Station 41 Sensory system of the lower limbs examination

Z Pain. Ask the patient to close his eyes and apply a sharp object – ideally a neurological pin – to the sternum and then to each of the dermatomes of the leg. Compare both sides as you go along.

Z Vibration. Ask the patient to close his eyes and apply a vibrating 128 Hz or 256 Hz tuning fork (not the smaller 512 Hz tuning fork used in hearing tests) to the sternum and then over the bony prominences of the leg. Compare both sides as you go along.