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Duke PA Ortho myotomes/dermatomes and DTR's

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Question
Answer
Neck flexion   C1-2  
Neck lateral bendin   C3  
Shoulder shrug   C4  
Shoulder abduction/elbow flexion   C5-6  
Wrist extension   C6  
Elbow extension   C7-8  
Finger flexion   C8  
Finger abduction   C8-T1  
Sensory-upper neck   C2  
Sensory-lower neck   C3  
Sensory-tip of shoulder   C4  
Sensory-thumb   C6  
Sensory-lateral arm   C5  
Sensory-middle finger   C7  
Sensory-little finger   C8  
DTR-biceps   C5-6  
DTR-brachioradialis   C5-6  
DTR-triceps   C7-8  
Brachial plexus   C5, C6, C7, C8, T1  
Hip flexion   L1  
Hip adduction   L2  
Knee extension   L3  
Ankle dorsiflexion   L4  
Hallicus longus extension   L5  
Hallicus longus flexion   S1  
Sensory-upper outer thigh   L1  
Sensory-mid anterior thigh   L2  
Sensory-below patella   L3  
Sensory-medial ankle   L4  
Sensory-first web space foot   L5  
Sensory-lateral ankle   S1  
DTR-knee   L2-4  
DTR-ankle   S1  
Hand grip   C8  
Sensory-first dorsal web space hand   radial nerve  
Sensory-palmar middle pad   median nerve  
Sensory-palmar small pad   ulnar nerve  
Sensory-groin   L1  
Sensory-upper thigh   L2  
Sensory-outer thigh at knee   L3  
Sensory-lateral ankle   S1  
Sensory-buttock   L2-3  
Sensory-perianal   L4  
Grade 0 DTR   absent  
Grade 1 DTR   diminished  
Grade 2 DTR   average  
Grade 3 DTR   exaggerated  
Grade 4 DTR   clonus  
Strength testing 0/5   absent  
Strength testing 1/5   trace movement/fasciculation  
Strength testing 2/5   Full range of motion without gravity  
Strength testing 3/5   Full range of motion against gravity but not resistance  
Strenght testing 4/5   Full range of motion against gravity and mild resistance  
Strength testing 5/5   Full range of motion against full resistance  


   


 

 

 

 

 

 
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