Lower Limb Neuro Examination Checklist

 

Lower Limb Neuro Examination Checklist

Candidate’s name:                                                    Examiner’s name:                                                  Date:

 

Fully examined Partly examined Not examined
Intro (WIIPPPPE, hand shake)
General Inspection
Gait + Romberg’s test
Tone
Power
Reflexes
Co-ordination
Sensation: light touch
Sensation: vibration
Sensation: pain/temp
Sensation: proprioception
Closure
To complete

 

Aspects performed well by candidate:

 

 

 

Aspects for improvement:

 

 

 

Overall performance: