Practical 1 Flashcards by Taylor Glotzbach

Name the associated nerves during the MYOTOME examination of C5.

Biceps: Musculocutaneous
Deltoid: Axillary

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Name the associated nerves during the MYOTOME examination of L4.

Tibialis Anterior: Deep Peroneal
Quadriceps: Femoral

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Name the associated nerves during the MYOTOME examination of C6.

Extensor Carpi Radialis: Radial
Extensor Carpi Ulnaris: Radial

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Name the associated nerves during the MYOTOME examination of L5.

Extensor Hallicus: Deep Peroneal
Extensor (anything of Tib. Ant.): Deep Peroneal
Gluteus Medius: Superior Gluteal Nerve

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Name the associated nerves during the MYOTOME examination of C7.

Triceps: Radial Nerve
Flexor Carpi Radialis: Median Nerve
Flexor Carpi Ulnaris: Ulnar Nevre
Extensor Digitorum:
Extensor Digiti Minimi:
Extensor Indicuis Profundus:

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Name the associated nerves during the MYOTOME examination of S1.

Gluteus Maximus: Inferior Gluteal Nerve
Peroneals: Peroneal Nerve
Gastrocnemius/Soleus: Tibial Nerve

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Name the associated nerves during the MYOTOME examination of C8.

Flexor Digitorum Superficialis:
Flexor Digitorum Profundus:
Lumbricals:

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Name the associated muscles during the MYOTOME examination of C5.

Biceps & Deltoid

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Name the associated muscles during the MYOTOME examination of C6.

Extensor Carpi Radialis & Extensor Carpi Ulnaris

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Name the associated muscles during the MYOTOME examination of C7.

Triceps
Flexor Carpi Radialis/Ulnaris
Extensor Digitorum
Extensor Digiti Minimi
Extensor Indicis Profundus

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Name the associated muscles during the MYOTOME examination of C8.

Flexor Digitorum Superficialis
Flexor Digitorum Profundus
Lumbricals

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Name the associated muscles during the MYOTOME examination of L4.

Tibialis Anterior
Quadriceps

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Name the associated muscles during the MYOTOME examination of L5.

Extensor Hallicus
Tibialis Anterior
Gluteus Medius

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Name the associated muscles during the MYOTOME examination of S1.

Gluteus Maximus
Peroneals
Gastrocnemius
Soleus

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How do you grade a muscle test & what do the numbers on the scale mean?

[Graded: X/5]
0: Complete Paralysis
1: Flicker of contraction, but cannot move
2: only moves when position w/o gravity
3: can move against gravity w/o resistance
4: can move against some resistance
5: Normal Strength (full resistance)

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Name the associated nerves during the REFLEX examination of C5.

Musculocutaneous

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Name the associated nerves during the REFLEX examination of C6.

Radial

Name the associated nerves during the REFLEX examination of C7.

Radial

Name the associated nerves during the REFLEX examination of C8.

Median/Ulnar

Name the associated nerves during the REFLEX examination of L4.

Femoral

Name the associated nerves during the REFLEX examination of L5.

Tibial

Name the associated nerves during the REFLEX examination of S1.

How do you grade a Reflex & what do the numbers on the scale mean?

0: Absent
1+: Trace seen with reinforcement (Jendrassik)
2+: Normal
3+: Brisk
4+: Non-Sustained Clonus
5+: Sustained Clonus (10 or more beats)

What is the Clinical Relevance for the Ankle Clonus test?

Hyperreflexia indicative of UMNL

What is the Clinical Relevance for the Glabellar Sign?

Continued blinking (Myerson’s Sign) indicative of neurodegenerative movement disorders such as Parkinson’s Disease or UMNL

What is the Clinical Relevance for the Hoffman’s Sign?

Patients 1st & 2nd digit approximating reflexively indicative of UMNL

What is the Clinical Relevance for the Inverted Brachioradialis/Supinator Sign?

Finger flexion indicative of UMNL (Elbow flexion is normal)

What is the Clinical Relevance for the Tromner’s Sign?

Patients 1st & 2nd digit approximating reflexively indicative of UMNL

What is the Clinical Relevance for the Plantar Response looking for Babinski sign?

Extension of Great Toe w/ fanning of 2-5 digits indicative of UMNL

What would be a normal finding for the Ankle Clonus Test?

Nothing

What would be a normal finding for the Glabellar Sign?

Patient stops blinking after the first few taps

What would be a normal finding for the Hoffman’s Sign?

No response when finger is flicked into flexion

What would be a normal finding for the Inverted Brachioradialis/Supinator Sign?

Elbow Flexion

What would be a normal finding for the Tromner’s Sign?

No response when the finger is flicked into extension

What would be a normal finding for the Plantar Response looking for Babinski Sign?

Plantar Flexion of Great Toe + Toes 2-5

What would be an Abnormal Finding for the Ankle Clonus Test?

Continued Involuntary Contractions

What would be an Abnormal Finding for the Glabellar Sign?

Continued Blinking upon percussion

What would be an Abnormal Finding for the Hoffman’s Sign?

Approximation of the 1st and 2nd digit

What would be an Abnormal Finding for the Inverted Brachioradialis/Supinator Sign?

Flexion of all fingers

What would be an Abnormal Finding for the Tromner’s Sign?

Approximation of the 1st & 2nd digit

What would be an Abnormal Finding for the Plantar Response looking for Babinski Sign?

Dorsiflexion (extension) of great toe and fanning of toes 2-5

If Jendrassik was used to elicit reflex…

State: “1+ with Jendrassik/Reinforcement”