Site Map	Examine the Sensory and Motor System in the Upper 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 arms
• Inspect arms & hands for
  • Wasting
  • Fasciculations
• Assess tone in arms & hands
• Assess power (ensuring joint braced where appropriate)
  • Shoulder abduction
  • Elbow flexion & extension
  • Wrist long flexors & extensors
  • Finger flexion, extension & adduction
  • Thumb adduction
• Assess sensation in all dermatomes
  • Light touch
  • Pin prick
• Assess vibration sense & proproception
• Assess reflexes (with reinforcement if necessary)
  • Bicepts
  • Tricepts
  • Supinator
• Test co-ordination
  • Finger nose test
• 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