Upper limb neuro

 

Inspection

Upper limbs and cervical spine

·          Wasting

·          Scars

·          Deformity

 

 

 

 

Tone

·          Shoulders

·          Elbows

·          Wrists

 

 

 

Power

·          Shoulder abduction: C5-6

·          Shoulder adduction: C7-8

·          Elbow flexion: C5-6

·          Elbow extension: C7-8

·          Wrist flexion: C6-7

·          Wrist extension: C6-7

·          Finger flexion: C7-8

·          Finger extension: C7-8

·          Finger abduction: C8-T1

·          Finger adduction: C8-T1

(Nothing 0, flicker 1, no gravity 2, gravity 3, reduced 4, normal 5)

 

 

 

 

 

 

 

 

 

 

Reflexes

·          Biceps C5-6

·          Triceps C7-8

·          Brachioradialis C5-6

·          Finger C7-8

(Low 1+, normal 2+, high 3+)

 

 

 

 

Co-ordination

·          Finger-to-nose

 

Sensation

·          DCML: light touch, vibration, proprioception

·          ALS: pain, temperature

·          C4: shoulder

·          C5: lateral arm

·          C6: lateral forearm

·          C7: middle finger

·          C8: pinkie finger

·          T1: medial forearm

·          T2: medial arm/axilla

 

 

 

 

 

 

 

 

 

 

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