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DPT 6110 > Components of the Neuromuscular Screen > Flashcards

Components of the Neuromuscular Screen Flashcards

1
Q

Where does the NMS fall?

A

Examination and Evaluation

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2
Q

What is the purpose of the NMS?

A

Identifies or rules out signs consistent with a lower motor neuron pathology (radiculopathy) or an upper motor neuron pathology (spinal cord compression, stroke, TBI)

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3
Q

What does the NMS use to determine the source and location of neurological dysfunction?

A

Uses sensory, motor, and reflex testing to determine the source and location of neurological dysfunction

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4
Q

What are the components of a basic neurological screening examination

A

1) Motor testing
2) Somatosensory/ Sensory Testing
3) Reflex Testing
4) Central Nervous System Screen

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5
Q

Neck Flexion

A

C1 & C2 UQ Myotomes.

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6
Q

Neck Sidebending

A

C3 UQ Myotome.

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7
Q

Shoulder Elevation

A

C4 UQ Myotome.

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8
Q

Shoulder Abduction

A

C5 UQ Myotome.

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9
Q

Elbow Flexion

A

C6 UQ Myotome.

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10
Q

Elbow Extension

A

C7 UQ Myotome

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11
Q

Thumb Abduction

A

C8 UQ Mytome

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12
Q

Finger Abduction

A

T1 UQ Myotome

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13
Q

Hip Flexors

A

L2-3 LQ Myotome

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14
Q

Knee Extensors

A

L3-4 LQ Myotome

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15
Q

Ankle Dorsiflexors

A

L4 LQ Myotome

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16
Q

Hallux Extension

A

L5 MQ Myotome

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17
Q

Ankle Plantar Flexors

A

S1 LQ Myotome

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18
Q

Mid-deltoid

A

C5 UQ Dermatome

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19
Q

Radial Aspect of 2nd Metacarpal

A

C6 UQ Dermatome

20
Q

Dorsal aspect middle finger

A

C7 UQ Dermatome

21
Q

Ulnar Aspect of 5th Metacarpal

A

C8 UQ Dermatome

22
Q

Medial Forearm

A

T1 UQ Dermatome

23
Q

Inguinal Area

A

L1 LQ Dermatome

24
Q

Anterior mid- thigh

A

L2 LQ Dermatome

25
Q

Medial Knee

A

L3 LQ Dermatome

26
Q

Medial Malleolus

A

L4 LQ Dermatome

27
Q

Distal Medial Dorsum of foot

A

L5 LQ Dermatome

28
Q

Lateral border of Foot

A

S1 LQ Dermatome

29
Q

Medial/ Posterior Calcaneus

A

S2 LQ Dermatome

30
Q

What is a monosynaptic reflex?

A

Reflex that automatically regulates muscle length by tapping then tendon it places a quick stretch on the muscle and activates muscle spindles. It results in contraction of stretched muscle.

31
Q

What is Hypo-reflexive?

A

Lower motor neuron (possible nerve root compression or neuropathy)

32
Q

What is Hyper- reflexive?

A

Upper motor neuron (possible CNS pathology)

33
Q

What would a possible finding of an Upper Quarter reflex mean?

A

Reflexes found to be diminished or absent can be correlated with the dermatome and myotome assessments to determine the presence of nerve root pathology. Those that are hyperactive may indicate upper motor neuron pathology.

34
Q

Biceps Brachii Upper Quarter Reflex?

A

C5

35
Q

Brachioradialis Upper Quarter Reflex?

A

C6

36
Q

Triceps Upper Quarter Reflex?

A

C7

37
Q

Patellar Lower Quarter reflex?

A

L2-4

38
Q

Achilles Lower Quarter Reflex?

A

S1-2

39
Q

What would a possible finding of a lower quarter reflex mean?

A

Reflexes found to be diminished or absent can be correlated with the dermatome and myotome assessments to determine the presence of nerve root pathology. Those that are hyperactive may indicate upper motor neuron pathology.

40
Q

What is the Jendrassik Maneuver?

A

Patient locks fingers together and pulls hard as you tap whatever area you are testing.

41
Q

What is a clonus?

A

A series of involuntary muscular contraction due to sudden stretching of the muscle (reflex response)

42
Q

Clonus

A

Clonus= central nervous system disorders (e.g stroke, multiple sclerosis, spinal cord damage) Specifically diseases or disorders that damage the upper motor neurons or associated tracts; most commonly testing in the ankles and wrist.

43
Q

When is a clonus considered abnormal?

A

Only sustained clonus (5 beats or more) is considered abnormal.

44
Q

What is a normal response of the babinski?

A

The toes will flex

45
Q

What is a positive response of the babinski?

A

Hallux extension; great tow will span out

DPT 6110 (15 decks)

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