First video Cerebellum Examination

I learned about the scanning speech. That it is breaking out into syllables this patient might have
nystagmus. to test for rapid alternating movements so if you can put one hand out like so and with your
other hand do this as quickly as you can do it on the other side and this phenomenon if it's abnormal is
called dis diet ou doko kinesia the next thing we look for is pendular knee jerks patients with cerebellar
disease might have hypotonia but it may not be very evident because we're much more tuned to looking
for hypertonia than hypotonia and one manifestation is that when you do the knee reflex in a patient
with cerebellar disease in hypotonia the leg will keep swinging three or four or five times after you've
done the reflex as an indication of their hypertonia we're now going to step into the hall and do the gait.
Learning this exam is necessary for cerebellum which is associated to the abnormal gates.

Second video Gaits Examination

I learned about gates which is abnormal. First is the hemiplegic gait this gate is the circumduction of the
foot the fact that the foot is making a circle. they have extensor hypertonia so the length of the leg is
stiff. Second is the parkinson’s disease Universal flexion every joint is flexed and the patient typically will
take very small steps this is called a fascinating gait the French call it the marche a petit power walk of
little steps and there might also be an Associated tremor with the gait the patient may have a myriad.
Other abnormalities in gates are spastic diplegic, neuropathic, myopathic, choreiform, ataxic (cerebellar)
and sensory. This is really important to know attributed to neurological conditions.