10.11.2 Intoduction Flashcards
What are signs of LMN lesions?
- Atrophy
- fasciculations
- decreased / absent reflexes
Signs of UMN lesions
- brisk reflexes
- spasticity
- extensor plantar responses
Myotome
- All the muscles innervated from one segment
- E.G. C8 supplies most of the small hand muscles
Dermatome
- Area of skin which sends its sensory information to a particular segment
What are the innervations involved in the different reflexes?
Biceps
Triceps
Brachiorad
Knee reflex
Ankle reflex
Biceps - C5,6
Triceps- C7,8
Brachiorad- C5,6
Knee reflex- L3,4
Ankle reflex - S1,2
Involves sensory and motor nerve
Define root signature
Combination of:
- all muscles of one root affected (eg the myotome)
- dermatome
- reflex
What nerve supplies hip flexion
L 2, 3
Iliopsoas muscle
What nerve supplies knee extension
L 3,4
Quadriceps muscles
What nerve supplies ankle dorsiflexion?
L5
also toe extension
What nerve supplies ankle plantar flexion?
S12
Brachial plexus nerve innervation
1. Musculocutaneous nerve - C5-C7
2. Axillary nerve - C5-C6
3. Radial nerve C5-T1
4. Median nerve - C6-T1
5. Ulnar nerve - C8-T1
Define Radiculopathy
Lesion / disorder of nerve root(s)
Define Plexopathy
Lesion / disorder of plexus
Define Peripheral neuropathy
Lesion / disorder of peripheral nerves
Define Myopathy
Disorders of muscles