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A Wartenberg wheel, also called a Wartenberg pinwheel or Wartenberg neurowheel, is a medical device for neurological use. The wheel was designed to test nerve reactions (sensitivity) as it rolled systematically across the skin. [1] A Wartenberg wheel is generally made of stainless steel with a handle of approximately 18 centimetres (7 in) in ...
The provision of a quality electrodiagnostic medical evaluation requires extensive scientific knowledge that includes anatomy and physiology of the peripheral nerves and muscles, the physics and biology of the electrical signals generated by muscle and nerve, the instrumentation used to process these signals, and techniques for clinical ...
The test is positive if, when the leg is raised while a person is lying on their back, pain shoots below the knee. [3] In most cases medical imaging is not needed. [ 2 ] However, imaging may be obtained if bowel or bladder function is affected, there is significant loss of feeling or weakness, symptoms are long standing, or there is a concern ...
Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history , [ 1 ] but not deeper investigation such as neuroimaging .
[6] [7] [8] The test is non-invasive and can be performed in an outpatient clinic or hospital setting. The nerve conduction study is often combined with needle electromyography. The Department of Health and Human Services Inspector General recently identified the use of NCSs without a needle electromyography at the same time a sign of ...
The straight leg raise is a test that can be performed during a physical examination, with the leg being lifted actively by the patient or passively by the clinician. If the straight leg raise is done actively by the patient, it is a test of functional leg strength, particularly the rectus femoris element of the quadriceps (checking both hip flexion and knee extension strength simultaneously).
Tinel's sign (also Hoffmann-Tinel sign) is a way to detect irritated nerves.It is performed by lightly tapping over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.