N Root Dermatomes, Myotomes, Reflexes, And Paresthetic Areas Flashcards
C1 dermatome
Vertex of skull
C2 dermatome
Temple, forehead, occiput
C3 dermatome
Entire neck, posterior cheek, temporal area, prolongation forward under the mandible
C4 dermatome
Shoulder area, clavicular area, upper scapular area
C5 dermatome
Deltoid area, anterior aspect of entire arm to base of thumb
C6 dermatome
Anterior arm, radial side of hand to thumb and index finger
C7 dermatome
Lateral arm and forearm to index, long and ring fingers
C8 dermatome
- Medial arm and forearm to long, ring, and little fingers
T1 dermatome
Medial side of forearm to base of little finger
T2 dermatome
Medial side of upper arm to medial elbow, pectoral and midscapular areas
T3-T12 dermatome
- T3-T6 — Upper thorax
- T5-T7 — Costal margin
- T8-T12 — Abdomen and lumbar region
L1 dermatome
Back, over trochanter and groin
L2 dermatome
Back, front of thigh to knee
L3 dermatome
Back, upper buttock, anterior thigh and knee, medial lower leg
L4 dermatome
Medial buttock, lateral thigh, medial leg, dorsum of foot, big toe
L5 dermatome
Buttock, posterior and lateral thigh, lateral aspect of leg, dorsum of foot, medial half of sole, first, second, and third toes
S1 dermatome
Lateral and plantar aspect of foot
S2 dermatome
Buttock, thigh and posterior leg
S3 dermatome
Groin, posteromedial thigh to knee
S4 dermatome
Perineum, genitals, lower sacrum
C1 muscle weakness (myotome)
None
C2 muscle weakness (myotome)
- Longus colli
- SCM
- Rectus capitus
C3 muscle weakness (myotome)
- Traps
- Splenius capitus
C4 muscle weakness (myotome)
- Traps
- Levator scap
C5 muscle weakness (myotome)
- Supraspinatus
- Infraspinatus
- Biceps
- Deltoid
C6 muscle weakness (myotome)
- Biceps
- Supinator
- Wrist extensors
C7 muscle weakness (myotome)
- Triceps
- Wrist flexors
- Rarely, wrist extensors
C8 muscle weakness (myotome)
- UD
- Thumb extensors
- Thumb adductors
- Rarely, triceps
L2 muscle weakness (myotome)
- Psoas
- Hip adductors
L3 muscle weakness (myotome)
- Psoas
- Quads
- Thigh atrophy
L4 muscle weakness (myotome)
- Tib ant
- Extensor hallicus
L5 muscle weakness (myotome)
- Extensor hallicus
- Peroneals
- Glute med
- DF
- HS
- Calf atrophy
S1 muscle weakness (myotome)
- Calf
- HS
- Wasted glutes
- Peroneals
- PF
S2
- Calf
- HS
- Wasting of glutes
- PF
S4 muscle weakness (myotome)
- Bladder
- Rectum
C5 reflexes affected
- Biceps
- Brachioradialis
C6 reflexes affected
- Biceps
- Brachioradialis
C7 reflexes affected
- Triceps
L3 reflexes affected
- Knee jerk sluggish
- PKB (prone knee bend test) positive
- Pain on full SLR
L4 reflexes affected
- SLR limited
- Neck flexion pain
- Weak or absent knee jerk
- Side flexion limited
L5 reflexes affected
- SLR limited one side
- Neck flexion pain
- Ankle decreased
- Cross-legged raising pain
S1 reflexes affected
- SLR limited
- Achilles reflex weak or absent
S2 reflexes affected
- SLR limited
- Achilles reflex weak or absent
C3 paresthesias
- Cheek
- Side of neck
C4 paresthesias
- Horizontal band along clavicle and upper scapula
C6 paresthesias
- Thumb
- Index finger
C7 parasthersias
- Index
- Long
- Ring finger
C8 paresthesias
- Little finger alone or with 2 adjacent fingers
- (not ring or long fingers, alone or together)
L1 paresthesias
- Groin
- After holding posture, which causes pain
L2 paresthesias
- Occasionally anterior thigh
L3 paresthesias
- Medial knee
- Anterior lower leg
L4 paresthesias
- Medial aspect of calf and ankle
L5 paresthesias
- Lateral aspect of leg
- Medial 3 toes
S1 paresthesias
- Lateral 2 toes
- Lateral foot
- Lateral leg to knee
- Plantar aspect of foot
S2 paresthesias
- Lateral leg
- Knee
- Heel
S4 paresthesias
- Saddle area
- Genitals
- Anus
- Impotence
- Massive posterior herniation