Patient flexes knee, and places their heel against the opposite knee
Patient extends their knee, allowing their heel to glide across the opposite leg, down the shin to the great toe
Observe for smoothness and accuracy
Repeat with the opposite leg
IV. Interpretation: Abnormal Findings
Abnormalities suggest cerebellar disease
Heel may overshoot the knee or fall to either side of the shin as it descends the opposite leg
Heel may be held elevated above the leg (not in contact) in a patient with lost proprioception
Bates (1991) Physical Exam, Lippincott, Philadelphia, p. 531
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