Lower Limb Neurological Examination (OLD) - Power, Reflexes, Sensation, and Coordination - Dr Gill
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- Опубликовано: 31 май 2024
- Lower Limb Neurological Examination - Power, Reflexes, Sensation, and Coordination - Dr Gill
often neurological issues will affect the limbs, so the "complete" neuro examination can be considered to be split into three sections:
- The Cranial Nerve Examination
- The Upper Limb Neurological Examination
- The Lower Limb Neurological Examination
Today we follow the Appearance, Tone, Power, Reflexes, Sensation and Coordination approach to the neuro exam for the lower limbs
#NeurologicalExam #DrGill #ClinicalExamination
#clinicalskills #Neurologicalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:18 - Patient Identification and Overview
00:48 - Standing and Walking Tests
01:55 - Balance Checks
02:20 - Leg Tone and Movement Examination
03:16 - Strength and Power Tests
04:40 - Sensation Check with Neurotip
05:53 - Vibration Sense Testing
06:28 - Reflex Checks
07:19 - Coordination Tests
08:00 - Joint Position Sense Test
08:24 - Final Thoughts
If my younger self knew that I'd be turning off the opening match of the european football championships after getting a notification about a medical examination video, he'd have been very confused indeed 😂
I am here after the Roland Garros semi-final 😜
Wow!
Insert pi$$ing myself laughing emoji here! Decent opening match though.
As a builder who never done anything remotely medical at school or college I find these videos fascinating and look forward to each new one
Thanks. I’ll be honest, I have similar thoughts when I see the skill of builders and engineers 😊
Seconded. I'm in the construction trade myself and have zero medical background yet I thoroughly enjoy every upload. Sometimes I even impress my nurse wife with the things I've learned!
Oh that’s brilliant! Nothing like surprising the other half with things that are not “your area” 😊
Although often you then need to explain how - I frequently have conversations with my patients when they say “but your a doctor, you wouldn’t understand” to which I can often talk about previous jobs as a post man, or working in a pudding factory for reference
I work in an iron foundry and I really enjoy these videos. I guess it's just having broad interests
@@DrJamesGill Haha. Very English professions!
"Okay, to start with can you demonstrate Wakanda Forever" .
"Thank you".
🙅🏽♂️
🤣
Brilliant! 🤣🤣
This comment wins the day.
I was worried there weren't any exams left for Dr. Gill to show us! This is a pleasant Friday surprise!
There are a few minor ones, but then we are going to do a patient review series eg. “Approach to a patient with asthma”
@@DrJamesGill I am a big fan!!!!
@@DrJamesGill Sounds awesome, I can't wait! Thanks for everything, as always!
We’ve obviously got a LOT still to do in the deep dives
@@DrJamesGill Fingers crossed Abbie will be involved, it would be too weird having any of these videos without her now. Lol
I don’t know medical term, so I use simple words
0:19 Name/Dob confirm
0:49 Standing and Walking
1:56 Balance standing
2:23 Inspection
2:33 Tone
3:16 Power
4:42 Sensation (sharp and soft touch)
5:54 Sensation (vibration)
6:27 Reflex
7:18 Coordination
U
20 jpnjnvm mbmb h m ij89 de up8jbjphm m m mm8kum M.0l8bthnm gb8mb8omb h gb b o8m8m8nnjjuu.u.u7u unmgm gb mbbmbmku 8j.8
Gill and Tutt 6 - The Abbening.
🤣🤣🤣
😂😂😂
👻👻👻 - I will forever bee in your nightmares
In a future video:
Dr Gill: “Could I have you raise your arm, please?”
Abbie: “FEAR ME, HUMAN”
Dr Gill: “I beg your pardon?”
Abbie: “um, I mean, yes, of course”
They are wonderful
this channel is great for not only those who are learning medicine but who want to know what they could expect while receiving an exam. especially those with anxiety around doctors and exams and procedures this helps understand what will happen.
Honestly, this is something I never expected people outside of the medical education side of things to find useful, but I’m literally over the mood it has helped others 😊
Also for those who's trying to sleep lol
Audio issues aside, this video is timely indeed. Three hours doing errands in 97 degree weather and my feets are absolutely murdering me. Dr Gill's voice is the perfect soothing balm for that!
