Dermatomes/Myotomes/Reflexes Flashcards
Dermatome: C2
Temple
Forehead
Occiput
Dermatome: C3
Neck
Cheek
Temporal
Under mandible
Dermatome: C4
Shoulder
Clavicle
Upper scapula
Dermatome: C5
Deltoid
Anterior arm to base of thumb
Dermatome: C6
Anterior arm
Radial side of hand (thumb + index)
Dermatome: C7
Lateral arm & forearm
Digits 2-4
Dermatome: C8
Medial arm & forearm
Digits 3-5
Dermatome: T1
Medial forearm
Base of 5th digit
Dermatome: T2
Medial upper arm
Medial elbow
Pecs
Midscapular
Dermatome: T3-6
Upper thorax
Dermatome: T5-7
Costal margin
Dermatome: T8-12
Abdomen
Lumbar
Dermatome: L1
Back
Greater trochanter
Groin
Dermatome: L2
Back
Front of thigh to knee
Dermatome: L3
Back
Upper buttock
Anterior thigh
Medial lower leg
Dermatome: L4
Medial buttock
Lateral thigh
Medial lower leg
Dorsum of foot
Big toe
Dermatome: L5
Buttock
Posterior/lateral thigh
Lateral lower leg
Dorsum of foot
Medial half of sole (digits 1-3)
Dermatome: S1-2
Buttock
Posterior thigh
Posterior lower leg
Dermatome: S3
Groin
Medial thigh to knee
Dermatome: S4
Perineum
Genitals
Lower sacrum
Myotome: C5
Shoulder abduction
Myotome: C6
Elbow flexion
Wrist extension
Myotome: C7
Elbow extension
Myotome: C8
Thumb extension
Ulnar deviation
Myotome: T1
Finger abduction
Myotome: L2
Hip flexion
Myotome: L3
Knee extension
Myotome: L4
Ankle DF
Myotome: L5
Big toe extension
Myotome: S1
Ankle PF
Myotome: S2
Knee flexion
Are DTRs increased or decreased with LMN lesions?
Decreased
Typically 1+
Are DTRs increased or decreased with UMN lesions?
Increased
Typically 3+
DTR for C5-6
Biceps
DTR for C6
Brachialis
DTR for C7
Triceps
DTR for C8
Distal finger flexors
DTR for L4
Knee jerk
DTR for S1
Achilles jerk
Reflex Grading: 0
no contraction
Reflex Grading: 1+
Hyporeflexic
Decreased but still present
Reflex Grading: 2+
Normal
Reflex Grading: 3+
Hyperreflexic
Reflex Grading: 4+
Clonus
Repetitive shortening after single stimulation