Nerve root screen Flashcards
DTR: C5
Biceps
DTR: C6
Brachioradialis
DTR: C7
Triceps
DTR: C8
Finger flexion
Sensation testing: C5
Deltoid
Sensation testing: C6
Thumb and index finger
Sensation testing: C7
Middle finger
Sensation testing: C8
Little finger
Sensation testing: T1
Ulnar border of forearm
Myotome testing: C5
Shoulder ER
Myotome testing: C6
Wrist extension
Myotome testing: C7
Triceps
Myotome testing: C8
Finger flexion or thumb up
Myotome testing: T1
Interossei
C5
DTR: bicep
Sensation: deltoid
Myotome: shoulder ER
C6
DTR: brachioradialis
Sensation: thumb and index finger
Myotome: wrist extension
C7
DTR: triceps
Sensation: middle finger
Myotome: triceps
C8
DTR: Finger flexion
Sensation: little finger
Myotome: finger flexion/interossei
T1
DTR: none
Sensation: ulnar border of forearm
Myotome: interossei
DTR grading
0= no response 1+ = slight but definitely present response, may or may not be normal 2+ = brisk response, normal 3+ = very brisk response, may or may not be normal 4+ = clonus (abnormal repeating reflex)
Is a myotome test a break test?
yes
L4
DTR: patellar
Sensation: medial ankle
Myotome: ankle dorsiflexion inversion
L5
DTR: hamstrings
Sensation: 1st web space
Myotome: great toe extension
S1
DTR: achilles
Sensation: lateral ankle
Myotome: ankle eversion