neurological assesments

Question 1

name the myotome for L2

Answer 1

hip flexors

Question 2

name the myotome for L3

Answer 2

knee extensors

Question 3

name the myotome for L4

Answer 3

ankle dorsiflexors

Question 4

name the myotome for L5

Answer 4

big toe extensor

Question 5

name the myotome for S1

Answer 5

ankle plantar flexors

Question 6

name the myotomes for S2

Answer 6

knee flexors

Question 7

name the lower limb reflexes

Answer 7

knee jerk (L3-4 femoral nerve)
ankle jerk (S1-2 tibial nerve)

Question 8

name the myotomes for C1/2

Answer 8

neck flexion/extension

Question 9

name the myotome for C3

Answer 9

lateral flexion

Question 10

name the myotome for C4

Answer 10

shoulder elevation

Question 11

name the myotome for C5

Answer 11

shoulder abduction

Question 12

name the myotome for C6

Answer 12

elbow flexion/ wrist extension

Question 13

name the myotome for C7

Answer 13

elbow extension/wrist flexion

Question 14

name the myotome for C8

Answer 14

thumb extension

Question 15

what are the upper limb reflexes

Answer 15

biceps reflex (C5/6)
triceps reflex (C7)
brachioradialis reflex (C6)

Question 16

name the upper limb tension tests and which nerve they test

Answer 16

ULTT 1 - median nerve
ULTT 2a - median nerve
ULTT 2b - radial nerve
ULTT 3 - ulnar test

Question 17

name the neurological tests for lumbar spine

Answer 17

slump test
straight leg raise
femoral nerve test

Question 18

explain the slump test

Answer 18

Patient in sitting-ask patient to slump chin to chest and sump thoracic spine forward. Physio will apply a gentle force through the patients thoracic spine and neck. Patient is asked to extend their knee to point of discomfort is posterior leg. Release pressure on thoracic spine and ask patient to extend neck. Relief from discomfort in posterior of leg indicates a positive sign of neural tension on sciatic nerve

Question 19

explain straight leg raise

Answer 19

supine lying
MR the hip
extend the knee
flex the hip
add dorsiflexion/eversion/inversion/ plantarflexion
go to resistance or pain

Question 20

explain ULTT1

Answer 20

fixing shoulder
abduct shoulder
wrist and finger extension
forearm supination
shoulder lateral rotation
elbow extension

Question 21

explain ULTT 2a

Answer 21

shoulder girdle depression
10 degree shoulder abduction
elbow extension
lateral rotation of whole arm
wrist, finger and thumb extension
abduction of shoulder

Question 22

explain ULTT 2b

Answer 22

shoulder girdle depression
10 degree joint abduction
elbow extension
medial rotation of whole arm
wrist flexion
thumb flexion
ulnar deviation

Question 23

explain ULTT 3

Answer 23

wrist and finger extension
forearm pronation
elbow flexion
shoulder lateral rotation
shoulder girdle depression
shoulder abduction

Question 24

explain the femoral nerve test

Answer 24

side lying
lower knee pulled to chest
cervical flexion
full knee flexion (passive)
passive hip extension
until resistance/pain then ask the patient to extend neck
should be able to take leg further

Question 25

What nerve is the SLR testing when adding dorsiflexion?

Answer 25

sciatic nerve

Question 26

what nerve is the SLR testing when adding eversion

Answer 26

tibial nerve

Question 27

what nerve is the SLR testing when adding inversion

Answer 27

sural nerve

Question 28

What are the indications for a neuro exam in the lower limb?

Answer 28

neuropathic pain in a dermatomal distribution
pain from lumbar spine referred beyond hip
altered sensation in the lower limb
pain in the lower limb that may be related to a lumbar condition
complaints of weakness in LL

Question 29

What are the indications for a neuro exam in the upper limb

Answer 29

neuropathic pain in a dermatomal distribution
complaints of weakness in UL
clumsiness in UL
altered sensation in UL
pain from cervical spine referred beyond shoulder