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NEUROLOGICAL EXAM.pptx
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- 2. Upper Extremity NeuroExam Root Sensory Muscles Primary Motion Reflex C5 Lateral shoulder Deltoid Biceps Shoulder abduction Elbow flexion (palm up) Biceps C6 Thumb Brachioradialis ECRL Elbow flexion (thumb up) Wrist extension Brachioradialis C7 Middle finger Triceps FCR Elbow extension Wrist flexion Triceps C8 Ring & small fingers FDS Finger flexion, hand grip, thumb extension - T1 Ulnar forearm & hand Intrinsic muscles Finger abduction -
- 3. Upper Extremity NeuroExam - PROVOCATIVE TESTS
- 4. Upper Extremity NeuroExam - PROVOCATIVE TESTS
- 5. Upper Extremity NeuroExam - PROVOCATIVE TESTS
- 6. Lower Extremity NeuroExam Root Sensory Muscles Primary Motion Reflex L1 Iliac crest and groin Cremasteric reflex L2 Anterior and inner thigh Iliopsoas (lumbar plexus, femoral n.) Hip adductors (obturator n.) Hip flexion and adduction L3 Anterior & medial thigh Quadriceps (femoral n.) Knee extension - L4 Medial leg & ankle Tibialis anterior Ankle dorsiflexion Patellar tendon (“knee jerk”) L5 Dorsal foot & 1st web space Extensor hallucis longus Toe dorsiflexion -
- 7. Lower Extremity NeuroExam Root Sensory Muscles Primary Motion Reflex S1 Lateral & plantar foot Gastrocnemius (tibial n.) Ankle plantarflexion Achilles tendon (“ankle jerk”) S2 Plantar foot Perianal sensation FHL (tibial n.), FDL (tibial) Anal sphincter Toe plantarflexion Anal squeeze Bulbocavernosus S3 Perianal sensation Anal sphincter Bladder Bowel & bladder function Anal squeeze S4
- 8. Lower Extremity NeuroExam - PROVOCATIVE TESTS Crossed Straight Leg Raise • Performing straight leg raise in uninvolved leg produces symptoms in involved leg
- 9. Lower Extremity NeuroExam - PROVOCATIVE TESTS Babinski's Test • Positive findings suggests upper motor neuron lesion Ankle Clonus Test • associated with upper motor neuron lesion