There was a glitch in the Matrix when the fuzzy touch started.
thank you, so i`m not going crazy
When??
@@TallonQsack The audio doesn’t match the video when the fuzzy touch starts. It’s corrected by the end of that test, but the first bit is disjuncted.
I’m annoyed it didn’t see it before it went live - HOWEVER, I will be re-filming without masks when we are able to, but I honestly think that is >1 yr away
I have never cared about anything medical until Dr. Gill started these videos. Now I find them immensely interesting and relaxing at the same time.
Never thought to check the soles of the shoes... brilliant!
The shoes are really useful - Abbie had had a small injury, hence the increased wear on one side 🤫
Kinda also helps they are only 4 months old too 😂
@@abbietutt4656 do you have Instagram?
@@alexcocchi272 yo what
Check out “Diabetic Foot Exam” uploaded by Aidan Blunt with Dr. Berry- that was the first time I’d seen that check done myself!
Imagine if someone said yes I have a problem with that particular body part, all hell would break loose for Dr Gill
I always wonder that haha !!
You should make a World tour, im sure everyone would pay to get any kind of exam! "Dr Gill World tour 2022"
Definitely 👍🏽
I'd bring my own bit of paper
I'd drill holes in the back of my head so he can see my eyes form behind
I want a video where Dr Gill reads thirsty comments :D
I watch your videos for the relaxation and information, and imagine myself going through such examinations to see if there's something potentially wrong. Thanks for what you do, Doc! Hugs from Brazil.
And here I am waiting for some doctor to finally find out what I have while my hands go full zombie mode this season again.
I know many ppl are here for educational purposes, but to me Dr. Gill’s voice is just so a soothing thing to listen to after a stressful day
I don't know why these videos help so much with my anxiety, but they really do. My anxiety has been off the hook recently and I'm not able to book an appointment with my behaviorist for a long time, but your videos work wonders to help calm my mind. Thanks, Dr. Gill!
Dr. Gil- “Loose and floppy. Brilliant.”
Dr. Holly- “It’s Lovely and floppy. Brilliant. Get it right.” 😂
Lmao yup. Also love your name, I swear I see you everywhere, DALE
Dr.Gill, you have the most calming and hypnotic voice. Do patients ever fall asleep on you from being so relaxed by your voice? I would :)
Most polite and Good doctor, who cares about patient. Dr Gill, you won't believe that there are some doctors who examines patients for only less than a minute. 😐
Good one Doc. Nice to see Abby/Abbie again as well.
She’s very helpful 😊
I failed the close your eyes test, but it was good as it lead to the diagnosis of the disease that I need to manage. That smile test showed my doctor exactly where to go with diagnosing. These may seem like silly simple tests, but they work very well!
Always a nice way to start the weekend! Thanks, Dr. Gill!
Abby has power enough to be featured TWICE on Gill’s examinations
I think this is actually her 5th or 6th appearance in Dr gills exam videos
Abby is back !! 😁🤣🤣
Dr. Gill was able to establish the proper bicycle fit for Abbey. Abbey pedaled home on a navy bicycle for war
I’m terrible at bike fits. I’ve had LOADS, and they have never been quite right. HOWEVER I’ve recently had a bike fit from a chap in Warwick abs he is clearly a magician!
Neurology as it pertains to the lower limbs is something that has always piqued my interest because of the condition I have suffered from all my life.
As far as I know, given that I live in the United States of America in a lower-middle class house, I've had a condition that doctors were convinced was a self-inflicted issue. When I learned to walk, I had extreme difficulty putting my heels to the ground. I could only walk on my tip toes, and the most I received was occupational therapy to try and get me to stretch the Achilles tendon. eventually, I stopped getting that therapy through the school system and I was left with my parents attempting to discipline me for not overcoming my condition. I was plagued with lots of allergant related issues as a child and a relatively weak auto-immune system when I was a child, which lead to frequent cold and flu, which even then my mother was reluctant to take me to see a doctor because of the expenses incurred.
