Cranial Nerve assesment-Physiotherapy perspective.pptx

Lets know how to asses the cranial nerves today.

1. DR.SUSAN JOSE(PT)

2. Where are they located?

3. I OLFACTORY PATHWAY:

4. TESTING – Use coffee powder. One nostril at a time. ABNORMALITY- Anosmia INJURY TO WHICH SITES CAN CAUSE THIS?

5. II OPTIC NERVE FUNCTION - Vision PATHWAY:

6. HOW TO TEST? 1. Visual acuity: Snellen eye chart; one eye at a time at a distance of 20 ft. ABNORMALITY: Blindness, myopia, p resbyopia.

7. 2. Visual fields tests: Confrontation test ABNORMALITY :

8. III FUNCTION- Eye Movements Pupillary Reflexes TESTING: OCULOMOTOR

9. Pupillary Reflexes

10. IV, VI TROCHLEAR AND ABDUCENS SO-4 LR-6

11. V FUNCTIONS: Sensory : face, cornea Motor: muscles of Mastication, Reflex: Jaw jerk TRIGEMINAL

12. VII FACIAL NERVE

13. FUNCTIONS: MOTOR: Facial expression SENSORY: Taste to anterior 2/3 RD of tongue TESTING: 1. 2. Apply saline and sugar using a cotton swab. ABNORMALITY: Facial palsy UMN or LMN

14. VII Vestibular function: Balance eye–head coordination: vestibular ocular reflex (VOR). Cochlear function: Hearing VESTIBULOCOCHLEAR

15. Testing Vestibular function: CTSIB

16. 2.Head thrust test – Vestibulocular Reflex

17. COCHLEAR abnormality: Conductive loss : sound heard through bone is equal to or longer than air Sensorineural loss : sound heard longer through air

18. Rinne test Weber test

19. IX Functions Motor: pharyngeal muscles Sensory: posterior 1/3 RD of tongue TESTING: Listen to voice quality, e xamine for difficulty in swallowing. Saline sol. with cotton. GLOSSOPHARYNGEAL

20. X FUNCTION: Palatal, pharynx control TESTING: Gag reflex Observe position of uvula VAGUS

21. XI Motor function: Trapezius - Shrugging Sternocleidomastoid Turn head to each side . SPINAL ACCESSORY

22. XII Function: Tongue movements Testing: Protrude tongue, tongue movements Abnormality: Dysarthria HYPOGLOSSAL

23. REFERNCES Physical rehabilitation 0’Sullivan 6 th edition Wahid NWB, Hogan CJ, Attia M. Weber Test. [Updated 2022 Jun 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526135/ Park SB, Ramage JL. Winging of the Scapula. [Updated 2022 Feb 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541005/

24. THANKYOU