Segmental neuro exam Flashcards
C2 Dermatome
side of head
C3 Dermatome
Anterior and lateral neck
C4 dermatome
Supraclavicular area- over trap
C5 Dermatome
Lateral arm
C6 Dermatome
Pad of thumb
C7 Dermatome
middle finger
C8 Dermatome
Hypothenar emiennce. little finger
T1 Dermatome
Medial forearm
L1 Dermatome
Groin
L2 Dermatome
Anterior proximal thigh
L3 Dermatome
Medial aspect of distal thigh and knee
L4 Dermatome
Lat aspect of knee and medial distal leg
L5 Dermatome
Dorsum of foot
S1 Dermatome
Lateral foot
S2 Dermatome
Medial aspect of heel
C1 Myotome
Rectus capitis anterior and lateral
C2 Myotome
Rectus capitis posterior
C3 Myotome
Scalenes, erector spinae
C4 Myotome
Scapular elevation (upper trap, levator scapulae)
C5 Myotome
shoulder adbuction (middle delt)
C6 Myotome
Extensor carpi radialis
C7 Myotome
Triceps
C8 Myotome
Thumb extension (extensor pollicis longus)
T1 Myotome
Interossei finger adduction
L2 Myotome
Hip flexion (psoas)
L3 Myotome
Knee extension (quads)
L4 Myotome
DF/Inv (anterior tibialis)
L5 Myotome
Toe extension (EHL and EDL)
S1 Myotome
Gastrocnemius/soleus, eversion (peroneals)
S2 Myotome
Toe flexion (FDL)
C4 reflex
Levator scapulae
C5 reflex
Deltoid
C6 reflex
Brachioradialis
C7 Reflex
Triceps
L3/L4 reflex
Petellar tendon
L5 reflex
Medial hamstring tendon
S1 reflex
Achilles tendon
Reflex Grades
0- no response \+1- Present but depressed; low normal \+2- Average; normal \+3- increased, brisker than average; possible abnormal \+4- very brisk; abnormal
Hyperreflex
Upper motor neuron lesion
Hyporeflex
Lower motor neuron lesion
Glenohumeral CP
ER>Abd>IR
Elbow CP
Flexion> extension
Forearm CP
Equal sup and pronation
Wrist CP
Equal flexion and extension
1st CMC CP
Abduction> extension
2-5 CMC CP
Equal loss of all motions
MCP and IP CP
Restricted in all motions
Hip CP
IR>Flexion>Abd>extension
Knee CP
Flexion> Extension
Talocrural CP
PF> DF
Subtalar CP
Loss of inversion
Midtarsal CP
Loss of inversion
1st MTP CP
Extension> flexion
2-5 MTP CP
Flexion>extension
Foot IP
Extension> flexion