I would like to see medical professionals for a number of reasons right now; I clearly suffer from extreme bouts of depression and anxiety. Walking has also become a far more difficult task as I have matured. I'd... like to not think it's my fault that I never learned to walk correctly. that's the place I've been put in my entire life and I really tried to reverse that throughout my childhood, but...
I guess the thing I want to ask is if my problem could possibly be an issue with a neuron lesion or such. I do exhibit tremor in my limbs when I'm not particularly focused, although if I pay attention I can get it under control, and I have full sensation in the limbs, even if I struggle with coordination in some ways. I suppose that's what the examination is for. that's why I listen to videos of doctors going through these routine exams to try and lull myself to sleep at night, to try and associate it with a sense of security and comfort rather than anxiety over financial devastation.
back in business! Thanks Dr! Thanks Abbie!!
his voice- it's amazing and so soothing qwq
This was so calming to watch, you are awesome! Thank you for sharing
Very nice video… I started watching this videos for ASMR, now i watch them for the very interesting content
Nice work dr Gill. Love from Guatemala
Welcome! That’s for joining us!
DR GILL DOES IT AGAIN
Yes , very happy to see this video thanks for the content hope and Abbey are very well. Great job both of you , have a lovely day/ evening 😀
As someone interested in history of Medicine, it would be fun to see a similar series on historical medical exams and procedures.
No. Often that stuff is barbaric
@@DrJamesGill Bloodletting, part 1. ;D
Seriously though, I should've specified "as a talk-about" series
@@kohinarec6580 ahaha yes a demonstration series might violate a few OH&S rules! 🤣
1:04 - when it's 1am and you're walking to the bathroom toilet after watching a night's worth of Dr Gill vids
Happy birthday to the lady!!
Just at the right time, love your videos!
👍
dr gill is back
I suggest he always stay over the right side of the patient as we learnt from the professor in the medical school before we get dizzy from moving around the exam couch.
Ordinarily I teach my students the same. HOWEVER on the neuro exam, that is very hard to do when you are trying to ensure a good view from the camera 😊
Their voices are very soothing Idk how RUclips recommended me their channel but I love this. It is also pretty interesting !
Trust the algorithm 😊
My favorite doctor ❤️
The day these exams ends are the day I mourn
This is my fave vid to watch at night 😅 the ASMR feels is real
I love these videos. They're so relaxing and interesting.
👍
Yeah they are
This man has tucked me in for bed time more times than my father
We need to send the excellent Abbie a birthday card come December.
Heyyyyy!! Dr. G...we were waiting for a new video thanks a lot...Detroit in the building!!
Do you have any videos of any patient who has had issues or concerns during the testing? If not I would love to see the process that follows those discoveries (only if the patient is comfortable of course)
Thanks to your excellent videos , im a medicine lover , this year iam gonna study medicine , im full of joy
Wonderful!
Dr Gill for all the fun we are all learning a lot about health which can never be a bad thing
Dr. Gil: "Alright, were going to check your powers."
Patient: *shoots lightning from her finger tips and blows out the window*
Dr. Gil: "Super..."
😂😂😂
@@DrJamesGill i feel so honored! For real though, you're the man
Dr Gill's voice though!
Nice video doctor
he’s baaaaack😍
👍
Those epic shoes Dr Gill’s wearing scream ‘Royal Britannia’. And here I am wearing discount Walmart sneakers 😬
Discounted in a Clark’s sale, and still going well since 2018!!
@@DrJamesGill
They’re Gucci Dont lie !! 💁🏼♂️
Do Gucci even do men’s shoes?!?
@@DrJamesGill
They should now if not !!
Call it the “Dr. Gucci Gill” style
Boss!?
Dr G, your the man
I was going to say, “I’m no G-man”… but I suppose via the NHS I *do* technically work for the government!!
Great job as usual Dr. Gill! Salutations from Brazil.
👍
Hello fellow brasileiro
We’ve been waiting for this for a minute
my fav duo
Came for the ASMR, stayed for the Gill/Tutt power combo
When u test someone’s reflexes, what is the material that the “hammer” is made of?
Rubber
Adoro ver estos videos :3
Abby needs to change her birthday for a random video just for fun to throw us off 😂
Absolutely loving the Tutt Tattoo!
