Joint position sense

Definition:
The joint position test is a manoeuvre performed to assess the integrity of the position sense, often performed to assess the integrity of the ventral cerebellar tract.

Test procedure:
The examiner grasps the lateral and medial portion of the toes or else the digits of the hand can be checked. The examiner asks the patient if they have moved the digit up or down.

Test findings (Positive & Negative results):
If the patient performs poorly then more proximal joints can checked for impairment

Considerations:
A high degree of inaccurate reporting from the patient should warrant further investigations as this promotes the likelihood of a lesion affecting the spinocerebellar tract.