Neurological Ax Flashcards
What constitutes a neurological assessment?
Dermatomes, Myotomes, Reflexes
UMN tests
UMN tests
Babinski Clonus Hoffmans Rhomberg's Pronator drift test
Myelopathy subjective signs
Gait disturbance
Problems with dexterity
Bilateral pins and needles
Myelopathy objective signs
Hyperactive reflexes
Positive UMN tests
Cauda equina subjective signs
Bladder and bowel problems/changes Saddle anaesthesia Bilat pins and needles Foot drop Sexual dysfunction
Diminished reflexes suggestive of…
Nerve root problem
Route of sciatic nerve
Lumbosacral plexus -> runs down post thigh and leg and terminates in foot -> has motor and sensory fibres -> splits into tibial and common peroneal nerve at popliteal fossa
Known as sciatica.
One portion passes through piriformis
Tibial nerve
Post calf to heel and sole of foot.
Terminates into small sensory (sural) nerves
Common peroneal nerve
Lat knee to lat foot
Terminates into small sensory (sural) nerves
Sciatica neuropathy
Body of sciatic nerve affected along its course
Sciatica objective tests
Slump
Straight leg raise
Radial nerve neuropathy
Sensory changes between web of thumb and index finger
Impairment of triceps reflex and brachioradialis reflex
Test for cervical radiculopathy
Spurling’s
