Lumbar and Cervical Neuro Flashcards
(32 cards)
What are the indications for a lumbar neurological examination?
Radiating pain below the knee or elbow
weakness or altered sensation in the limbs
history of such symptoms
What are the components of a lumbar neurological examination?
Sensation (dermatomes)
reflexes
strength (myotomes)
neurodynamic (nerve tension) tests.
L1-2 Dermatome
Groin to anterior thigh
L3 Dermatome
anterior knee
L4 Dermatome
medial leg to the great toe
L5 Dermatome
lateral leg, dorsum of foot
S1 Dermatome
lateral foot
S2 Dermatome
posterior heel
Myotome L1-2
Hip Flexion
Myotome L3
knee extension
Myotome L4
Ankle Dorsiflexion
Myotome L5
Great Toe extension
Myotome S1-2
Knee Flexion, plantarflexion,
Quadriceps Reflex
L2-4
Achilles Reflex
S1-2
Lateral Hamstrings Reflex
L5
C1 Dermatome
Top of Head
C2 Dermatome
Temporal Region of head
C3 Dermatome
Lateral Neck
C4 Dermatome
Superior shoulder
C5 Dermatome
Lateral shoulder to wrist
C6 Dermatome
Lateral forearm to thumb and index finger
C7 Dermatome
posterior lateral forearm; 3 middle fingers
C8 Dermatome
Ulnar border of the hand, ring and little finger