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Orthopedic Assessment II > Nerve Root Testing > Flashcards

Nerve Root Testing Flashcards

1
Q

What are the testing?

A
  1. Deep tendon reflexes
  2. Myotomes
  3. Dermatomes
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2
Q

What is an indication of the state of the nerve or nerve roots supplying the reflex?

A

Deep tendon reflexes

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3
Q

What is the process for deep tendon reflex?

A
  1. examiner puts the tendon on slight stretch and drops the reflex hammer onto the tendon
  2. clients must be relaxed
  3. note the client response and grade from 0-4
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4
Q

Upper Deep Tendon Reflexes :
Mandible

A

CNV

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5
Q

Upper Deep Tendon Reflexes :
Biceps Brachii

A

C5-6

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6
Q

Upper Deep Tendon Reflexes :
Brachioradialis

A

C5-6

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7
Q

Upper Deep Tendon Reflexes :
Triceps

A

C7-8

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8
Q

Lower Deep Tendon Reflexes :
Patellar Tendon

A

L3-4

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9
Q

Lower Deep Tendon Reflexes :
Medial Hamstring

A

L5, S1

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10
Q

Lower Deep Tendon Reflexes :
Tibialis Posterior

A

L4-5

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11
Q

Lower Deep Tendon Reflexes :
Achilles or lateral hamstring

A

S1-2

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12
Q

What are groups of muscles supplied by a single nerve root?
- tested via isometric contraction
- held for at least 5 seconds
- each myotome has a specific movement correlated with it
- note the strength of contraction on a scale of 0-5

A

Myotomes

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13
Q

Upper Myotomes : C1/C2

A

Neck Flexion

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14
Q

Upper Myotomes : C3

A

Neck lateral flexion

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15
Q

Upper Myotomes : C4

A

Shoulder elevation

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16
Q

Upper Myotomes : C5

A

Shoulder abduction

17
Q

Upper Myotomes : C6

A

Elbow Flexion

18
Q

Upper Myotomes : C7

A

Elbow extension

19
Q

Upper Myotomes : C8

A

Wrist ulnar deviation

20
Q

Upper Myotomes : T1

A

Finger Abduction

21
Q

Lower Myotomes : L2

A

Hip Flexion

22
Q

Lower Myotomes : L3

A

Knee Extension

23
Q

Lower Myotomes : L4

A

Ankle dorsiflexion

24
Q

Lower Myotomes : L5

A

1st toe dorsiflexion/extension

25
Q

Lower Myotomes : S1

A

Ankle Eversion/Plantarflexion

26
Q

What is area of skin supplied by a single nerve root
- examiner runs relaxed hands relatively firmly over the skin to be tested bilaterally
- client’s eyes are closed, as with all sensory testing
- “Any difference in sensation”

A

Dermatomes

27
Q

Dermatomes : Upper

A

C2-T2

28
Q

Dermatomes : Lower

A

L1-S1

Orthopedic Assessment II (3 decks)

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