Rethinking the neurological examination II: dynamic balance assessment.
The authors propose that the neurological exam needs reevaluation with respect to the dynamic balance test (walking). Validated tests such as: preferred and maximum gait speed, dynamic gait index, five-times-sit-to-stand test, timed up & go cognitive and manual, should be part of the neurological examination routine. In the neurological exam of older patients, these same bedside tests bring the plus of evaluation the risk of occasional falling.
Department of Neurology, Federal University of Rio de Janeiro, Brazil. pmaranhaofilho@gmail.com
Péricles A
PA
Maranhão-Filho
Eliana Teixeira
ET
Maranhão
Marco Antônio
MA
Lima
Marcos Martins da
MM
Silva
D000058:Accidental Falls / Q000517:prevention & control*; D000328:Adult; D000368:Aged; D004244:Dizziness / Q000175:diagnosis* / Q000503:physiopathology; D005684:Gait / Q000502:physiology*; D015577:Geriatric Assessment; D006801:Humans; D008875:Middle Aged; D009460:Neurologic Examination / Q000379:methods* / Q000592:standards; D004856:Postural Balance / Q000502:physiology*; D012016:Reference Values; D012307:Risk Factors; D055815:Young Adult