The Tuttoo
Thank you Dr. Gill. Would you consider doing a diabetic foot exam please.
This is very relaxing ☺️
👍
1:40
"I'm just going to have a quick look at your shoes"
"What are thoooooooooose!"
Yay a new video
Could you please mention the reason of the different examinations you do? Why telling the patient to stand up, raise their hands etc. And what results are you trying to notice. That would be amazingly informative. Thanks in advance
With respect to gait and mobility, is there an appropriate test to ask for if I was to see a GP about an ankle concern? I dislocated my ankle a few years back and unfortunately even after reduction and a surgical procedure to plate my snapped fibula, it's never quite recovered properly, particularly in dorsiflexion, and seems malformed. Physio never seemed to fully address it and I'm worried that it'd need some kind of further surgical procedure to resolve!
This would be something for physio and Orthopaedics to jointly look into. As a GP I don’t think there is much I could do
I like to spread my Dr Gill time out so I can binge on a few uploads.
Are Dr. Gill and Abby going strong?? Oh, I wish! I wish we could make it happen!
Its funny how videos like this have thousands up to millions of views, while other educational videos have a couple of thousand. 😂
Thank god you weren't in striking distance with those reflexes. This would have been your last video.
Some things missed brilliant doctor...which is the name of every test for more explanation of the examination
It made me sleep very wall and fast.. 😊
It's a great video, but it's a shame that the audio isn't synced up correctly.
And here it is!!💃 I can finally stop refreshing and checking daily
Only so many hours a day. But I try to post every 1-2 weeks 😊
@@DrJamesGill it’s more than enough I’m just being greedy. Hope you have a great weekend!
Absolutely. Just been wild swimming - hence no premiere this week
@@DrJamesGill that’s sounds unreal where abouts? Me and my closest friend do lots of meditation and Wim Hof breathing sessions then go swimming for the cold water exposure! Love it up in Scotland especially
1:59: When he says "You´re not going to fall over", but the real challenge is resisting to fall into this gorgeous Dr.´s arms ^^
Also, how can she not have goosebumps when he touches her legs, but I am tingling all over.
Best educational ASMR!
You can't fall in love with a voice
The voice: ✨😍✨
I wish had his accent
Do you know where the studies are on the efficacy of the 3 word recall test or how many words that start with F? There are 3 little articles I’ve found, but not any decent studies to justify giving that test to the elderly. I know it's a standard test and I’m betting someone came up with it decades ago, and it has just been passed on down without any clear research. I’m writing a graphic memoir of how I used my health and fitness knowledge to stop my mother with mild dementia from forgetting me, and it worked. She always knew me. I’ve been flummoxed on the actual studies for the 3 word recall test and the cube drawing test. I want to put that in my book.
I would volunteer as tribute for these examintions! 😍 but I'm afraid I would be too amazed by being in front of a legend 🙊🤭
Looking great with the hair cut, doc!
Hi from Costa Rica 🇨🇷😁
Thanks however Abbie has a relatively short drive, whilst Costa Rica I don’t think would be an economical trip! Lol
Dr Gill: Could I start by taking your name and date of birth please
Everyone watching this video: Abbie Tutt, 7th December 1996
Who will be wishing Abbey a happy birthday here next 7th of December?!
I see some people have given this video a thumbs down. I just don't get it. What is not to like.
It’s boring. Waste of time watching this rubbish.
@@trailerparksupervisor7046 then don't watch? 🧐
@@xSarileinx how do i know if it’s going to be good or not until I have watched it?
Is it me or is Dr Gill now speaking with a softer voice? This makes me get relaxed way faster
Dr Gill knows why we're all here. 60/40 for relaxation and (maybe accidentally) learning stuffs
@@MsYunaFires indeed
Do medical students get introduced to examples of abnormal conditions while still in a classroom setting or do they interact with them for the first time during rotations? Clinicals? (I'm not sure of the term I'm sorry)
I have quite the fun range of medical conditions at a relatively young age (@21 I have/have had an experimental typanoplasty, ehlers-danlos syndrome-hypermobile, Mixed Connective Tissue Disease, POTS, and an unknown heart condition we're calling Inappropriate Sinus Tachycardia for the time being along with a few others) so I usually have medical students sitting in on my appointments, ultrasounds, and procedures to a range of reactions and confidence levels. I was just wondering if that was likely the first time they had seen the conditions or if they've seen it before in a classroom setting.
