Exams, Muscle Strength, Reflexes Flashcards
when a primary sensory modality isn’t working the deficit is referred to as
anesthesia or analgesia
2 types of sensation
superficial and deep
types of superficial sensation
pain, temperature, light touch
pain, temperature, light touch carried in this tract
anterolateral part of cord
types of deep sensation
pain, touch, proprioception
pain, touch, proprioception carried in this tract
posterior part of cord
when checking the dermatomes, 2 other tests that can be performed are
deep tendon reflexes and muscle strength testing
light touch receptors
tactile disc of merkel
deep touch receptors
corpuscles of meissner
pain impulses travel along these types of fibers
A delta and C fibers
term designating areas insensitive to pain
analgesia
term designating areas having decreased sensitivity to pain
hypalgesia
term designating areas having increased sensitivity to pain
hyperalgesia
temperature of cold stimuli
41-50 degrees
temperature of hot stimuli
104-113 degrees
easiest and best way of checking motor nerve function
muscle testing
voluntary motor impulses initiated in this part of brain
cerebral motor cortex
the 3 areas of muscle integrity that are assessed
strength, tone, volume
0/5 muscle strength
no movement of muscle; 0% of normal movement
1/5 muscle strength
a twitch of movement; 0-10% of normal movement
2/5 muscle strength
moderate to severe paresis; 11-25% of normal movement
3/5 muscle strength
moderate paresis; 26-50% of normal movement
4/5 muscle strength
mild paresis; 51-75% of normal movement
5/5 muscle strength
normal; 76-100%
supraspinatus: segmental innervation and peripheral nerve
innervation: C4/5/6 (mostly C5)
nerve: suprascapular
deltoid: segmental innervation and peripheral nerve
innervation: C5/6 (mostly C5)
nerve: axillary
biceps: segmental innervation and peripheral nerve
innervation: C5/6
nerve: musculocutaneous
brachioradialis: segmental innervation and peripheral nerve
innervation: C5/6
nerve: radial
wrist extension: segmental innervation and peripheral nerve
innervation: C6/7/8 (mostly C6)
nerve: radial
triceps: segmental innervation and peripheral nerve
innervation: C6/7/8/(T1) (mostly C7)
nerve: radial
wrist flexion: segmental innervation and peripheral nerve
innervation: C6/7/8/(T1) (mostly C7)
nerve: median, ulnar
finger extension: segmental innervation and peripheral nerve
innervation: C6/7/8 (mostly C7)
nerve: radial
finger flexion: segmental innervation and peripheral nerve
innervation: C7/8/T1 (mostly C8)
nerve: median, ulnar
finger abduction: segmental innervation and peripheral nerve
innervation: C8/T1 (mostly T1)
nerve: ulnar
finger adduction: segmental innervation and peripheral nerve
innervation: C8/T1 (mostly T1)
nerve: ulnar
hip flexion: segmental innervation and peripheral nerve
innervation: L1-L4
nerve: femoral
hip extension: segmental innervation and peripheral nerve
innervation L5-S2
nerve: inferior gluteal
hip abduction: segmental innervation and peripheral nerve
innervation: L4-S1
nerve: superior gluteal
hip adduction: segmental innervation and peripheral nerve
innervation: L2-L4
nerve: obturator
knee flexion: segmental innervation and peripheral nerve
innervation: L5-S2
nerve: tibial
knee extension: segmental innervation and peripheral nerve
innervation: L2-L4
nerve: femoral
plantar flexion: segmental innervation and peripheral nerve
innervation: S1
nerve: tibial
dorsiflexion: segmental innervation and peripheral nerve
innervation: L5
nerve: deep peroneal
ankle inversion: segmental innervation and peripheral nerve
innervation: L5-S1
nerve: tibial
ankle eversion: segmental innervation and peripheral nerve
innervation: L4-S1
nerve: superficial peroneal
toe extension: segmental innervation and peripheral nerve
innervation: L4-S1
nerve: deep peroneal
toe flexion: segmental innervation and peripheral nerve
innervation: L5-S2
nerve: tibial
increased muscle tone means this type of neuron lesion
UMNL
decreased muscle tone means this type of neuron lesion
LMNL
2 types of hypertonia
spasticity and rigidity
increased muscular resistance felt by the examiner during quick joint movement
spasticity
involuntary muscular resistance felt when moving a resting joint
rigidity
all neurological signs can be divided into
deficit and release phenomena
loss of normal neurological function
deficit phenomena
deficit phenomena caused by these type of neuron lesions
LMNL
exaggerations or perversions of normal neurological function
release phenomena
biceps reflex: segmental innervation and peripheral nerve
innervation: C5/6 (mostly C5)
nerve: musculocutaneous
brachioradialis reflex: segmental innervation and peripheral nerve
innervation: C5/6 (mostly C6)
nerve: radial
triceps reflex: segmental innervation and peripheral nerve
innervation: C6/7/8/(T1) (mostly C7)
nerve: radial
finger flexion: segmental innervation and peripheral nerve
innervation: C7/8/T1 (mostly C8)
nerve: median, ulnar
patellar reflex: segmental innervation and peripheral nerve
innervation: L2-L4
nerve: femoral
achilles reflex: segmental innervation and peripheral nerve
innervation: L5-S2
nerve: tibial
adductor reflex: segmental innervation and peripheral nerve
innervation: L2-L4
nerve: obturator
internal hamstring reflex: segmental innervation and peripheral nerve
innervation: L4-S2
nerve: tibial
external hamstring reflex: segmental innervation and peripheral nerve
innervation: L5-S3
nerve: common peroneal
reflex graded 0
absent reflex
reflex graded +1
hypoactive reflex
reflex graded +2
normal reflex
reflex graded +3
hyperactive reflex
reflex graded +4
hyperactive with clonus