Anatomic Basis For Clinical Testing

Question 1

What are the reasons for muscle impairments?

Answer 1

Nerves (Spinal or Peripheral)
Disuse
Injury / Mechanical Stress
Disease
Ischemia

NDIDI!

Question 2

What are the clinical signs of muscle impairment?

Answer 2

Weakness - through force, endurance, power
Atrophy
Pain

WAP

Question 3

Describe the difference between sensory testing and muscle testing.

Answer 3

In both instances you would begin by looking either for a dermatomal or myotomal pattern of symptoms

Then, you would look at peripheral patterns

TAKE HOME: In muscle testing you are looking for symptoms NOT representative of a neurological pattern.

Question 4

What are symptoms of peripheral circulatory impairment?

Answer 4

Color
Absent Pulse
Pain
Swelling

CAPS

Question 5

What myotomes are used for a shoulder shrug?

Answer 5

C2, C3, C4

Question 6

What myotomes are used for shoulder abduction?

Answer 6

C5

Question 7

What myotomes are used for elbow flexion?

Answer 7

C6

Question 8

What myotomes are used for wrist extension?

Answer 8

C6

Question 9

What myotomes are used for Elbow Extension?

Answer 9

C7

Question 10

What myotomes are used for thumb extension?

Answer 10

C8

Question 11

What myotomes are used for finger abduction?

Answer 11

T1

Question 12

What myotomes are correlated with hip flexion?

Answer 12

L1, L2

Question 13

What myotomes are correlated with knee extension?

Answer 13

L3, L4

Question 14

What myotomes are correlated with dorsiflexion?

Answer 14

L4, L5

Question 15

What myotomes are correlated with Great Toe Extension?

Answer 15

L5

Question 16

What myotomes are correlated with plantarflexion?

Answer 16

S1