Pt 2 RT NMS

Question 1

-Lumbar Disc Lesions-
What is the direction of antalgia for a patient that has a Subrhizal aka posterior disc herniation?
Unilateral or B/L leg involvement?

Answer 1

forward or anterior antalgia,

unilateral leg involvement

Question 2

-Lumbar Disc Lesions-
What is the direction of antalgia for a patient that has a LATERAL disc herniation?
Unilateral or B/L leg involvement?

Answer 2

Away,

Unilateral

Question 3

What is the disc level, IVF level, best myotome, dermatome, and DTR of S1

Answer 3

L5, S1, Glut max, post. leg/lat foot/plantar foot, Achilles

Question 4

-Lumbar Disc Lesions-
What is the direction of antalgia for a patient that has a Medial herniation?
Unilateral or B/L leg involvement?
Ortho test?

Answer 4

Toward the side of lesion,
Unilateral,
Well Leg Raise (WLR)

Question 5

-Lumbar Disc Lesions-

What is the only disc lesion to be B/L?

Answer 5

Central

Question 6

Dermatome landmark of L4

Answer 6

Medial leg

Question 7

What is the disc level, IVF level, best myotome, dermatome, and DTR of C7

Answer 7

C6, C6, Wrist Flexors/Finger extensors, Middle Finger, Triceps

Question 8

-Lumbar Disc Lesions-
What is the direction of antalgia for a patient that has a Central disc herniation?
Unilateral or B/L leg involvement?

Answer 8

anterior or forward,

BILATERAL LEG INVOLVEMENT

Question 9

What is the disc level, IVF level, best myotome, dermatome, and DTR of C8

Answer 9

C7, C7, Finger Flexors, Medial forearm/last 2 digits, none

Question 10

What is the disc level, IVF level, best myotome, dermatome, and DTR of L4

Answer 10

L3, L4, Tibialis anterior, medial leg/ankle, patella

Question 11

What is a normal reflex when doing pathological reflex testing?

Answer 11

Flexor response (curling toes)

abnormal is extensor

Question 12

What is the disc level, IVF level, best myotome, dermatome, and DTR of C5

Answer 12

C4 , C4, Arm ABductors, lateral arm, biceps

Question 13

What is the disc level, IVF level, best myotome, dermatome, and DTR of L5

Answer 13

L4, L5, Gluteus medius/extensor hallicus longus, lateral leg/dorsum of foot, post. tibial/medial hamstring

Question 14

Describe the following pathological reflexes.

1. Chaddock’s
2. Oppenheim’s
3. Gordon’s
4. Schaefers’s

Answer 14

1. stroke around lateral malleolus (makes a “C”)
2. Stroke down tibia (like a zipper)
3. Squeeze calf (“G for Gastorc)
4. Squeeze achilles

Question 15

What is the disc level, IVF level, best myotome, dermatome, and DTR of C6

Answer 15

C5, C5, Wrist Extensors, lateral forearm/first 2 digits, Brachioradialis

Question 16

What is the disc level, IVF level, best myotome, dermatome, and DTR of T1

Answer 16

T1, T1, Interossei, Medial Elbow, none

Question 17

Dermatome landmark of T7

Answer 17

Xiphoid process

Question 18

What is a normal DTR?

Answer 18

2
5-sustained clonus
1-hyporeflexia