Dermatomes and Myotomes

Transcription

1 Dermatomes and Myotomes C1 C2 C3 C4 C5 C6 C7 C8 T1 Upper Cervical Flexion Upper Cervical Extension Cervical Lateral Flexion Shoulder Girdle Elevation Shoulder Abduction Elbow Flexion Elbow Extension Thumb Extension Finger Adduction

2 Dermatomes and Myotomes L2 L3 L4 L5 S1 S2 S1&2 Hip Flexion Knee Extension Dorsiflexion Big Toe Extension Foot Eversion Plantarflexion Knee Flexion

3 Reflexes Biceps Jerk Tricpes Jerk Brachioradialis Knee Jerk Ankle Jerk C5&6 C7 C7 L3&4 S1 Babinski: Normal response= toes plantarflex Abnormal= dorsiflexion of great toe and downward fanning of other toes

4 Neurodynamic Testing Passive Neck Flexion: Supine, head flexed. N= pain free full ROM Straight Leg Raise: (Sciatic Nerve) Hip Add, Medial Rotation, Knee Extension (Tibial Nerve) + Ankle Dorsiflexion/Eversion (Common Peroneal) + Ankle Plantarflexion/ Inversion Prone Knee Bend: Do in side ly and use neck flex/ext to desensitize Saphenous Nerve Test: In prone. + Abd, lat rot, df and eversion Slump Test: Upper Limb Tension Tests: 1- Median (Waiter). 2b- Radial (Baton) 3- Ulnar (Glasses)

5 C Spine Trauma Whiplash Ligament Sprain Muscular Strain Degenerative Spondylosis: IV disc Arthrosis: Z Joint Inflammatory AS RA Headaches Torticollis Cervical Rib Hypermobility Syndrome Neoplasm

6 Spurlings- nerve root compression Distraction C Spine Special Tests VBI Test- Rotation L and R to end of ROM. Each +OP for 10s. Always release for 10s before next. If positive manipulation is contraindicated. Differentiation- Between Neck and Ear- Hold head still and get patient to turn body each way. Repeat above. If still positive it is not from the vestibular system. Palpation of Pulses- Check for compromised blood supply to head. Thoracic Outlet Syndrome PAIVMs NAGs/Reverse NAGs/SNAGs

7 T Spine Trauma Whiplash Fracture Thoracic Outlet Ligament Sprain Muscular Strain Degenerative Spondylosis: IV disc Arthrosis: Z Joint Inflammatory Metabolic Synodromes AS Osteoporosis T4

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9 Shoulder Fracture Dislocation Ligament Sprain Muscle Strain Calcification of Tendons Bursitis Muscle Imbalance (winged scap) Snapping Scapula Thoracic Outlet Syndrome Instability Frozen Shoulder RC Rupture OA RA

10 Shoulder Special Tests Joint/ Stability Anterior Drawer Apprehension Test Fulcrum Test Jerk Test Sulcus Sign Labrum Biceps Load I&II Anterior Slide Crank Test AC Joint Apleys (AC Pathology) Rotator Cuff Drop Test (Infraspinatus and Supraspinatus) Hornblower s Sign (Teres Minor) Lift-Off (Subscapularis) Patte s (Infraspinatus and T Minor) Empty Can (Supraspinatus)

11 Impingement Hawkins-Kennedy (Supraspinatus Impingement) Speeds (Biceps Impingement) Neer (Both of the above) Thoracic Outlet Syndrome Allen Test Adson s Manoeuvre Provocation Elevation VBI VBI Test

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13 Elbow Special Tests Tendinopathy Lateral Epicondylitis 3 rd MCP Extension Medial Epicondylitis Nerve Tests Pinch Grip (Median) Tinel s Sign (Ulnar) Ligamentous Stability Valgus Stress Test Varus Stress Test

14 Elbow Tennis Elbow Golfer s Elbow Collateral Ligament Sprain Ulnar Nerve Compression Olecranon Bursitis Triceps Tendinopathy Posterior Impingement

15 Wrist and Hand OA RA DeQuenvains Carpal Tunnel Guyuns Canal Syndrome DupuYtren s Raynauds CRPS

16 Wrist and Hand Special Tests Finkelstein Test Froment s Sign (Ulnar) Phalen s Test Reverse Phalen s Tinel s Sign

17 Pelvis Special Tests Passive Physiological Sitting Flexion Standing Flexion Stork Test Prone Trunk Extension Accessory Movements Anterior Gapping Posterior Gapping Femoral Shear Longitudinal Caudad Anterior and Posterior Rotation Hibbs Test Anteroposterior Translation Superoinferior Glide

18 Hip Special Tests Quadrant Test Leg Length Faber s Test Ober s Sign Piriformis Test Thomas Test Trendelenberg Sign

19 Knee Special Tests Joint Integrity Valgus/Varus Stress Anterior/Post Drawer Apley s Test Brush Test Apprehension Test Hughston Plica Test Lachman s Test McMurray