Myotomes And Exams

Question 1

Proprioception exam (what is it and how to administer)

Answer 1

-joint position
-move a pt’s wrist, finger, toe up or down with their eyes closed
-have pt say which direction it moved

Question 2

Kinesthesia exam (what is it and how to administer)

Answer 2

-mirroring
-have pt close eyes, move on limb into a position and have them mirror it with the opposite limb

Question 3

2 point discrimination exam

Answer 3

-ability to know if being touched at 1 or 2 points of contact
-“normal” is 2mm
-if pt can’t get to 2mm there’s impairment

Question 4

Graphesthesia (what is it and how to administer)

Answer 4

-face the same direction as the pt
-demonstrate w/ pt’s eyes open
-have pt close eyes
-draw numbers/letters and have pt say them

Question 5

Steregnosis (what is it and how to administer)

Answer 5

-have pt close eyes and ID object

Question 6

Temperature exam (what is it and how to administer)

Answer 6

-have pt close eyes and rest back of hands on lap
-tap pt w/ cold object in DERMATOME areas

Question 7

Vibration exam (what is it and how to administer)

Answer 7

-test vibrating tuning fork on pt so they know what it feels like
-pt closes eyes and rests back of hands on lap
-PT puts tuning fork on bony prominences
-pt has to say if it’s buzzing or not

Question 8

Light touch exam (what is it and how to administer)

Answer 8

-test brush on pt’s cheek on both sides
-have pt close eyes and rest back of palms on lap
-brush in DERMATOME areas on both sides and ask if they feel the same

Question 9

Sharp and dull exam (what is it and how is it administered)

Answer 9

-sense pain
-poke pt’s cheeks with eyes open
-have pt close eyes and rest back of hands in lap
-poke on DERMATOME areas on both sides and ask if it’s dull, sharp, and feels the same

Question 10

C5 myotome (action and muscle)

Answer 10

Shoulder ABD and flex; deltoid

Question 11

C5, C6 myotome (action and muscle)

Answer 11

Elbow flexion; biceps

Wrist extension; extensor carpi radialis longus and extensor carpi radialis brevis

Question 12

C7 myotome (action and muscle)

Answer 12

Elbow extension; triceps

Wrist flexion; flexor carpi radialis and flexor carpi ulnaris

Question 13

C8 myotome (action and muscle)

Answer 13

Ulnar deviation (palm up); flexor carpi ulnaris and extensor carpi ulnaris

Question 14

T1 myotome (action and muscle)

Answer 14

Digit ABD/add; interossei

Question 15

L2, L3 myotome (action and muscle)

Answer 15

Hip flexion; iliopsoas

Question 16

L2, L3, L4 myotome (action and muscle)

Answer 16

Knee extension; quads

Question 17

L4 myotome (action and muscle)

Answer 17

Ankle DF; anterior Tibialis

Question 18

L5 myotome (action and muscle)

Answer 18

Exetension of great toe; extensor hallucis longus

Question 19

S1 myotome (action and muscle)

Answer 19

PF; gastroc

Eversion; peroneus (fibularis) longus and brevis