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Duke PA myo/dermatom

Duke PA Ortho myotomes/dermatomes and DTR's

QuestionAnswer
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
Created by: bwyche