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.