Page 146 - Edited - Webster HEAD AND NECK - part 2-Merge PDF
P. 146

HN 334


                                            TENDON JERKS AND LIMB MOVEMENTS








                                                             1




                                                                           Tendon jerks
                                            2                              1. Supinator/brachioradialis jerk: C6
                                                                           2. Triceps jerk: C7,8
                                                                           3. Ankle jerk: S1,2
                                                                           4. Biceps jerk: C5,6
                                                                           5. Knee jerk: L3,4
                                            A
                                                                              For “jaw jerk”
                                                                              see Fig. 20A.





                                         B







                                         C
                                  3                          G  D          E        F



                                                                 H         I                              4
                   Limb movements
                    A.  Hip extension: L5,Sl                                       J
                    B.  Knee flexion: L5,Sl
                    C.  Ankle - plantar flexion of foot: Sl,2
                    D.  Wrist flexion: C8                                         K
                    E.  Elbow flexion: C5,6
                    F.  Shoulder abduction: C5
                    G.  Fingers - intrinsic muscles; abduction/adduction/opposition: Tl
                    H.  Wrist extension: C7
                    I.  Elbow extension: C7,8
                    J.  [Diaphragm movements: C(3),4,(5)]
                    K.  Hip flexion: Ll,2
                    L.  Knee extension: L3,4
                    M.  Ankle - dorsiflexion of foot L4, 5                         5                  L



                                     Plantar responses:
                                     Sensory - dermatomes L5, Sl                                     M
                                     Motor - (i) normal Sl, 2
                                     Motor - (ii) Babinski L4, 5
                                     (These values are NOT important:
                                     the test primarily distinguishes
                                     the test primarily distinguishes
                                     "normal" from "Babinski" -
                                     See Vol. I, pp. 167-168; Vol. III, p.22)
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