Coordination
Cerebellar disease
- incoordination is worse with eyes closed
dysmetria
- point-to-point movements are clumsy, unsteady, inappropriately varying in speed, force, & direction
- may initially overshoot mark but finally reaches it
Cerebellar Function
Assessed by:
- Rapid alternating movements
- Finger-to-Nose Test
- Heel-to-Knee Test
- Romberg’s Test + Pronator Drift
- Gait
- Tremor & Tone assessment
Cerebellar vs. Basal Ganglia lesions
| Region | Signs and Symptoms |
|---|---|
| Cerebellar | - Awkwardness of intended movements |
| - Intention tremor | |
| - Ataxia | |
| Basal Ganglia | - Involuntary movements |
| - Resting tremor | |
| - Chorea | |
| - Athetosis | |
| - Hemiballismus |