Examination of the body

To evaluate vegetative functions in many cases, a careful analysis of the patient's complaints and anamnestic information about the function of the genitourinary and rectum, the presence of excessive sweating, mandatory urination, urinary incontinence and erectile dysfunction (in men) is sufficient in many cases.

Violations of coordination of movements are designated by the term "ataxia". Ataxia is the mismatch of the work of various muscle groups, leading to a violation of the accuracy, proportionality, rhythmicity, speed and amplitude of voluntary movements, as well as to a violation of the ability to maintain balance. Violations of coordination of movements can be caused by the defeat of the cerebellum and its connections, disorders of deep sensitivity; asymmetry of vestibular influences. Accordingly, distinguish cerebellum, sensitive and vestibular ataxia.

The strength of the muscle is a quantitative measure that expresses the ability of the muscle to contract during counteraction to its external force, including gravity. Clinical research of muscle strength first of all reveals its decrease. A preliminary, tentative evaluation of muscular strength begins with finding out whether the subject can carry out active movements in all joints and whether these movements are carried out in full.

The sublingual nerve innervates the muscles of the tongue (except for M. Palatoglossus, supplied with X pair of cranial nerves). The study begins with a survey of the tongue in the oral cavity and when it protrudes. Pay attention to the presence of atrophy and fasciculations. Fasciculations are wormlike, rapid irregular twitching of the muscle.