Elbow and Forearm Tests and Measures Flashcards
Spinal root C1 - C2
Motor
Sensory
Reflex
Neck flexion
Skull
None
Spinal root C3
Motor
Sensory
Reflex
Neck lateral flexion
Lateral neck and jaw
None
Spinal root C4
Motor
Sensory
Reflex
Scapular elevation
Top of shoulder
None
Spinal root C5
Motor
Sensory
Reflex
Shoulder abduction
Proximal lateral humerus
Biceps
Spinal root C6
Motor
Sensory
Reflex
Elbow flexion, wrist extension
Thumb, index finger, and radial forearm
Brachioradialis
Spinal root C7
Motor
Sensory
Reflex
Elbow extension, wrist flexion
Middle finger
Triceps
Spinal root C8
Motor
Sensory
Reflex
Thumb extensor
Ulnar aspect of forearm
None
Spinal root T1
Motor
Sensory
Reflex
Hand intrinsics
Medial humerus
None
Bony landmark and associated soft tissue structure - Coracoid process
Skin
Bony landmark and associated soft tissue structure - Greater tuberosity
Biceps brachii
Bony landmark and associated soft tissue structure - Lesser tuberosity
Brachialis
Bony landmark and associated soft tissue structure - Humeral shaft
Brachioradialis
Bony landmark and associated soft tissue structure - Supracondylar ridges
Triceps
Bony landmark and associated soft tissue structure - Medial epicondyle
Anconeus
Bony landmark and associated soft tissue structure - Lateral epicondyle
FCR and FCU
Bony landmark and associated soft tissue structure - Olecranon
Wrist extensors (ECRL, ECRB, ECU)
Bony landmark and associated soft tissue structure - Radial head
Supinator
Bony landmark and associated soft tissue structure - Radial shaft
Proantor teres
Bony landmark and associated soft tissue structure - Ulnar shaft and ridge
Pronator quadratus
Bony landmark and associated soft tissue structure - Ulnar styloid process
Nerves (ulnar, radial, median)
Bony landmark and associated soft tissue structure - Radial styloid process
Ligaments (medial and lateral collateral)
Elbow flexion - Measurement and end feel
150 degrees
Soft
Elbow extension - Meas and end feel
0 degrees
Hard
Forearm supination - meas and end feel
80 degrees
Firm
Forearm pronation - meas and end feel
80 degrees
Hard
What is key about measuring pronation and supination
Need to be in complete supination and pronation with arm positioned in 90 degrees of elbow flexion to avoid humeral rotation and substitution