Nerve Root Lesions

NR-Muscle-Test-Reflex

         C5 - Deltoid - Shoulder abduction - biceps tendon (antecubital)

         C6 - Ext. Carp. Rad - Wrist extension - brachioradialis tendon (wrist/radial)

         C7 - Flex. Carp. Rad. - Wrist flexion - Triceps tendon (elbow)

         C7 - Ext. Dig. Comm - Finger extension - Triceps tendon (elbow)

         C8 - Flex. Dig. - Finger flex. - None

         T1 - Interossei - Finger adduction and abduction - None

         L4 - Tibialis Anterior - Foot inversion - Patellae tendon (knee)

         L5 - Extensor Dig. Long. - Foot dorsiflexion - None (tibialis posterior reflex?)

         S1 - Peronei - Foot eversion - Achilles Tendon (ankle)

 

Upper Extremity Peripheral Nerve Injuries

Test-Muscle-Nerve

         Shoulder Abduction - Supraspinatus (C5) - Suprascapular nerve  (C5, 6)

         Shoulder Abduction - Deltoid (C5) - Axillary nerve (C5, 6)

         Elbow Flex. - Biceps Brach (C5, 6) - Musculocutaneous nerve

         Elbow Ext. - Triceps (C7) - Radial nerve

         Wrist Extension (rad. dev.) - Ext. Carp. Rad. (Lg & bs) (C6) - Radial nerve

         Wrist Extension (Ulnar dev.) - Ext. Carp. Uln. (C7) - Radial nerve

         Wrist Flex. (Radially) - Flex. Carp. Rad. (C7) - Median nerve

         Wrist Flex. (Ulnar dev.) - Flex. Carp. Uln. (C8) - Ulnar nerve

         Finger extension - Ext. Dig. Comm (C7) - Radial nerve

         Finger Flex. - Flex.Dig.Sup. + Flex.Dig.Prof.Rad 2 (C8) - Median nerve

         Finger Ext. - Flex. Dig. Prof. Uln. 2 (C8) - Ulnar nerve

         Finger Abduction - 2 Rad. Lumbricals (T1) - Median nerve

         Finger Abduction and Adduction - 2 ulnar Lumbricals and dorsal, palmar interossei (T1) - Ulnar nerve

 

Lower Extremity Peripheral Nerve Injuries

Test-Muscle-Nerve

         Hip Flexion - Iliopsoas (T12, L1, 2, 3) - none

         Knee Extension - Quadriceps (L2, 3, 4) - Femoral Nerve

         Hip Adduction - Add. Brev.., Long., Magn. (L2, 3, 4) - Obturator nerve

         Foot Inversion - Tibialis Anterior (L4) - Deep peroneal nerve/Comm. Per./Sciatic

         Foot Dorsiflexion - Tib. Ant. (L4) - Deep peroneal nerve/Comm. Per./Sciatic

         All small toes up - Ext. Dig. Long. (L5) - Deep peroneal nerve/Comm. Per./Sciatic

         Big toe up - Ext. Hall. Long (L5) - Deep peroneal nerve/Comm. Per./Sciatic

         Hip abduction - Glut. Medius (L5) - Superficial gluteal nerve

         Foot eversion - Peroneus long., Brev. (S1) - Sup. Per. Nerve/Comm. Per./Sciatic

         Foot Plantarflexion - Gastrocnemius & soleus (S1) - Tibial nerve/sciatic nerve

         Foot Plantarflexion - Flex. Dig. Long. (S1) - Tibial nerve/Sciatic nerve

         Foot Plantarflexion - Flex. Hal. Long. (S1) - Tibial nerve/Sciatic nerve

         Foot Plantarflexion - Tibialis Post. (S1) - Tibial nerve/Sciatic nerve

         Hip Extension - Glut. Max. (S1) - Inferior Gluteal nerve