NEURO/DTR/MYOTOMES/DERMATOMES Flashcards
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
1–BABINSKI
HOW? STROKE UP TO BIG TOE
RESPONSE = DORSIFLEXION OF GREAT TOE W/SPLAYING OF OTHER TOES
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
2–CHADDOCK
HOW? STROKE LATERAL MALLEOLUS TO 5TH TOE
R = BABINSKI REFLEX
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
3–OPPENHEIM
HOW?? STROKE TIBIAL CREST TO ANKLE
R = BABINSKI R
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
4–GORDON’S CALF
HOW? SQUEEZE CALF BELOW THE KNEE
R = BABINSKI R
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
5–SCHAEFER
HOW? SQUEEZE ACHILLES
R = BABINSKI R
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
6–ROSSOLIMMO
HOW?? TAP THE BALL OF THE FOOT
R= PLANTAR OF GREAT TOE AND CURLING OF TOES
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
7–HOFFMAN
HOW?? HO’ DOWN
R = FLEXION OF OF THUMB AND FINGERS
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
8–TROMNER
HOW ?? T UP
R = FLEXION OF ALL FINGERS
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
9—GORDONS FINGER
HOW?? STROKE PISIFORM
R = FLEXION OF FINGERS
PATHOLOGICAL REFLEXES X 10
(PRESENCE INDICATES AN UMNL)
10–CHADDOCK’S WRIST
HOW ? STROKE DISTAL ULNAR SIDE NEAR WRIST
R = FLEXION OF FINGERS
NEUROLOGICAL EVALUATIONS
DEEP TENDON REFLEXES; WEXLER SCALE
O+ TO 5+
2+ IS NORMAL
NAME ALL OF THE DTR’S
C5 = MUSCULOCUTANEOUS C6 = RADIAL C7 = RADIAL
L4 = FEMORAL
L5 = SCIATIC
S1 = TIBIAL
***PAGE 4 BLUE
MYOTOMES
MUSCLE GRADING X 6 = ??
5 = NORMAL 4 = GOOD 3 = FAIR; AGAINST GRAVITY 2 = POOR 1 = TRACE 0 = NO CONTRACTILITY
IF NERVE ROOT…NAME MOTOR ACTION; MUSCLE; SENSORY OF;
C5/C6/C7/C8/T1/ = UPPER
L4/L5/S1 = LOWER
***BILATERALLY/UNAFFECTED SIDE FIRST
SEE PAGE 5 BLUE
DERMATOMES
UPPER = C4; C5;C6;C7;C8; T1; T2
LOWER = L1;L2;L3;L4;L5;S1
KNOW ; SEE PAGE 6 BLUE
USEFUL TESTS X 3
1–GRAPHESTHESIA
2–STEROGNOSIS
3–DIADOCHOKINESIA (SLOW TO FAST FLIP/HANDS)
**CEREBELLAR LESION
**VERBAL COMPONENT =??
1/2 = “CORTICAL LESION OR DORSAL COLUMN LESION
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
1–MEDIAN NERVE
SITE AND SIGNS AND SYMPTOMS =??
CARPOOL TUNNEL SYNDROME
NOCTURNAL PAIN;NUMB HAND;
= APE HAND VIA AFFECTING FIRST 3 FINGERS
PRONATOR TERES SYNDROME
**PINCH GRIP TEST/TINELS SIGN
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
2–ULNAR NERVE
SITE AND S AND S = ??
TUNNEL OF GUYON/CUBITAL TUNNEL
PAIN;TINGLING;NUMBING IN LAST 2 DIGITS
= CLAW HAND
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
3–RADIAL
SITE AND S AND S = ??
TRAUMA; –UNABLE TO EXTEND ELBOW OR WRIST. LOSS OF TRICEPS REFLEX;
= WRIST DROP
SITE = SPIRAL GROOVE
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
4–LATERAL FEMORAL CUTANEOUS
SITE AND S AND S = ??
MERALGIA PARESTHETICA; OVER PUBIC BRIM UNDER INGUINAL LIGAMENT
OBESITY AND TIGHT JEANS
BURNING DYSESTHESIA; ANTEROLATERAL THIGH; L2/L3 NERVE ROOTS
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
5–SCIATIC
SITE AND S AND S = ??
SENSORY PAIN IN THE POSTERIOR BUTTOCKS; THIGH, LEG DOWN TO FLOOR; WEAK KNEE FLEXION AND DECREASED ACHILLES REFLEX
TRAUMA; WALLET PRESSURE
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
6–TIBIAL
SITE AND S AND S = ??
TARSAL TUNNEL SYNDREOME; BURNING ON SOLES OF FEET; DECREASED SENSE ON SOLES OF FEET ADN WEAK FOOT MUSCLES;
POSTERIOR TRAUMATIC ANKLE/SUBLAXATION;ARTHRITIS/EDEMA
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
7–MORTON’S NEUROMA
SITE AND S AND S = ??
BETWEEN THIRD AND FOURTH METATARSALS; REPETITIVE MICROTRAUMA; RA;FOOT DEFORMATIES
PAIN IN THE TOES AND DORSUM OF THE FOOT
MORTONS SQUEEZE; SURGERY
8-PERIPHERAL NERVE ENTRAPMENTS /CONDITIONS
8–DEEP PERONEAL
SITE AND S AND S = ??
ANTERIOR COMPARTMENT SYNDROME
CAN AFFECT ANY OF THE 4 ANTERIOR MUSCLES; S/S LIKE CHARCOT MARIE TOOTH
