Dysarthria and slowing of speech with slurring and stuttering
Knee jerk
The knee jerk is pendular and on elicitation of the reflex, there are more than 3 pendular movements
Tremor
The child may have intentional tremor. Finger test can show this effect
Dysmetria
On finger nose finger test, the child may overestimate the target.
Dysdiadochokinesia
Rapid and repeated movements are difficult
Ask the child to Place the palms of both hands over one another. Now request to supinate and pronate the upper lying palm repeatedly.
Ask the child to extend his hands such that the palms are facing the roof. You may notice unsteadiness in the palms
Rebound phenomenon
With the hands extended, give a quick push to the palms downwards, the child overestimates the position and overshoots it.
Gait
Ask the patient to walk. You may notice wide-legged gait
Ask the patient to walk in a straight line with feet one behind the other. The child may sway or fall. Be ready to hold the child while during this test
