Lumbar and Cervical Neuro Flashcards

(32 cards)

1
Q

What are the indications for a lumbar neurological examination?

A

Radiating pain below the knee or elbow
weakness or altered sensation in the limbs
history of such symptoms

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2
Q

What are the components of a lumbar neurological examination?

A

Sensation (dermatomes)
reflexes
strength (myotomes)
neurodynamic (nerve tension) tests.

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3
Q

L1-2 Dermatome

A

Groin to anterior thigh

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4
Q

L3 Dermatome

A

anterior knee

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5
Q

L4 Dermatome

A

medial leg to the great toe

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6
Q

L5 Dermatome

A

lateral leg, dorsum of foot

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7
Q

S1 Dermatome

A

lateral foot

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8
Q

S2 Dermatome

A

posterior heel

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9
Q

Myotome L1-2

A

Hip Flexion

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10
Q

Myotome L3

A

knee extension

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11
Q

Myotome L4

A

Ankle Dorsiflexion

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12
Q

Myotome L5

A

Great Toe extension

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13
Q

Myotome S1-2

A

Knee Flexion, plantarflexion,

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14
Q

Quadriceps Reflex

A

L2-4

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15
Q

Achilles Reflex

A

S1-2

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16
Q

Lateral Hamstrings Reflex

17
Q

C1 Dermatome

18
Q

C2 Dermatome

A

Temporal Region of head

19
Q

C3 Dermatome

20
Q

C4 Dermatome

A

Superior shoulder

21
Q

C5 Dermatome

A

Lateral shoulder to wrist

22
Q

C6 Dermatome

A

Lateral forearm to thumb and index finger

23
Q

C7 Dermatome

A

posterior lateral forearm; 3 middle fingers

24
Q

C8 Dermatome

A

Ulnar border of the hand, ring and little finger

25
T1 Dermatome
Medial Forearm
26
T2 Dermatome
Inner elbow to shoulder
27
Myotome C2-4
Shoulder shrug
28
Myotome C5
abduction
29
Myotome C6
elbow flexion/wrist extension
30
Myotome C7
elbow extension/wrist flexion
31
Myotome C8
thumb adduction
32
Myotome T1
finger adduction/abduction