Dermatomes, Myotomes, Reflexes Flashcards
What is a dermatome
dermatome is an area of skin supplied by a single nerve root
C1 dermatome
Vertex of the skull
C2
posterior head
C3
posterior lateral neck
C4
acromioclavicular joint
C5
lateral arm
C6
lateral forarm and thumb
C7
palmar distal phalanx , middle finger
C8
little finger and ulnar border of hand
T1
medial forearm
T2
medial side of upper arm to medial elbow , pec and mid scapular area
T3-T6
Upper thorax
T5-T7
costal margin
T8-T12
abdomen and lumbar region
L1
back trochanter, groin
L2
back, front of the thigh too knee
L3
back, upper buttock, anterior thigh and knee medial lower leg
L4
Medial buttock, lateral thigh, medial leg, dorsum of foot, big toe
L5
Buttock, posterior and lateral thigh, lateral
aspect of leg, dorsum of foot, medial half of
sole, first, second, and third toes
S1
buttock, thigh, and leg posterior
S2
Same as S1 (Buttock, thigh, and leg posterior)
S3
Groin, medial thigh to knee
S4
Perineum, genitals, lower sacrum
What is a myotome
group of muscles innervated by a single spinal nerve root.
C1-C2
Cervical flexion
C3
side flexion
C4
shoulder elevation
C5
Shoulder abduction
C6
Elbow flexion and wrist
extension
C7
Elbow extension and wrist
flexion
C8
Thumb extension
T1
finger abduction
L1-L2
hip flexion
L3
Knee extension
L4
Ankle dorsiflexion
L5
big toe extension
S1
ankle eversion and plantar flexion, hip extension
S2
ankle eversion and plantar flexion, hip extension
S3
No specific test action; intrinsic foot muscles
(except abductor hallucis)
How do you grade a DTR
0-4+
normal is 2
DTR scale
0 = No Response, always abnormal
1+ = Slight reflex, present but depressed, low normal
2+ = Normal, typical reflex
3+ = Brisk reflex, possibly but not necessarily abnormal
4+ = Very brisk reflex, abnormal, clonus
Bicep DTR
C5-C6
Brachioradialis BTR
C5-C6
Triceps DTR
C7-C8
Patellar DTR
L2-L4
Achilles Tendon DTR
S1-S2
Hamstrings DTR
L5-S2