Dermatomes/Myotomes/Reflexes/CranialNN Flashcards

1
Q

C1-C2 Myotome

A

Neck Flexion

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2
Q

C3 Myotome

A

Neck- Lateral Flexion

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3
Q

C4 Myotome

A

Shoulder Elevation (shrugging)

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4
Q

C5 Myotome

A

Shoulder Abduction

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5
Q

C6 Myotome

A

Elbow Flexion, Wrist Extension

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6
Q

C7 Myotome

A

Elbow Extension, Wrist Flexion

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7
Q

C8 Myotome

A

Ulnar Deviation, Thumb Extension

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8
Q

T1 Myotome

A

Fingers- Abduction and Adduction

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9
Q

L2 Myotome

A

Hip Flexion

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10
Q

L3 Myotome

A

Knee Extension

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11
Q

L4 Myotome

A

Ankle Dorsiflexion

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12
Q

L5 Myotome

A

Big Toe Extension

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13
Q

S1 Myotome

A

Hip Extension, Ankle Plantarflexion & Eversion

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14
Q

S2 Myotome

A

Knee Flexion

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15
Q

CN V Reflex

A

Jaw-Mandible - Mouth closes

If it’s Hyporeflexive it could indicate Trigeminal Neuralgia

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16
Q

C5 Reflex

A

Biceps Tendon - Bicep’s Contract

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17
Q

C6 Reflex

A

Brachioradialis Tendon - Elbow Flexion or Forearm Pronation

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18
Q

C7 Reflex

A

Distal Triceps Tendon above Olecranon - Elbow Extension

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19
Q

L4 Reflex

A

Patellar Ligament - Leg Extension

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20
Q

L5 Reflex

A

Medial Hamstring - Semimembranosus or Semitendinosus Tendon - Knee Flexion

21
Q

S1 Reflex

A

Achilles Tendon - Plantar Flexion

22
Q

S2 Reflex

A

Lateral Hamstrings, Biceps Femoris Tendon - Knee Flexion

23
Q

What does testing reflexes look for

A

Looking for normal or pathological, Hyper or Hypo reflexes

  • Hyper - UMNL
  • Hypo - LMNL
24
Q

What does Myotome testing look for

A

Tests the strength of the Muscle

If the result is positive as weakness, it would indicate a nerve root compression

25
What does testing Dermatomes look for
Tests for sensory loss in the NN pattern of the skin Positive sign would be less sensation on one side, which means there’s a lesion in the same cutaneous NN root
26
C2 Dermatome
Scalp, Temples, Face
27
C3 Dermatome
Throat and Larynx
28
C4 Dermatome
Above the Clavicles
29
C5 Dermatome
The Clavicles down to the top of the shoulder blades, outside front of the arms
30
C6 Dermatome
Outside portion of the Arms and Thumb
31
C7 Dermatome
Central portion of the back of arms, middle portion of hands, index and middle fingers
32
C8 Dermatomes
Inner portion of the back of arms, inner portion of the hand and the ring and pinky fingers
33
T1 Dermatome
The chest across to the armpits and down the center portion of the front of the arms
34
T2-T3 Dermatome
The chest down to the line of the nipples
35
T4-T8 Dermatome
The chest, Diaphragm and Abdomen down to above the navel
36
T9-T12 Dermatome
The stomach below the navel
37
L1 Dermatome
The Hip and Groin area
38
L2 Dermatome
Inside of the thigh
39
L3 Dermatome
Knee
40
L4 Dermatome
The inside part of the ankle (medial malleolus)
41
L5 Dermatome
Bottom of the foot and toes 1-3
42
S1 Dermatome
Toes 4-5, and the outside part of the Ankle (lateral malleolus)
43
S2 Dermatome
The outer side of the heel bone (lateral side)
44
CN V - Trigeminal
Client closes eyes; therapist strokes forehead, cheeks, ears and jaw with fingertips
45
CN VII - Facial
Close eyes tightly, smile and show teeth, pucker lips, whistle and puff out cheeks
46
CN III, IV, VI
Have client follow your finger with their eyes
47
CN III
Papillary Light Reflex
48
CN I
Olfactory
49
CN XI - Accessory
Client resists shoulder elevation