A) Finger-to-nose test The shoulder is abducted to 90o with the elbow extended, the patient is asked to bring tip of the index finger to the tip of nose.Finger to therapist finger: the patient and the therapist site opposite to each other, the therapist index finger is held in front of the patient, the patient is asked to touch the tip of the index finger to the therapist index finger. B) Finger-to-finger test Both shoulders are abducted to bring both the elbow extended, the patient is asked to bring both the hand toward the midline and approximate the index finger from opposing hand C) Finger-to-doctor's finger test the patient alternately touch the tip of the nose and the tip of the therapist's finger with the index finger. D) Adiadokokinesia or dysdiadokokinesia: The patient asked to do rapidly alternating movement e.g. forearm supination and pronation, hand tapping. E) Rebound phenomena: The patient with his elbow fixed, flex it against resistance. When the resistance is suddenly released the patient's forearm flies upward and may hit his face or shoulder. F) Buttoning and unbuttoning test.