The Cervical Spine :Muscle and Neurological Testing Flashcards Preview

Clinical Assesment > The Cervical Spine :Muscle and Neurological Testing > Flashcards

Flashcards in The Cervical Spine :Muscle and Neurological Testing Deck (35):
1

How do you perform a muscle test for the SCM and the scalenes

Cl supine
shoulders ext rot + abd to 90 degrees + elbows flexed to 90 degrees resting on the table
(this stabilizes the shoulder and reduces any compensatory movements)
Head is rotated Contralaterally
Thera resists against temporal region cl tries to anterolaterally flex the neck.

2

What position should the shoulder be in when performing a Muscle test of the SCM or scalenes?

Cl supine
shoulder ext rot and flexed 90 degrees
elbow bent 90 degrees

3

How do you perform a muscle test on the posterolateral extensors of the neck?

Cl prone
shoulders and elbows bent at 90 degrees resting on table
head is ipsilaterally rotated and slightly ext
Thera resists against the posterolateral aspect of the head in the an anterior direction

4

How does the muscle test for upper traps and posterolateral extensors differ?

Same position but...
posterolateral ext = ipsi rot of head
upper traps = contralateral rot
of head

5

How do you perform a muscle test for the upper trapezius?

Cl high seated
with ipsi acromion elevated and the neck posterolaterally extended and contralaterally rotated. The therapist attempts to depress the scapula and anterolaterally flex the neck

6

How do you perform a muscle test for the levator scapula?

Cl prone
neck rotated ipsila
shoulder add slightly laterally rotated and extended
elbow is fully flexed
cl attempts to hold this position
therapist attempts abd of shoulder with resistance at the elbow and to depress the scapula with resistance at the acromion

7

C1/C2 myotome testing

resisted head nodding

8

C3 myotome testing

resisted cervical side bending

9

C4 myotome testing

resisted shoulder/ scapular elevation

10

C5 myotome testing

resisted shoulder abduction

11

C6 myotome testing

resisted elbow flexion or wrist extension

12

C7 myotome testing

resisted elbow extension or wrist flexion

13

C8 myotome testing

resisted flexion of fingers

14

T1 myotome testing

resisted abd of the little finger

15

Ulnar nerve myotome testing

resisted abd of little finger

16

Median nerve myotome testing

pinching of the thumb and index finger

17

If i am resisting head nodding which myotome am i testing?

C1-2

18

If i am resisting cervical side bending which myotome am i testing?

C3

19

If i am resisting shoudler/ scapular elevation what myotome am i tesing?

C4

20

If i am resisting shoulder abduction what myotome am i testing?

C5

21

If i am resisting elbow flexion or wrist ext what myotome am i testing?

C6

22

If i am resisting elbow extension or wrist flex what myotome am i testing?

C7

23

If i am resisting flexion of fingers what myotome am i testing?

C8

24

If i am resisting abduction of the little finger what 2 myotomes am i testing?

T1 / Ulnar nerve

25

If i am resisting pinching of the thumb and index fingers what myotome am i testing?

Median nerve

26

what area should you brush to test the C5 dermatome?

lateral shoulder and arm

27

What area should you brush to test C6 Dermatome?

thumb, index finger

28

What area should you brush to test C7 Dermatome?

Middle finger

29

What area should you brush to test C8 Dermatome?

Digiti minimi

30

What area should you brush to test T1 Dermatome?

Medial Elbow

31

If you brush the lateral shoulder and arm what dermatome are you testing?

C5

32

If you brush the thumb and index finger what dermatome are you testing?

C6

33

If you brush the middle finger what dermatome are you testing?

C7

34

If you brush the digiti minimi what dermatome are you testing?

C8

35

If you brush the medial elbow what dermatome are you testing?

T1