A screening test for symptoms of movement disorders. The client is observed in several positions, and severity of symptoms are rated from 0 to 4, with 0 as absent and 4 as severe. It may be administered ever 3 to 6 months.
Procedure
Indicate the client identifier, date, and examiner. Before or after the procedure, observe the client unobtrusively at rest e.g. while in the waiting room.
- A chair is required for the examination. It should be hard and have no arms.
- Ask the client about any items in their mouth: gum, candy; ask them to remove it.
- Ask the client about the use of dentures and if they bother the client.
- Ask the client about if they notice movements of their mouth, face, hands, or feet. If they do, ask for specification and description.
- Have the client sit in a chair with their hands on their knees, with legs slightly apart. Keep their feet flat on the floor. Observe for any movements.
- Ask the client to sit with their hands hanging unsupported. For men, between the legs. For women with dresses, over the knees. Observe hands and other body areas.
- Ask the client to protrude the tongue. Observe abnormalities of tongue movements. Perform twice.
- Ask the client to tap the thumb with each finger as rapidly as possible for 10 to 15 seconds, one hand at a time. Observe facial and leg movements.
- Flex and extend the client’s arms, one at a time.
- Ask the client to stand up. Observe in profile, all body areas, hips included.
- Ask the client to extend both arms outstretched in front with palms down. Observe the trunk, legs, and mouth.
- Have the client walk a few paces, turn, and walk back to the chair. Observe their hands and gait. Perform twice.