Tone

Start proximally at the shoulder, feeling how easy the joint is to move passively. Then move down to the elbow, wrist and hand joints, again assessing each one’s tone in turn.


Power

UL MOTOR EXMINATION

Start at the shoulder asking the patient to abduct and adduct against your hand so you can assess how much force they can overcome. Do the same for flexion and extension at the elbow and wrist, as well as the fingers; also checking abduction and adduction of the thumb.

UL POWER BICEPS

UL (Power wrist flexion and extension)

UL ( finger flexion )

UL (finger extension and thumb adduction)