And thank you for these videos btw!
They get most of the first year in class, with a small bit of patient contact, need to get them up to speed first 😊
A lovely Friday surprise.
I don't know if requests are taken out future material is needed, but I'd love to see a video on clearing a neck/spine to remove a collar after a trauma. If that's in your wheelhouse of course 🙂
Good idea
I love Abby!!!
Super
Thanks
Yeay, Abby! *rooting for you, haha*
When is Abby going to get her own spin-off show?
Well she has her tictok and I do owe her a video for her YT channel - @medbeemedic
My voice is nowhere near these levels of ASMR - I'm better with the masks on 😂
@@abbietutt4656 The living legend!
@@MrAllen-fv9cj Mr. Allen, you‘re a legend too 😂😂😂😂
@@lschb9475 you know you’ve made it when THE unintentional medical asmr exam guy calls you a legend 🤣
Just me or does Dr. Gill look a bit like Stephen Merchant? Dr. Gill, your thoughts?
I think it’s something they put in try water at Warwick Uni
@@DrJamesGill OMG!!! Just looked it up, Stephen Merchant went to Warwick too... *insert X-Files theme*
See!! It’s in the water, but no one believes me!! Warwick grows the geek strong!
WAIT WHAT!?! Stephen Merchant, Ruth Jones... FRANK SKINNER. HOW DID I NOT KNOW STEPHEN MERCHANT!?!? He's my favourite character after Amy in TBBT !
God of asmr is back
Dr Gill, have you ever heard of any interesting studies into the effect and cause of ASMR?
It’s very early in research and needs to be validated as a genuine effect - BUT it is through to be related to a similar (and recognised) experience/sensation called Frisson
@@DrJamesGill Dang, I was convinced it had something to due with particular harmonic vibrations... not to be too gross but I noticed that after I had my ears deep cleaned (was going deaf from having earplugs in my head for most of the day), ASMR doesn't 'give the tingles' like it used to. It's still deeply relaxing, but not the same.
My favorite doctor who is not my doctor 😂
Doctor Who..?!!
Mine is David Tenant and I will accept NO substitutes
@@DrJamesGill really? For some reason I always thought you’d be a Matt Smith fan. Perhaps because I’ve always imagined that you would be a bow tie fan
I can’t tie a bow tie. Last time I tried I thought I would have an aneurysm!!
please tell me what the wear on somebodies shoes has to do with the function of the lower limbs?
Different wear patterns can indicate changes to the kinetic chain, which may relate to muscular, skeletal or neurological problems
I'm not familiar with the D shape test along the medial tibia; what are you testing with this?
That is testing coordination, part of looking for cerebella signs
I love your red pants. How often or when would you say such an exam should be done? I've never had a single Dr do any of the exams I've seen in any of your videos and I have issues galore. I've never had an appointment with my Dr longer then mmm maybe 4/5 minutes. Even with other Dr's most appointments are 2-3 minutes maybe
Parts of the exam will happen without you realising, eg I go and collect my patient from the waiting room- thus seeing them get out of the chair and walking into the clinic room
If there is something there, then I’ll look more closely.
Thanks for the response
You really are a good Dr that really does do his job. I walk to the room myself and wait 1-8 minutes for Dr to show up then I am basically rushed out. I have never had a full exam for anything done ever. Any tests I've ever had done results come back fine but I am not fine so??? Clinic Dr's same I am rushed out. I hardly ever go to the Dr cause I sadly feel its a waste of time and never get any resolve.
2 things
1 cheeky ankle tattoo - very nice
2 whoever did your leg wax has done a bang up job - that's Abby not Dr Gill
🤣🤣 I feel my legs are being unfairly ignored here!! Lol
SUPERBBB 😁
6:51 I heard "lovely and floppy" in a northerner accent in my head
Dr Berry!!!