presented by Julie Hershberg
The purpose of this course is to review the components of a neurologic screening exam. In particular, we will demonstrate a complete screen of all of the neurologic systems and we will discuss the neuroanatomical implications of each test.
Julie Hershberg is a passionate neurologic physical therapist, educator, mentor, learner and forever neuro-nerd. She owns and practices at [re+active] physical therapy & wellness, a state of the art outpatient neurologic physical therapy and wellness practice in Los Angeles. It is here she has the privilege to lead a team of PTs, OTs, yoga therapists and personal trainers to change the lives of people with neurologic disorders. She also gets to lead the clinical education of many students and direct the Schmidt Movement Disorders Fellowship. Her clinical practice is greatly influenced by her teaching (for the last 8 years) of Neuroanatomy and Neuropathology at the University of Southern California, Division of Biokinesiology and Physical Therapy. Where else does a PT get to make brains and lesions out of play-doh and tweet summaries from a neurologic differential diagnosis lab? She truly loves a fun and interactive classroom where research, didactic learning, student knowledge and dancing all come together. You will also find Julie online through the NeuroCollaborative where she is spreading the #iloveneuro PT spirit and furthering the profession of neurologic physical therapy.
This chapter introduces the overall process of quick and efficient neurologic screen. We also dive deeper into the first part of the neurologic screen: a brief observation and mental status screen.
In this chapter we will review a quick screen of reflexes and the motor system in order to determine patterns of reflex abnormalities and weakness. We will help answer the clinical question of whether there is upper motor neuron or lower motor neuron involvement. In addition, we will review the key components of the sensory screen.
This chapter will review screening of coordination, balance and the cranial nerves. We will review the performance and interpretation of these screening tests.
This chapter will demonstrate the entire neurologic screen together. The goal is the complete the screen efficiently in 15 minutes or less.