Heel-to-shin test

Definition:
The heel-to-shin test is a test of lower limb coordination and position sense, often performed to assess the integrity of the cerebellum.

Test procedure:
1. With patient lying supine. Instruct the patient to raise one leg and with their heel touch their opposite knee, dragging the heel along the skin, along the shin toward the ankle and then slowly back up to the knee. Both legs are tested in similar fashion.
2. Assess for accuracy of heel placement. Note if the heel is not pushed down the shin without deviating or jerking.

Test findings (Positive & Negative results):
1. Assess for accuracy of heel placement. Note if the heel is not pushed down the shin without smoothly and accurately.
2. Any Inability to perform this test properly may indicate possible cerebellar trauma.

Considerations:
The reliability of a cerebellar test is re-enforced by performing other tests within this category. Joint disease, myalgia and poor flexibility will effect compliance.