Table 3. Results of the modified Delphi process.
| Categories | Rating scores | ||
|---|---|---|---|
| 9 (Strong agreement) | 8 (Agreement) | 7 (Agreement) | |
| Physical examinations | 1. Check pulse and heart rate | 1. Listen to the heart sounds | |
| 2. Check breathing sounds | 2. Check thyroid goiters | ||
| 3. Check neck lymph node examination | |||
| 4. Listen to carotid bruit | |||
| 5. Check Kayser-Fleischer rings | |||
| Conscious and cognitive functions | 1. Glasgow coma scale | 1. Check complete Mini-Mental State Examination | 1. Check language function (reading, writing, repetition, comprehension, fluency, naming) |
| 2. Understanding the definition of coma, semi-coma, stupor, confusion, delirium, and dementia | 2. Check hemi-neglect | ||
| 3. Clock drawing test | |||
| Cranial nerves | 1. Check pupil size and shape | 1. Check visual field by confrontation test | 1. Check visual acuity by eye chart |
| 2. Check direct light reflex | 2. Check indirect light reflex and relative afferent pupillary defect | 2. Check accommodation reflex | |
| 3. Check eye movements | 3. Check upper eye lid for ptosis | 3. Check eye saccadic or pursuit movement | |
| 4. Check facial sensations | 4. Check nystagmus | 4. Check eye convergent or divergent movement | |
| 5. Check facial nerve function | 5. Clenched teeth | 5. Check onion skin sensation | |
| 6. Check cornea reflex | 6. Check jaw jerk | ||
| 7. Check hearing by finger rub screening test | 7. Check Weber-Rinne test | ||
| 8. Check vestibulo-ocular reflex | 8. Check uvula movement | ||
| 9. Gag reflex | |||
| 10. Check shrugging shoulders or head turning to each side against hand | |||
| 11. Check tongue movement | |||
| Motor system | 1. Check the distal and proximal muscle strength (MRC grading) | 1. Check the muscle strength of different myotomes | 1. Check the muscle strength of different nerves |
| 2. Check pronator drift | 2. Check muscle bulk and volume | ||
| 3. Check Gower sign | |||
| 4. Could observe fasciculation | |||
| Sensation | 1. Check light touch at arms/hands and legs/feet on both sides | 1. Check temperature sensations, and compare the sensations between left/right side and proximal/distal side | |
| 2. Check pinprick sensations, and compare the sensations between left/right side and proximal/distal side | 2. Check the truncal sensation of different dermatomes | ||
| 3. Check vibration sensations and compare the sensations between left/right side and proximal/distal side | 3. Check cortical sensation | ||
| 4. Check joint position sensation | |||
| Reflexes | 1. Check biceps, triceps, brachioradialis, patellar, and Achilles reflexes | 1. Check Hoffmann' reflex | 1. Perform methods of reinforcing the patellar reflex |
| 2. Check Babinski sign | 2. Check clonus | ||
| Cerebellum | 1. Check finger nose finger test | 1. Check muscle tone | |
| 2. Check heel-knee-shin test | 2. Check scanning speech | ||
| 3. Check rapid alternative movement test | |||
| Extrapyramidal systems | 1. Check rigidity or spasticity in upper/lower limbs and neck | 1. Check bradykinesia by finger tapping movement | |
| 2. Describe the phenomenology of abnormal movements, including dystonia, spasticity, rigidity, tremor, chorea, ballism, and athetosis | |||
| Gait and stance | 1. Check tandem gait | 1. Observe the gait (arm swing, walk on heels, walk on toes, and turn en bloc) | |
| 2. Check Romberg test | 2. Understanding abnormal gait, including hemiplegic gait, dystonic gait, scissors gait, wide base gait, festinating gait, gait apraxia | ||
| Autonomic system | 1. Ask about urine or stool incontinence | 1. Check supine/standing blood pressure and heart rate | |
| 2. Understanding the Horner syndrome | |||
| Others | 1. Check meningeal irritation (Brudzinski's sign and Kernig's sign) | 1. Straight leg raising test | 1. Check National Institute of Health Stroke Scale |
| 2. Assess basic mood condition |
MRC = Medical Research Council