(CN) Nerve Root, Muscle Weakness, Reflexes

Quiz yourself by guessing what should be in each of the black rectangles below before clicking on it to display the answer.
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C5 (Muscle innervation, Reflexes)   Muscles: Supraspinatus, infraspinatus, delt, biceps. Reflexes: Biceps & Brachioradialis  
C6 (Muscle innervation, Reflexes)   Muscles: Biceps, Supinator, wrist extensors. Reflexes: Biceps, brachioradialis  
C7 (Muscle innervation, Reflexes)   Muscles: Triceps, wrist flexors Reflexes: Triceps  
C8 (Muscle innervation, Reflexes)   Muscles: Ulnar deviators, Thumb extensors, Thumb adductors. Reflexes: Triceps  
L1 (Muscle innervation, Myotome, Reflexes)   Muscles: None Myotome: L1,2 Hip flexion Reflexes: None  
L2 (Muscle innervation, Myotome, Reflexes)   Muscles: Psoas, hip adductors. Myotome: L1,2 Hip flexion Reflexes: None  
L3 (Muscle innervation, Myotome, Reflexes, Findings)   Muscles: Psoas, Quads. Myotome: L3,4 Knee extension Reflexes: Knee jerk sluggish Findings: PKB positive, pain on full SLR  
L4 (Muscle innervation, Myotome, Reflexes, Findings)   Muscles: Tib ant, EH Myotome: L3,4 Knee extension L4,5 Dorsiflexion (heel walking) Reflexes: Weak or absent knee jerk Findings: Limited SLR, Pain w/ neck flexion, limited side flexion  
L5 (Muscle innervation, Myotome, Reflexes, Findings)   Muscles: EH, Peroneals, Glut med, DFs, Hamstring and calf atrophy Myotome: L4,5 DF. L5 Great toe extension Reflexes: Achilles. Findings: SLR limited on one side, painful neck flexion, decreased ankle ROM, Crossed-leg raising pain  
S1 & S2 (Muscle innervation, Myotome, Reflexes, Findings)   Muscles: Calf and hamstring, Wasting of gluts, peroneals, PFs. Myotome: S1, PF (toe walking) S2, Great toe flexion Reflexes: Achilles reflex weak or absent. Findings: Limited SLR  
S2   Same as S1  
How do you test CN I?   Identify familiar odors.  
How do you test CN II?   Visual fields  
How do you test CN III?   Upward, downward & medial gaze. Reaction to light.  
How do you test CN IV?   Downward & lateral gaze  
How do you test CN V?   Corneal reflex, face sensation, separate clenched jaw, jaw jerk  
How do you test CN VI?   Lateral gaze  
How do you test CN VII?   Close eyes tight, smile and show teeth, whistle and puff cheeks, Identify sweet/sour  
How do you test CN VIII?   Hear watch ticking, hearing tests, balance & coordination  
How do you test CN IX?   Gag reflex, ability to swallow  
How do you test CN X?   Gag reflex, ability to swallow, say "ahhh"  
How do you test CN XI?   Resisted shoulder shrug  
How do you test CN XII?   Tongue protrusion (tongue deviates toward injured side)  
Posterior cord:   US subscapular, LS, TD, Axillary, Radial  
Medial cord   MP, Median, Ulnar  
Lateral cord   LP, MC  
Upper trank   SC Sublavis, SS suprascapular  
Roots   DS LT  


   

 
 

 
 

 

 

 
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