Neuromuscular Child Examination
How to examine the neuromuscular child beyond cerebral palsy with your hands: the pattern-recognition framework that sorts the child before any test (upper versus lower motor neurone, proximal versus distal, symmetric versus asymmetric, stable versus progressive, onset by age), the Gowers sign done and described correctly with the hands walking up from shin to thigh, the motor and sensory screening ladder by level with sacral sparing and continence in spina bifida, the hereditary neuropathy pattern with cavovarus feet and claw toes, the myopathy pattern with calf pseudohypertrophy and the lordotic waddling gait, tone separated from weakness, the neuromuscular spine and sitting assessment, respiratory and bulbar urgency signs, and the baseline measurements — six-minute walk, timed rise, timed run, hand function — that let progression be seen.