Subtle central motor weakness

In a screening neurological examination, you need efficient sensitive examinations to detect subtle motor deficits, e.g. in your basic r/o MS or stroke patient. We usually do pronator drift, but there are some simple additional tests that could be included in your (and my) routine, especially the forearm rolling test and – even better – the finger rolling test.

We use these tests in a few patients to illustrate their practical application and also discuss the relevant data, using 2 of Anderson’s articles, namely

Finally, there is yet another of these tests, which seems even simpler to me: The thumb rolling tests. If you believe the Canadians, then it is the best.


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