Gait & Coordination Exam

Introduces self	0	1
Confirms name & age of patient	0	1
Explains & gains consent	0	1
Washes hands	0	1
Exposes patient fully and asks patient to sit	0	1
Asks if patient is in pain, handedness	0	1
General inspection for walking aids, deformities, asymmetries	0	1
Examine how patient rises	0	1
Examines how patient walks (Start, Rate, Gait, Arms, Turn)	0	1
Conducts Rombergs test	0	1
Asks patient to walk heel to toe	0	1
Inspects eyes for nystagmus at rest and tests for vertical and horizontal nystagmus	0	1
Assesses speech by asking patient to say 'Baby Hippopotamus' and 'British Constitution'	0	1
Inspects hands for resting tremor	0	1
Tests tone	0	1
Looks for pronator drift and tests cerebellar reboud	0	1
Conducts finger nose test and tests for dysdiadokinesia	0	1
Asks patient to lie down	0	1
Assesses tone of legs	0	1
Assesses reflexes in legs	0	1
Conducts heel shin test	0	1
Thanks patient and offers help to redress	0	1
Washes hands	0	1
Requests a full neurological exam	0	1
Summarises appropriately with only key findings	0	1
Offers appropriate differential diagnoses	0	1
Patient global score	0	1	2

Potential differentials

• Stroke
• Alcoholic
• Tumour in posterior fossa
• Multiple sclerosis
• Drugs (e.g. phenytoin toxicity)
• Endocrine (hypothyroidism)
• Paraneoplastic cerebellar syndrome

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