Physiatry Day 1

Peripheral motor exam:
Shoulder: Abduction: Axillary nerve. C5,C6 (deltoid and supraspinatus)
Elbow: Flexion: Musculocutaneous nerve. C5, C6 (biceps and brachialis)
Extension: Radial nerve. C7, C8 (triceps)
Wrist: Extension: C7,C8 (extensor carpi group)
Flexion: Median Nerve C6, C7. (Flexor carpi radialis
Fingers: Extension: Radial Nerve. C7, C8 (extensor digitorum communis, extensor indicis, extensor digit minimi)
Thumb: Abduction: Radial Nerve. C7, C8 (abductor pollicis longus)
Finger: Abduction: Ulnar Nerve. C8, T1 (abductor digiti minimi)

Lower Extremity Strength Testing

Hip flexion:Iliopsoas Femoral nerve, and L1-L3 nerve roots L1, L2, L3, L4
Knee extension: Quadriceps Femoral nerve L2, L3, L4
Knee flexion: Hamstrings (semitendinosus, semimembranosus, biceps femoris) Sciatic nerve L5, S1, S2
Leg abduction Gluteus medius, Gluteus minimus, Tensor fasciae latae Superior gluteal nerve L4, L5, S1
Leg adduction Obturator externus, Adductor longus, magnus, and brevis, Gracilis Obturator nerve L2, L3, L4
Toe dorsiflexion Extensor hallucis longus, Extensor digitorum longus Deep peroneal nerve L5, S1
Foot dorsiflexion Tibialis anterior Deep peroneal nerve L4, L5
Foot plantar flexion Triceps surae (gastrocnemius, soleus) Tibial nerve S1, S2
Foot eversion Peroneus longus, Peroneus brevis Superficial peroneal nerve L5, S1
Foot inversion Tibalis posterior Tibal nerve L4, L5

Central motor exam.

Pronator Drift. RAM.

Signs of hydrocephalus: incontinence, cognitive changes, gait disturbances.