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10. CN 7 - Facial: Assess facial movements: open eyes wide, wrinkling forehead, puff out cheeks, purse lips, smile not showing & then showing teeth, close eyelids tightly and try to open them_1748
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13. CN 11 - Spinal Accessory: Assess and grade sternocleidomastoid muscle strength by placing your palm laterally on the patient's cheek and asking the patient to turn the head resisting the pressure._4964
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16. CEREBELLAR FUNCTION: Assess the Finger to nose & finger to finger test: ask patient to fully extend arm then touch nose or ask them to touch their nose then fully extend to touch your finger. You increase the difficulty of this test by adding resistance to the patient's movements or move your finger to different locations. Abnormality of this is called dysmetria._5839
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17. Assess the Romberg test: The patient stands with heels together, arms extended forward, fingers slightly apart. The doctor notes the direction of the swing (left, right, forward, backward) and the time until the swing starts. If the patient does not swing, the doctor asks him to close his eyes to assess his stability without visual control over the balance for at least 30 seconds._23
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18. Assess gait testing: Observe gait with patient walking toward you. Observe patient walking away from you. Observe the length of stride, swing of arm, heel strike, toe off, tilting of the pelvis, and adaptation of the shoulders._6920
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20. Report on cerebellar status (e.g assessment revealed several ataxia symptoms (impaired balance, dysmetria, trouble with alternating movements)_8839
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22. Report on grading (scale 0-5) 0 No muscle activation 1 Trace muscle activation, such as a twitch, without achieving full range of motion 2 Muscle activation with gravity eliminated, achieving full range of motion 3 Muscle activation against gravity, full range of motion 4 Muscle activation against some resistance, full range of motion 5 Muscle activation against examiner’s full resistance, full range of motion_6036
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24. Report on biceps reflexes grade : 4 = Very brisk, with clonus (rhythmic oscillations between flexion and extension) 3 = Brisker than average; possibly but not necessarily indicative of disease (hyperactive) 2 = Average; normal 1 = Somewhat diminished, or requires reinforcement (hypoactive) 0 = Reflex absent; Results can be recorded as a fraction that indicates the scale range, such as 2/4 (2 on a scale of 4). Scale ratings can be subjective, therefore some clinicians may choose to use the terms present, absent, and diminished._7065
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29. Assess ankle clonus bilaterally (dorsiflex and plantar flex the foot a few times and ask your patient to relax. Next, sharply dorsiflex the foot and maintain it in dorsiflexion, observe for rythmical movements of the foot)_409
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