Functional Neurological Testing PART 1

Part 1 of a Functional neurological assessment using manual muscle testing presented by Chris Astill-Smith filmed at The Omega Teaching Centre, Thatcham, Berkshire, UK, July 2009.

[@rteamesdc]

These tests are most beneficial for patients with PD. Especially when done specifically for hemisphericity involvement. Great information, there are also ways to get more specific when testing, and when providing treatment.

[@Jaypeemedia]

“Lift the foot up the shin as if washing in the shower” ... what? Who washes like that? I don’t get it

[@Subfightr]

I suppose it's as if washing your feet in the shower? Either that or he thinks we are flamingos

[@SatumainenOlento]

We are flamingos 😁

[@KinesioNeuroHealth]

Thanks Dr. Chris!

[@Winner1-c2u]

These outcomes on VNG are from a patient that has had electroshock/ECT. Abnormalities also found on MRI, EEG, neuro/cognitive testing. Electrical trauma can evolve years out to include CTE and ALS. Consent is fallible. Patients are now beginning to enter into brain injury programs at leading facilities secondary to outcomes from ECT. We have in records now damages tied as a direct result of this procedure. See ectjustice now owned by law firms involved in current national product liability suit associated with ECT. Brain injuries proved in the CA courts, but where are the providers to stand against this harm, and to speak in order to warn and protect? Mild L ptosis R hypertropia worse in L lateral gaz - L exophoria -- L upper and R lower facial paresis - L roll had tilt - Olfactory recognition impaired bilateral -- VA ration horizontal square wave jerks R:2:1- L: down-beat nystagmus 2:1- Saccade testing reveals latencies increased all planes except U/L -- Marked cervical substitutions with pursuits in all planes with intrusive saccades worsening in L prusuites-- Pursuits downward reveal intorsional glissades -- Gait testing reveals mild decrease in R arm swing: with dual tasking, gait becomes slightly wide-based and arm swing slightly decreases.-- Finger-nose past pointing R>LSomatic pinwheel perception diminished L L5 Vestibular head impulse testing: Moderately decreased in LARP plane Saccadometry: Prosaccade 20 degree : intrusive saccades to the R Anti saccaddes 10 degree: 79 percent directional error rate Nystagmus: High frequency right beat and down beat nystagmus Central gaze: Head movement, L pstosis and nystagmnus Horizontal gaze L 24 degree Notable pitch plane head movement Horizontal gaze R 24 degree: Increased fatigue, decreased stability Upward gaze 14 degree: Notable pitch plane head movement24. Downward gaze 14 degree: Notable pitch polane head movement.25. Horizontal optokinetics 25 dps: L optokinetics provoked dysconjugate gaze. Reflex failed with R otokinetics26. Horizontal optokinetics with volitional targeting: Worsens27. Vertical pursuits 10 degrees: Intrusive saccades with downward pursuits28. Random vertical saccades: Upward intrusive saccades, cannot maintain downward gaze29. Vertical optokinetics 25 dps: Reflex failed.30. Vertical optokinetics with volitional targeting: Worsens31. Repeated random horizontal saccades; Latencies increased significantly bilaterally

[@oneworldfamily]

Would these tests be of benefit when testing Parkinson's Disease patients? Are there any that might be recommended? Thank you.

[@srinathdurgam4630]

at which part the doubts generate in humman nervous system

[@BLFulle]

I take it this girl has no neurological problems? I was diagnosed with FND and I can hardly stand. The foot washing your leg thing was impossible for me. I was diagnosed at the Mayo Clinic. Still I have no idea what makes this FND instead of Tardive Dyskensia?