Neuro Exam Flashcards
LE Myotome
L2-3, (T12-L3), hip Flexion, femoral and spinal roots
L3-4, (L2-4), knee Extension, femoral
L4-5, ankle dorsiFlexion, deep peroneal
L5, great toe Extension, deep peroneal
L5-S1, knee Flexion, tibial
S1, (L5-S1), foot Eversion, superficial peroneal
S1-2, ankle plantarFlexion, tibial
LE dermatomes
L1 inguinal area
L2 anterior thigh
L3 medial knee
L4 medial malleolus, patella
L5 dorsal medial half of foot and over third phalange, dorsum foot, fibular head
S1 dorsal lateral half of foot, lateral calcaneus\heel, plantar aspect of foot
S2 medial calcaneus/heel, medial posterior thigh
S3-5 perianal area
UE dermatomes C2-T1
C2 posterior head C3 posterior-lateral neck C4 AC joint C5 deltoid, lateral arm C6 dorsal aspect web space C7 dorsal aspect of middle finger C8 medial border of fifth metacarpal T1 medial forearm
UE myotomes C1
C1 cervical rotation C 1 to 2 cervical flexion C3 cervical side flexion C2-4 shoulder elevation C5 shoulder abduction C6 elbow flexion, wrist extension C7 elbow extension, wrist flexion C8 thumb abduction, extension T one finger abduction
tests for spasticity
modified ashworth, ROM, muscle grading, DTR deep tendon reflex
what is spasticity
velocity-dependent resistance to passive stretch
presence indicates upper motor neuron lesion
what is modified ashworth score if catching or minimal resistance at end range?
1
what is modified ashworth score if catching and minimal resistance <1/2 range of motion?
1+
ashworth score if rigid in flexion or extension?
4
what diagnoses may warrant use of modified ashworth scale?
SCI
MS
TBI
when administering modified ashworth test, joint should be brought through entire ROM in how much time?
1 second
LE functional screen
L4-5 heel walk
S1 toe walk
L4-S1 SLR
