Athletic Training & Sports Medicine Center

 
 

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      Neurological Control Test - Upper Limb
Examination type Expanding Intracranial Lesion Tests
Patient Action & Body Segment Positioning 

Patient is asked to stand with arms forward flexed to 90 degrees & eyes closed.  Hold position for 30 seconds.

Examiner Position & Action Observe patient while they perform the exam
Tissues Being Tested Intracranial/Cerebral Tissue
Positive Test Note to see if one arm tends to drift outward or downward.  Also observe  any loss of balance, swaying, facial expressions suggesting difficulty in maintaining posture/position, inability to stand, patient falls to one side.
Interpretation Inability to do the above suggests possible cerebral/intracranial lesion on the side opposite the side with the drift. 
Common errors in performing exam & Notes For those that are more skilled, or for a more challenging exam in which suspicion of intracranial lesion is not as clear, repeat the test having the patient close their eyes
Factors possibly resulting in misinterpretation  
Related tests Rhomberg Test, Neurological Control Test - lower limb, Tandem Test
References  
Links: What the Results Suggest

How the Test is Performed

DESCRIPTION OF TEST BEING PERFORMED

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