Upper Limb Reflex Maps Flashcards
C4 Reflex Map
No reflex deficits in upper limb
C5 Reflex Map
Weakened adduction, abduction, flexion, supination
C6 Reflex Map
Decreased adduction, abduction, elbow flexion, supination, pronation, and wrist extension
Weak shoulder extension
C7 Reflex Map
Decreased shoulder adduction, decreased elbow extension and pronation, decreased wrist flexion, decreased finger extension
Weak elbow supination, weak wrist extension
C8 Reflex Map
Decreased shoulder adduction, decreased elbow extension, decreased elbow pronation, decreased wrist flexion, decreased finger flexion, decreased finger adduction/abduction
T1 Reflex Map
Decreased shoulder adduction, decreased abduction/adduction
T2 Reflex Map
No known upper limb weaknesses
What condition causes a “waiter’s tip”, with 0 level reflex for biceps brachii & brachialis?
Erb’s palsy
What condition has a complete “claw hand” with a level 1 reflex for the triceps?
Klumpke’s palsy
What are the weaknesses for Erb’s palsy?
Lateral arm/forearm weakness
- adduction/abduction
- elbow flexion, supination, pronation
- wrist extension
What are the weaknesses for Klumpke’s palsy?
Medial arm/forearm weaknesses
- adduction
- elbow extension, pronation
- flexion/abduction/adduction of finger
Axillary nerve injury will weaken…
Shoulder abduction
Musculocutaneous nerve injury will weaken…
Elbow flexion and supination
LEVEL 0 Reflex man for biceps brachii
Ulnar nerve injury near elbow will weaken…
- wrist flexion
- finger flexion, abduction/adduction
- ulnar claw *
Radial nerve weaknesses will result in…
- elbow extension, supination
- wrist extension
- finger extension
- wrist drop *