Assess dermatome/myotome

Question 1

C5 dermatome

Answer 1

Stroke dermatome- upper arm, radial side

Question 2

C6 dermatome

Answer 2

Stroke on forearm, radial side

Question 3

C7 dermatome

Answer 3

Stroke on 3rd metacarpal/phalange both sides

Question 4

C8 dermatome

Answer 4

Stroke on 4th and 5th metacarpal/phalange, both sides

Question 5

T1 dermatome

Answer 5

Stroke on forearm, ulnar side

Question 6

T2 dermatome

Answer 6

Stroke on upper arm, ulnar side

Question 7

C5 myotome

Answer 7

Assess deltoid. Patient sitting, ask them to abduct arms to 90, then apply downward pressure to arms

Question 8

C6 myotome

Answer 8

Biceps Brachii, wrist extensors. Biceps- Flex elbow to 90 and supinate, ask patient to resist extension force applied. Wrist- pronated forearm, closed wrist in slight extension. Apply a flexion force and ask patient to resist

Question 9

C7 myotome

Answer 9

Triceps brachii, wrist flexors
Triceps- flex elbows to 90, ask patient to resist flexion force applied.
Wrist- supinated forearm, closed wrist in slight flexion, apply an extension force and ask patient to resist

Question 10

C8 myotome

Answer 10

Abductor pollicis brevis.

Ask patient to resist thumb adduction

Question 11

T1 myotome

Answer 11

Dorsal interosseous. Fixate last 3 digits, apply adduction force against index finger and ask patient to resist.

Question 12

L1 dermatome

Answer 12

Stroke on upper/inner groin

Question 13

L2 dermatome

Answer 13

Stroke on mid thigh

Question 14

L3 dermatome

Answer 14

Stroke on lower thigh/ knee

Question 15

L4 dermatome

Answer 15

Stroke on shin (tibial side)

Question 16

L5 dermatome

Answer 16

Stroke on shin (fibular side), metatarsals 1-4

Question 17

S1 dermatome

Answer 17

Stroke on calf

Question 18

S2 dermatome

Answer 18

Stroke on hamstrings

Question 19

L2 myotome

Answer 19

Hip flexion. Patient supine, bring hip into 90 degrees of flexion with leg over your shoulder, apply an extension force and ask patient to resist

Question 20

L3 myotome

Answer 20

Knee extension.

Question 21

L4 myotome

Answer 21

Tibialis anterior (dorsiflexion). Apply downward pressure on patients foot and ask them to resist.

Question 22

L5 myotome

Answer 22

Extensor hallucis longus.

Apply flexion force to big toe and ask patient to resist.

Question 23

S1 myotome

Answer 23

Ankle plantaflexion. Ask patient to stand on tip toe.

Question 24

S2 myotome

Answer 24

Knee flexion. Apply extension force to knee and ask patient to resist