Key concern of neurological history and physical is ‘Where is the lesion?’
DeMyer (1998) offers the following rules for the optimum performance of a neurological examination:
1. Enlist full cooperation from the patient and execute each test with the correct technique
2. Do an orderly neurological examination. Segregate the steps by mental, motor and sensory functions
3. Do a minimum basic neurological examination on every patient. However, the better the history the shorter, more direct, and more informative the neurological examination
4. During each test, “think through” the circuit that produces the behaviour under test.