to catch unsteady patient

2. Difficulty of walking in tandem (walking the line) or standing in tandem (standing on 2 feet) with expanding intracranial lesions
3. Standing is more difficult than walking