TEKNIK PEMERIKSAAN CONTOH

KELAINAN

EXTENSION AT ELBOW

Test extension at the wrist ( C6, C7, C8, radial nerve

) by asking the patient to make a fist and resest Weakness of
your pulling it down. extension is seen in
peripheral nerve
disease such as radial
nerve demage and in
central nervous
system disease
producing hemiplegia,
as in stroke or
multiple sclerosis.

EXTENSION AT WRIST

Test the grip ( C7, C8, T1 ). Ask the patient to

squeeze two of your fingers as hard as possible and
not let them go. ( To avoid getting hurt by hard A weak grip may be
squeeze, place your own middle finger on top of due to either central
your index finger ). You should normally have or peripheral nervous
difficulty removing your fingers from the patients
grip. Testing both grips simultaneously with arms
axtended or in the lap facilitates comparison.

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system disease. It may also result from painful of the tittle finger
disorders of the hands with the thumb,
against your
resistance
TEKNIK PEMERIKSAAN

TEST OF GRIP

Text finger abduction ( C8, T1, ulnar nerve ).

Position the patients hand with palm down and
fingers spread. Instructing the patient not to let
you move the fingers, try to force them
together.
Weak finger abduction
in ulnar nerve
disorders

FINGER ABDUCTION

Test opposition of the thumb ( C8, T1, median

nerve ). The patient should try to touch the tip
Weak opposition of the thumb in median nerve
disorders such as carpal tunnel syndrome

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TEKNIK PEMERIKSAAN

FLEXION OF THE
THIGH

OPPOSITION OF THE THUMB

Assessment of muscle strength of the trunk may already

have been made in other segments of the examination. It
includes :

Flexion, extendion, and lateral bending of the spine,

and
Thoracic expansion and diaphragmatic excursion
during respiration

Test flexion at the hip ( L2, L3, L4-iliopsoas ) by placing

your hand on the patients thigh and asking the patient to
raise the leg against your hand.

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 EXTENSION AT THE
KNEE
TEKNIK PEMERIKSAAN

Test adduction at the hips ( L2, L3, L4-adductors ).

Place your hands firmly on the bed between the
patients knees. Ask the patient to bring both legs
together.

Test abduction at the hips ( L4, L5, S1-gluteus

medius and minimus ). Place your hands firmly on
the bed outside the patients knees. Ask the patient
to spread both legs against your hands

Test extension at the hips ( S1-gluteus maximus ).

Have the patient push the posterior thigh down
against your hand

Test extension at the knee ( L2, L3, L4-quadriceps ).

Support the knee in flexion and ask the patient to
straighten the leg against your hand. The
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quadriceps is the strongest muscle in the body, so
expect a forceful response.

Akut respiratory