Motor Assessment

Motor Assessment

Normal Assessment Findings

Normal findings for a motor assessment, based on the components of strength, coordination, and gait, are as follows:

1. Muscle Strength

• Normal Finding: Muscle strength is graded as 5/5 on the 0–5 scale, indicating normal muscle strength with no evidence of fatigue during active movement against full resistance.
• Muscle Size and Symmetry: Muscle groups are symmetrical bilaterally, with size appropriate for the patient’s age and no signs of atrophy or wasting.
• Absence of Involuntary Movements: No tics, tremors, or other involuntary movements are observed during the examination.

2. Coordination

• Normal Finding: The patient performs coordination tests, such as rapidly alternating palm-up and palm-down movements (e.g., pronation/supination), with equal, rhythmic, and smooth motions bilaterally.
• No Dysmetria or Dysdiadochokinesia: Movements are precise, without irregularities or difficulty in alternating.

3. Gait

• Normal Finding: The patient walks with a steady, balanced gait, showing normal stride length, arm swing, and posture. No limping, shuffling, or swaying is observed.
• Balance: The patient maintains balance while walking, turning, or transitioning (e.g., sitting to standing). Gait appears fluid and natural during casual observation (e.g., entering the room or moving to a chair).

Additional Notes:

• Glasgow Coma Scale (GCS) Context: If assessing motor response as part of the GCS, a normal finding would be a motor score of 6, indicating the patient obeys commands for movement (e.g., raising a hand or moving limbs as instructed).
• Documentation: Normal findings should be documented clearly, noting symmetry, strength (5/5), smooth coordination, and steady gait, with no involuntary movements or abnormalities.

These findings indicate intact motor function and neurological health. Any deviations (e.g., weakness, asymmetry, tremors, or unsteady gait) would warrant further evaluation.