Faculty of Medicine and Health Sciences, School of Health Sciences, Physiotherapy and Sport Rehabilitation, University of Nottingham, UK.
Faculty of Medicine and Surgery, Department of Clinical Science and Translation Medicine, University of Rome Tor Vergata, Roma, Italy.
J Man Manip Ther. 2021 Dec;29(6):376-389. doi: 10.1080/10669817.2021.1937813. Epub 2021 Jun 29.
Neurological examination in musculoskeletal practice is a key element of safe and appropriate orthopedic clinical practice. With physiotherapists currently positioning themselves as advanced first line practitioners, it is essential that those who treat patients who present with neck/head/orofacial pain and associated symptoms, should have an index of suspicion of cranial nerve (CN) dysfunction. They should be able to examine and determine if CN dysfunction is present, and make appropriate clinical decisions based upon those findings.
This paper summarizes the functions, potential impairments of the nerves, associated conditions, and basic skills involved in cranial nerve examination.
A summary of cranial nerve examination is provided, which is based on the function of the nerves, This is intended to facilitate clinicians to feel more confident at understanding neural function/impairment, as well as performing and interpreting the examination.
This paper illustrates that CN testing can be performed quickly, efficiently and without the need for complicated or potentially unavailable equipment. An understanding of the CN's function and potential reasons for impairment is likely to increase the frequency of CN testing in orthopedic clinical practice and referral if positive findings are encountered.
神经学检查在肌肉骨骼实践中是安全和适当的骨科临床实践的关键要素。随着物理治疗师目前将自己定位为高级一线从业者，治疗出现颈部/头部/颌面疼痛和相关症状的患者的人必须对颅神经（CN）功能障碍有怀疑指数。他们应该能够检查并确定是否存在 CN 功能障碍，并根据这些发现做出适当的临床决策。
本文总结了神经检查的功能、潜在损伤、相关情况和基本技能。
提供了颅神经检查的总结，该总结基于神经的功能，旨在使临床医生更有信心理解神经功能/损伤，以及进行和解释检查。
本文表明，CN 测试可以快速、高效地进行，无需复杂或可能无法获得的设备。对 CN 功能和潜在损伤原因的理解可能会增加在骨科临床实践中进行 CN 测试的频率，如果发现阳性结果，则会增加转介的频率。
