Site Map	Examine the Sensory and Motor System in the Lower Limb

• Introduce yourself and check the patient's identity
• Establish rapport with patient
• Explain examination & ask permission to examine
• Put patient in appropriate position
  • Ensure adequate exposure of the legs
• Inspect legs & feet for
  • Wasting
  • Fasciculations
• Assess tone in the legs
• Assess power (ensuring joint braced where appropriate)
  • Hip flexion & extension
  • Knee flexion & extension
  • Ankle dorsiflexion & plantar flexion
  • Eversion and inversion of the forefoot
• Assess sensation in all dermatomes
  • Light touch
  • Pin prick
• Assess vibration sense & proproception
• Assess reflexes (with reinforcement if necessary)
  • Knee
  • Ankle
  • Planter response (Babinski reflex)
• Test co-ordination
  • Heel / shin test
• Observe gait
• Acknowlede patients concerns
• Encourage questions from patient & deal with them appropriately
• Appropriate summary & analysis of findings

	Any comments or feedback please contact me by email: Tom Williams