Position Sense
Examination Technique:

• demonstrate to the patient initially with eyes open that you will be moving their digit up (towards their head) or down (towards their feet).
  
  
• ask the patient to close their eyes.
  
  
• stabilize the distal interphalangeal joint of the upper extremity and make minimal movements upwards or downwards and ask the patient to report after each movement the direction of movement.
  
  
• similarly in the lower extremities, stabilize the interphalangeal joint and move the large toe up or down.