신경학적 검사 서식지의 예시

Cranial nerve function test
	Rt	Lt
EOM	+ / -	+ / -
Tropia	+ / -	+ / -
Phoria	+ / -	+ / -
Convergence	+ / -	+ / -
Spontaneous nystagmus	+ / -	+ / -
Head shaking nystagmus	+ / -	+ / -
Head-impulse test	+ / -	+ / -
Facial weakness	+ / -	+ / -
Facial sensory change	+ / -	+ / -
Palatal arch elevation	+ / -	+ / -
Gag reflex	+ / -
Other related exams
Carotid bruit	+ / -
Opthalmic bruit	+ / -
Tinnitus	+ / -	+ / -
Hearing loss	+ / -	+ / -
Cerebellar function test
Finger to nose	intact ataxic	intact ataxic
Tandem gait	+ / -
Balance
One leg standing with eyes open	+ / -
One leg standing with eyes closed	+ / -
Gait
Independent gait	+/-

Manual Muscle Test
	Rt	Lt
Shoulder flexion
Shoulder extension
Elbow flexion
Elbow extension
Wrist flexion
Wrist extension
Hand grasp
Hand release
Hip flexion
Hip extension
Knee flexion
Knee extension
Ankle dorsiflexion
Ankle platarflexion
Sensory function
	Rt	Lt
Light touch	+ / -	+ / -
Pain/temperature	+ / -	+ / -
Proprioception	+ / -	+ / -
Deep Tendon Reflex
Biceps jerk	+ / -	+ / -
Knee jerk	+ / -	+ / -

서식 도움:

서울대학교병원 서울대학교병원 재활의학과 뇌진탕클리닉

참고문헌

DeLisa's Physical Medicine and Rehabilitation: Principles and Practice, Sixth Edition 2019 (Frontera, Walter R. et al)

Traumatic Brain Injury A Clinician's Guide to Diagnosis, Management, and Rehabilitation 2012 (Tsao et al)