Nms 2 Test 1 Flashcards
Hip Extension
L5-S2 inferior gluteal nerve
hip flexion
L1-L4 femoral nerve
Hip Abduction
L4-S1 Superior Gluteal
Hip Adduction
L2-L4 obturator nerve
Knee Flexion
L5-S2 tibial nerve
Knee ext
L2-L4 femoral nerve
Plantar Flexion
S1-S2 Tibial Nerve
Dorsiflexion
L4-L5 Deep Peroneal Nerve
Ankle Inversion
L5-S1 Tibial Nerve
Ankle Eversion
L4-S1 Superficial Peroneal
Toe Ext
L4-S1 Deep Peroneal Nerve
Toe Flexion
L5-S2 Tibial Nerve
Patella reflex
L2-L4 femoral
Achilles Reflex
L5-S2 Tibial Nerve
Adductor Reflex
L2-L4 obturator nerve
Internal Hamstring
L4,L5,S1,S2 Tibial Nerve
External Hamstring
L5,S1,S2,S3 common peroneal nerve
Adams
Pathological or structural scoliosis is positive (does not diminish with forward flexion.
Amos’s Sign
Thoracic sprain/strain, thoracic subluxation, AS, thoracic IVD syndrome.
Beevors Sign
Superior Drift of umbilicus suggest lower thoracic involvement, inferior drift suggests upper thoracic involvement from T7
Chest Expansion
measure at 4th ICS, Axillary line and T10 level.
Positive means AS
Forrestiers Bowstring
Muscle contraction on ipsilateral side of flexion suggests AS
Rib Motion test
Thoracic subluxation or costovertebral subluxation
Schepelmanns Sign
Pain on concave side is intercostal neuralgia, pain on convex side is intercostal myalgia
Antalgic sign
Differentiate between posteromedial (lean towards the pain) or posterolateral (lean away from pain) disc herniation
Straight leg raiser
30 degrees is SOL, 30-45 is sciatica, 60 is lumbsacral lesion. Traction test for L4-S1 nerve roots.
Bragards
Sciatica due to nerve tractioning
Well leg raiser
Posteromedial disc herniation
Fajerstajns
Increase dural traction in case of posteromedial disc herniation of lumbars
Slump test
Radiating posterior buttock pain suggest nerve traction
Laseques
Raditating posterior buttock and thigh pain suggesting sciatica
Bechetrews or Seated LEg Raiser
Nerve traction associated with sciatica
Cox’s sign
Prolapse of nucleus into ivf. If radiating buttock pain we are suspecting nerve traction due to sciatica
Linders Sign
Nerve traction signs that are seen with sciatica
Ely’s test
Inflamtion of lumbar nerve roots. traction of L2-L4 nerve roots
Femoral nerve traction test
Radiating pain down ant aspect of thigh is positive for radiculopathy of L2-L4
Heel Toe walk test
Inability to walk on heels is L5 nerve root compress on L4 disc, or peripheral peroneal nerve compression. CAnt walk on toes is S1 nerve root from L5 disc.
Kemps
Localized lumber facet prolems or if it radiates, it could be sciatica.
Kernig/brudinski
Meningitis
Milgrams test
SOL (subarachnoid pressure) or weak ab muscles if no pain.
Minors Sign
SI subluxation, lumbosacral sprain/ strain, fx, herniated NP
Nachlas
Pain radiating down thigh or leg is SI or lumbosacral disorder
Quicks test
See if they can squat with no pain
Bilateral leg lowering
Mechanical lumbopelvic problem or disc lesion
supraspinatus
C-4, (5),6, suprascapular nerve
Deltoid
c-(5),6, axillary
Brachioradialis
c-(5),(6), radial
Biceps
c-(5),(6) Musculocutaneous
wrist extension
c-(6),7,8 Radial
triceps
c-6,(7),8,T1 Radial
wrist flexion
c-6,(7),8,T1 median,ulnar
finger flexion
c-7,(8),T1 median, ulnar
finger ext
c-6,(7),8 radial
finger abduction and adduction
c-8,T1 ulnar
Thoracic ROM
flex-50, ext-25-35,rot-30,lat flex-20-40
lumbar ROM
Flex-60, ext-25, lat flex-25