Commonly Tested Movements
Movement | UMN* | Root | Reflex | Nerve | Muscle |
---|---|---|---|---|---|
Shoulder abduction | ++ | C5 | Axillary | Deltoid | |
Elbow flexion | C5, C6 | + | Musculocutaneous | Biceps | |
C6 | + | Radial | Brachioradialis | ||
Elbow extension | + | C7 | + | Radial | Triceps |
Radial wrist extension | + | C6 | Radial | Extensor carpi radialis longus | |
Finger extension | + | C7 | Posterior interosseous | Extensor digitorum communis | |
Finger flexion | C8 | + | Anterior interosseous | Flexor pollicis longus + Flexor digitorum profundus (index) | |
Ulnar | Flexor digitorum profundus (ring + little) | ||||
Median | All other flexors | ||||
Finger abduction | ++ | T1 | Ulnar | First dorsal interosseous | |
Median | Abductor pollicis brevis |
Movement | UMN* | Root | Reflex | Nerve | Muscle |
---|---|---|---|---|---|
Hip flexion | ++ | L1, L2 | Iliopsoas | ||
Hip adduction | L2, L3 | + | Obturator | Adductors | |
Hip extension | L5, S1 | Sciatic | Gluteus maximus | ||
Knee flexion | + | S1 | Sciatic | Hamstrings | |
Knee extension | L3, L4 | + | Femoral | Quadriceps | |
Ankle dorsiflexion | ++ | L4 | Deep fibular | Tibialis anterior | |
Ankle eversion | L5, S1 | Superficial fibular | Fibulares | ||
Ankle plantarflexion | S1, S2 | + | Tibial | Gastrocnemius, soleus | |
Ankle inversion | L4, L5 | Tibial | Tibialis posterior | ||
Big toe extension | L5 | Babinski | Deep fibular | Extensor hallucis longus |
*Indicates movements which are preferentially weak in upper motor neuron lesions.
From Aids to the Examination of the Peripheral Nervous System Fifth Edition, by Michael O’Brien, 2010. Copyright 2020 by Saunders Ltd. Reprinted with permission.
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