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Upper limb tone

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When examining the upper limb neurologically, the tone is tested in both the wrists and the elbows with flexion and extension of these joints.

The examiner must look for:

  • cog-wheel rigidity - parkinsonism
  • hypertonicity - upper motor neurone or extrapyramidal lesion
  • hypotonicity - lower motor neurone lesion

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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