Upper Limb Sensation Examination - Clinical Skills - Dr Gill

Hello, I've been asked to do a neurological assessment on you to test the sensation of your upper limbs before I start Can I please confirm your name and date of birth? So that's going to involve me touching over your arms With some equipment and seeing if you can feel when I do say are you happy for me to continue? Super. Thank you very much. So before I start do you have any problems with your arms at all? So what we're going to do we're going to start off with the neurofilament so When we apply this it will bend and thus we should be able to know we're pushing with the right degree of force I'm just going to touch your neck if you don't mind Can you feel that? Super. So we're going to do the same again on your arms So I'm going to compare like with like if you close your eyes, please and say yes, if you feel me touch you Yes, yes And if you could turn your hands over for me And if I can just get you to move your arm slightly out to the side, please Yes Super thank you. So that was all completely normal with that now we can do the same again I using a cotton wool, but this is just making it that little bit harder. So again, you can feel that So if you close your eyes and say yes If you turn your hands over, please Yes, yes Yes And move your arms slightly to the side. Yes Yes, superb. Thank you We're going to go now to using a sharp Sharpened point here. This is a neuro tip. This won't be uncomfortable, but you should be able to feel a sharpness. Can you feel that? Super. So we're going to do the same again. If you close your eyes and please say yes, if you feel me touch you Yes Yes, if you turn your hands over, please Yes, yes Superb thank you Right and we're going to test something slightly different now, so we're going to test your ability to sense vibration So the tuning fork is vibrating. I'm just going to put that on your chest. You can feel that Yes, and if I do that it disappears So I'm going to the same on your thumbs on both sides So your thumb is on your thigh, so it's not going to move So you can feel that vibration? Yes. Tell me when it stops Fantastic. I'm going to do the same on the opposite side You can feel the vibration? Yes. Tell me when it stops Superb thank you very much So from that perspective, I don't have any issues. The last thing that I want to check is proprioception so I'm going to take your thumb now if I might and I'm going to hold it at the Sides and I'm going to wiggle it up and down. So that is up and That is down. So if you close your eyes for me, I'm waggling it forwards. Which way have I placed it? Fantastic. We're going to the same on this side and I'm just going to hold it by the sides and wiggle up and wiggle down So close your eyes for me. And which way is it positioned? Super thank you. So I found no abnormalities on that Sensory examination of your upper limbs. Do you have any questions myself? Super thank you very much