DeMyer W
Department of Neurology, Indiana University School of Medicine, Indianapolis 46302, USA.
Semin Neurol. 1998;18(2):161-8. doi: 10.1055/s-2008-1040869.
The neurologic examination is reviewed with regard to efficiency, technical errors, and patient comfort. Misleading nomenclature causes errors in executing and interpreting many bedside tests. The examiner can insure success by accepting every patient nonjudgmentally and by maintaining a mind-set that expects to find abnormalities. Since the examiner cannot do every possible test on every patient, intelligent utilization of the history may shorten the examination yet make it more informative. To insure full patient cooperation, the examiner should make each step in the examination into a game or contest and, wherever possible, match functions, such as muscle-to-muscle strength testing, directly against the patient's.
对神经系统检查在效率、技术误差和患者舒适度方面进行了评估。误导性的命名法会导致许多床边检查在执行和解释时出现错误。检查者可以通过毫无偏见地接纳每位患者，并保持期望发现异常的思维模式来确保检查成功。由于检查者无法对每位患者进行所有可能的检查，明智地利用病史可能会缩短检查时间，但同时使其更具信息量。为确保患者充分配合，检查者应将检查的每一步变成一场游戏或竞赛，并尽可能直接与患者的相应功能进行匹配，比如肌肉对肌肉的力量测试。
