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Dermatomes and Myotomes C1 Upper Cervical Flexion C2 Upper Cervical Extension C3 Cervical Lateral Flexion C4 Shoulder Girdle Elevation C5 Shoulder Abduction C6 Elbow Flexion C7 Elbow Extension C8 Thumb Extension T1 Finger Adduction Dermatomes and Myotomes L2 Hip Flexion L3 Knee Extension L4 Dorsiflexion L5 Big Toe Extension S1 Foot Eversion S2 Plantarflexion S1&2 Knee Flexion Reflexes Biceps Jerk C5&6 Tricpes Jerk C7 Brachioradialis C7 Knee Jerk L3&4 Ankle Jerk S1 Babinski: Normal response= toes plantarflex Abnormal= dorsiflexion of great toe and downward fanning of other toes Neurodynamic Testing Passive Neck Flexion: Supine, head flexed. N= pain free full ROM Straight Leg Raise: (Sciatic Nerve) Hip Add, Medial Rotation, Knee Extension (Tibial Nerve) + Ankle Dorsiflexion/Eversion (Common Peroneal) + Ankle Plantarflexion/ Inversion Prone Knee Bend: Do in side ly and use neck flex/ext to desensitize Saphenous Nerve Test: In prone. + Abd, lat rot, df and eversion Slump Test: Upper Limb Tension Tests: 1- Median (Waiter). 2b- Radial (Baton) 3- Ulnar (Glasses) C Spine Trauma Whiplash Ligament Sprain Muscular Strain Degenerative Spondylosis: IV disc Arthrosis: Z Joint Inflammatory AS RA Headaches Torticollis Hypermobility Syndrome Cervical Rib Neoplasm C Spine Special Tests Spurlings- nerve root compression Distraction VBI Test- Rotation L and R to end of ROM. Each +OP for 10s. Always release for 10s before next. If positive manipulation is contraindicated. Differentiation- Between Neck and Ear- Hold head still and get patient to turn body each way. Repeat above. If still positive it is not from the vestibular system. Palpation of Pulses- Check for compromised blood supply to head. Thoracic Outlet Syndrome PAIVMs NAGs/Reverse NAGs/SNAGs T Spine Trauma Whiplash Fracture Ligament Sprain Muscular Strain Degenerative Spondylosis: IV disc Arthrosis: Z Joint Inflammatory AS Metabolic Osteoporosis Synodromes T4 Thoracic Outlet Shoulder Fracture Bursitis Dislocation Muscle Imbalance (winged scap) Ligament Sprain Snapping Scapula Muscle Strain Thoracic Outlet Syndrome Calcification of Tendons Instability Frozen Shoulder RC Rupture OA RA Shoulder Special Tests Joint/ Stability Crank Test Anterior Drawer AC Joint Apprehension Test Apleys (AC Pathology) Fulcrum Test Rotator Cuff Jerk Test Drop Test (Infraspinatus and Supraspinatus) Sulcus Sign Hornblower’s Sign (Teres Minor) Labrum Lift-Off (Subscapularis) Biceps Load I&II Patte’s (Infraspinatus and T Minor) Anterior Slide Empty Can (Supraspinatus) Impingement Hawkins-Kennedy (Supraspinatus Impingement) Speeds (Biceps Impingement) Neer (Both of the above) Thoracic Outlet Syndrome Allen Test Adson’s Manoeuvre Provocation Elevation VBI VBI Test Elbow Special Tests Tendinopathy Lateral Epicondylitis rd 3 MCP Extension Medial Epicondylitis Nerve Tests Pinch Grip (Median) Tinel’s Sign (Ulnar) Ligamentous Stability Valgus Stress Test Varus Stress Test Elbow Tennis Elbow Golfer’s Elbow Collateral Ligament Sprain Ulnar Nerve Compression Olecranon Bursitis Triceps Tendinopathy Posterior Impingement Wrist and Hand OA RA DeQuenvains Carpal Tunnel Guyuns Canal Syndrome DupuYtren’s Raynauds CRPS Wrist and Hand Special Tests Finkelstein Test Froment’s Sign (Ulnar) Phalen’s Test Reverse Phalen’s Tinel’s Sign Pelvis Special Tests Passive Physiological Accessory Movements Sitting Flexion Anterior Gapping Standing Flexion Posterior Gapping Stork Test Femoral Shear Prone Trunk Extension Longitudinal Caudad Anterior and Posterior Rotation Hibbs Test Anteroposterior Translation Superoinferior Glide Hip Special Tests Quadrant Test Leg Length Faber’s Test Ober’s Sign Piriformis Test Thomas Test Trendelenberg Sign Knee Special Tests Joint Integrity Valgus/Varus Stress Anterior/Post Drawer Apley’s Test Brush Test Apprehension Test Hughston Plica Test Lachman’s Test McMurray