Neck and Low Back Pain

Question 1

Myelopathy

Answer 1

Upper Motor Neuron

Hyperactive reflexes

Spasticity

Question 2

Radiculopathy

Answer 2

nerve root dysfunction; signs & symptoms (pain, weakness, sensory loss, reflex loss) in a dermatomal distribution

Lower Motor Neuron

Hypoactive Reflexes

Flaccidity

Question 3

Sciatica

Answer 3

radiculopathy in a
root (L4, L5, or S1);

contributing
to the sciatic nerve symptoms along
the posterior or lateral aspect of
the lower leg to foot or ankle

Question 4

Sensory C5

Answer 4

Lateral upper arm/shoulder

Question 5

Sensory C6

Answer 5

Dorsolateral arm, forearm, and thumb

Question 6

Sensory C7

Answer 6

Mid-dorsal forearmd and middle finger

Question 7

Sensory C8

Answer 7

Medial forearm, ring finger, and small fingers

Question 8

Motor loss C5

Answer 8

Deltoid, some biceps (shoulder abduction)

Question 9

Motor loss C6

Answer 9

Biceps, brachioradialis (forearm flexion); wrist extensors

Question 10

Motor loss C7

Answer 10

Triceps (forearm extension) wrist flexors and finger extensors

Question 11

Motor loss C8

Answer 11

Thenar eminence and interossei of hand (intrinsic hand muscles)

Question 12

DTR C5

Answer 12

Biceps, brachioradialis

Question 13

DTR C6

Answer 13

Biceps, brachioradialis

Question 14

DTR C7

Answer 14

Triceps

Question 15

Sensory loss L3

Answer 15

Anterior thigh

Question 16

Sensory loss L4

Answer 16

Anteriomedial thigh to medial leg

Question 17

Sensory loss L5

Answer 17

Lateral thigh and anterior calf

Question 18

Sensory loss S1

Answer 18

Posterior calf and heel

Question 19

Motor loss L3

Answer 19

Iliopsoas

Question 20

Motor loss L4

Answer 20

Quadriceps

Question 21

Motor loss L5

Answer 21

Foot dorsiflexion; Tibialis Anterior, extensor hallicus longus

Question 22

Motor loss S1

Answer 22

Gastrocnemius (plantar flexion of the foot)

Question 23

DTR L3

Answer 23

Knee jerk

Question 24

DTR L4

Answer 24

Knee Jerk

Question 25

DTR L5

Answer 25

None

Question 26

DTR S1

Answer 26

Achilles

Question 27

What does a NCS sort out?

Answer 27

problem with axon or myelin (amplitude of transmission vs speed of transmission)

Question 28

Does pain worsen or improve with activity with low back strain/sprain?

Answer 28

Worsens

Question 29

What is compression occur in reference to low back pain?

Answer 29

Occurs when the nerve roots that leave the spine are irritated or pinched such as in herniations, spinal stenosis, or tumors

Question 30

What does an EMG help sort out?

Answer 30

Root vs

Peripheral nerve vs

plexus problem