NEUROLOGICAL ASSESSMENT
MYOTOME TESTING AT THE KNEE
Knee extension (Quadriceps)
- Tests the L3, L4 nerve root segments - Patient position is hook seated - Use the Oxford scale (see image) to test with knee near full extension Knee Flexion (Hamstrings) - Tests the L5, S1 nerve root segments - Patient position is lying prone - Use the Oxford scale to test with knee near full flexion |
http://quizlet.com/25505524/neuro-cns-overview-t1-flash-cards/
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DERMATOME TESTING OF THE THIGH & KNEE
http://nothinbutapeanut.com/wp-content/uploads/2011/10/Lowerlimbdermatome.jpg
REFLEX TESTING OF THIGH & KNEE
PATELLAR REFLEX TESTING
Patellar Reflex - Tests the L3,L4 nerve root segment - Patient position is hook-seated - Performed using a reflex and tapping the patellar tendon several times until the distal leg moves (knee extension motion) |
http://www.youtube.com/watch?v=qpw31bvoLpg
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HAMSTRING REFLEX TESTING
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https://www.youtube.com/watch?v=eff8yRKsHOQ
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(Scifers 2008)