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13 Cards in this Set

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  • Back

Motor signs in the lumbar and sacral areas are unreliable due to more than one nerve root supplying muscles.




Name 3 valueable tests?

Inversion - L4




Hallux extension - L5




Plantar flexion - S1-2

Name the nerve root, muscle/s and peripheral nerve/s for Hip Flexion?

Nerve root - (L1) L2-3




Muscles - Illiopsoas, Sartorius




Peripheral Nerves - Femoral

17. Evaluate the Femoral Nerve (L2-L4)/




M, D, R & NTT

M- hip flexion


M - knee extension


D - Ant thigh & Medial Leg


R - Patella reflex


NNT - Femoral nerve stretch test???? (check this)

18. Evaluate Superior and Inferior Gluteal Nerves?




M x2

M - Superior Gluteal Nerve - test gluteus med


M - Inferior gluteal nerve - test glutes max

19. Evaluate the obturator and lateral femoral cutaneous nerves?




M & D

Obturator Nerve -


M- thigh adduction


D - medial knee




Lateral femoral cutaneous nerve -


D - Lateral thigh

20. Evaluate the tibial nerve?




M, D, R & NTT

M - Hamstring test (exclues short head)


M - gastroc/soleus


D- ankle and sole of foot


R - Achilles reflex

21. Evaluate the common peroneal nerve?




M, D & NTT

M - Ankle Dorsiflexors


M - Foot Eversion & Inversions (w dorsiflex)


M- Toe extensors


D - Lateral knee (common Peroneal)


D- Lateral leg (superficial peroneal)


D - web of large toe (deep peroneal)



22. Evaluate the L1 L2 L3 and L4 M's & D's?

M- L2-L4 - Knee extension


M- L2-L4 - Hip flexion


M- L2-L4 - hip adduction


M- L4 - foot inversion


D - L1-L3 - Anterior thigh


D - L4 - medial leg

23. Evaluate the L4 L5 S1 and S2 M's & D's?

M - L4 - Tib Ant and Post


M - L5 - Extensor Hallucis Longus


M - L4-L5 - Ankle Dorsi Flexors


M - L4-L5-S1-Glute Max (hip ext)


M - L5 (L4,L5,S1) - Glute Med (hip abudct)


M - L5-S1 - Hamstrings ( knee flex)


M - S1-S2 - Gastroc - soleus group


D - L4 - Medial leg


D - L5 - Lateral Leg and dorsum of foot


D - S1 - Sole of foot


D - S2 - Posterior knee

24. Using correct technique evaluate the L4 and S1 muscle stretch reflexes?

L4 - Patella reflex (sitting)


S1 - Achilles reflex (sitting or kneeling)

25. Perform an examination if you consider a Disc Lesion Compressing the L4 Nerve root is a possible problem?

1) Reverse Lasegue (Femoral Nerve stretch)Test may be positive,


2) Sciatic Nerve Tension Test (SLR, Deyerleand May’s, Slump),


3) L4 - Patellar Reflex, may be decreased



- Sensation on the medial leg may bedecreased,


- Weakness of inversion may be present,


- Observe for atrophy,


- Valsalva and Slump Tests may be positive.



26. Perform an examination if you consider a Disc Lesion Compressing the L5 Nerve Root is possible?



1) Straight leg raise, sitting straight legraise, and Deyerle and May's Sciatic Tension Tests may be positive.


2) Sensation on the lateral leg and dorsum of the foot may be decreased.



- Weakness of hallux extension may bepresent,


- Observe for atrophy


- Valsalva and Slump Tests may be positive.



27. Perform an examination if you consider a DiscLesion Compressing S1 Nerve Root is possible?



1) Straight leg raise, sitting straight legraise, and Deyerle and May's Sciatic Tension Tests may be positive.


2) Achilles’ Reflex, may be decreased,


- Sensation on the sole of the foot and posterior calf may be decreased,


- Weakness of plantar flexion may be present, Observe for atrophy


- Valsalva and Slump Tests may be positive.