Checklist for Neurological Examination of the Upper Limb

Item Achieved Not

Achieved
Wash your hands
Greet the patient
Introduceyourself to the patient
Explain performance of examination to the patient for
obtaining consent.
Ensure proper position of patient for examination and stands
to the right of the patient.
Expose Upper limb appropriately
Inspect from the right side of the bed for DWARFS*
Assess for tone (Bilateral)
Assess biceps reflex (Bilateral)
Assess brachioradialis supinator jerk (Bilateral)
Assess triceps reflex (Bilateral)
Assess power of shoulder abduction and comment on power
(Bilateral)
Assess power of shoulder adduction and comment on power
(Bilateral)
Assess power of elbow flexion and comment on power
(Bilateral)
Assess power of elbow extension and comment on power
(Bilateral)
Assess power of wrist flexion and comment on power
(Bilateral)
Assess power of wrist extension and comment on power
(Bilateral)
Assess power of finger abduction and comment on power
(Bilateral)
Assess grip strength and comment on power (Bilateral)
Perform point of reference for light touch on sternum with the
patient’s eyes closed.
Light touch of C5 (Bilateral)
 Light touch of C6 (Bilateral)
Light touch of C7 (Bilateral)
Light touch of C8 (Bilateral)
Light touch of T1 (Bilateral)
Perform point of reference for pain sensation on sternum with
patient’s eyes closed.
Pain sensation of C5 (Bilateral)
Pain sensation of C6 (Bilateral)
Pain sensation of C7 (Bilateral)
Pain sensation of C8 (Bilateral)
Pain sensation of T1 (Bilateral)
Perform point of reference for vibration on sternum with
patient’s eyes closed.
Assess vibration sensation once on any bony prominence
with eyes closed and when the vibration stops (Bilateral)
Explain procedure of proprioception examination
Assess proprioception with eyes closed(Bilateral)
Thank your patient
Wash your hands
Summarize the finding

*DWARFS: Disability, Wasting, Asymmetry, Fasciculation, Scars.