Coordination Assessment Clinical Tests

Clinical tests used for coordination assessment in physiotherapy, evaluation techniques for neurological examination and rehabilitation

TestPurpose
Finger-to-Nose TestAssesses upper-limb coordination and cerebellar function.
Finger-to-Finger TestEvaluates accuracy and smoothness of upper-limb movements.
Alternate Nose-to-Finger TestTests coordination, proprioception, and cerebellar control.
Rapid Alternating Movements (Dysdiadochokinesia Test)Assesses ability to perform rapid alternating movements.
Past Pointing TestDetects cerebellar dysfunction by observing overshooting of targets.
Rebound Phenomenon (Holmes Test)Evaluates ability to stop movement appropriately.
Heel-to-Shin TestAssesses lower-limb coordination and cerebellar function.
Toe-to-Examiner’s Finger TestEvaluates lower-extremity coordination.
Foot Tapping TestAssesses rapid alternating lower-limb movements.
Tandem Walking TestEvaluates dynamic balance and coordination.
Heel Walking TestAssesses coordinated dorsiflexor muscle activity.
Toe Walking TestAssesses coordinated plantar flexor activity.
Romberg TestAssesses sensory integration and postural coordination.
Sharpened Romberg Test (Tandem Romberg)More challenging assessment of balance and coordination.
Single-Leg Stance TestEvaluates static balance and neuromuscular control.
Fukuda Stepping Test (Unterberger Test)Assesses vestibulospinal coordination.
Frenkel’s Coordination TestsSeries of exercises used to evaluate and train coordination in patients with sensory ataxia.
Luria’s Three-Step Motor Sequence TestAssesses motor planning and coordination.
Star Excursion Balance Test (SEBT)Evaluates dynamic neuromuscular control and balance.
Y-Balance TestMeasures dynamic balance and lower-extremity neuromuscular control.
Functional Reach TestAssesses balance and coordinated movement control.
Berg Balance ScaleEvaluates functional balance and coordination during daily activities.
Timed Up and Go (TUG) TestAssesses functional mobility, balance, and coordination.
Nine-Hole Peg TestMeasures fine motor coordination and dexterity of the hand.
Purdue Pegboard TestEvaluates fine motor coordination and bilateral hand function.
Box and Block TestAssesses gross manual dexterity and coordination.

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References:

1. Kisner, Colby & Borstad: Therapeutic Exercise: Foundations and Techniques
2. O’Sullivan & Schmitz: Physical Rehabilitation
3. Magee: Orthopedic Physical Assessment
4. Umphred: Neurological Rehabilitation

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