Lower Limb Myotomes | Clinical Physio

This video teaches you all you need to know about testing the myotomes of the lower limb and lumbar spine as a part of your neurological assessment!
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[@uswahzainab3388]

L2 hip flexion L3 knee extension L4 ankle dorsiflexion L5 big toe extension S1 plantar flexion S2 knee flexion

[@tristenpropes319]

MSAT student here. This was very helpful to me as I am just beginning. Thanks!

[@ClinicalPhysio]

You're very welcome! Thank you for watching!

[@rkatpar]

This is a much much much simpler and efficient way to test these myotomes than what we were taught at uni!

[@ClinicalPhysio]

Thank you so much! Very pleased to hear it 🙏🏼

[@premonitions1390]

you are detailed in your explanations in ways others lack. unfortunately, my instructors did not teach as thoroughly as you. excellent!

[@ClinicalPhysio]

Thank you so much 🙏🏼

[@jennytaylor3962]

I appreciate you taking the time to explain and demonstrate how these assessments should be done and why. If only you were my tutor.

[@ClinicalPhysio]

You’re very welcome Jenny, thank you so much for watching!!

[@MINAOLENGINAINE]

Thank you! I find your videos and explanations really helpful and clear. Currently taking Physiopedia knee course and seem to get better understanding of some concepts from your videos.

[@ClinicalPhysio]

Thank you so much for your kind words!

[@yashaswinibajaj8708]

Your videos have been very helpful. Thank you!

[@ClinicalPhysio]

You are very welcome 😊 thank you for your kind words!

[@dominicrussell6946]

I love your videos! Please keep them coming!

[@ClinicalPhysio]

Thank you so much Dominic! Do follow us on instagram too if you would like even more 😊

[@galinameyer6689]

Thank you very much for the video! You demonstrate and explain everything very clearly. There is only one question I need to ask, because I am a student of physiotherapy and I am going to have a clinical exam very soon. when should we use an isometric resistance test and when - the Oxford 0 - 5 strength test? What you demonstrate in this video, is the isometric resistance test also known as resisted isometrics. This method is attributed to Cyriax, and it measures pain and strength of a muscle group. Thus, four different combinations are possible for the tested muscles, which either can be strong and painless (normal), or strong and painful (minor lesion of a muscle or tendon), or weak and painful (major lesion of a muscle or tendon), or weak and painless (neurological lesion or complete rupture of a muscle or tendon). If you want to assess the muscle´s strength accoring to Oxford 0 - 5 scale, you have to test the muscle in the full ROM. I don´t really understandt, why it is so important to test the muscle within the full range of motion, when we know that a muscle is strongest, when it is 70 - 120%% of its resting length. But our teachers pay very much attention to how students conduct this test. They emphasize always that Oxford 0 - 5 test is not an isometric test, but a test with concentric contraction of the muscle.

[@ClinicalPhysio]

Hi Galina - thank you so much for your words! Nice question - I think it depends on the situation. For me, when you are testing myotomes, you are testing if the neural message is actually reaching the muscles to ask them to contract at all, in any position, which is why we often use isometrics for myotomal testing. If you want to assess the strength of a muscle in a non-myotomal sense, then you may use different positions within the range. But I would also definitely suggest having a discussion with your teachers specifically as to why because they may have a different reason

[@shirazmatcheswala1632]

Marvellous explanation thankyou you you solve many questions arising about l2 or l3 l5 s1 s2 .

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼🙏🏼🙏🏼

[@hasan7968]

This makes understanding much easier

[@ClinicalPhysio]

Thank you so much Hasan!

[@hasan7968]

@@ClinicalPhysio I appreciate whatever you are doing for us physios who are yet to graduate I remembered everything you taught in a 7minute video without even referring to my notes 👃👃

[@agie3096]

well-=explained than my teacher. Thank you very much.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 Thank you so much!

[@thinkpositive6321]

Thank you so much. Made so easy

[@ClinicalPhysio]

Thank you for watching!!

[@faisuamju7387]

Sir your vedios s r really helpul for ma physio dha examination Thank u sir From kerela

[@ClinicalPhysio]

Thank you so much for your kind words and support! 😊

[@vasileiospetropoulos2046]

Great. Euxaristo polu Cheers really helpful

[@milireshmi3365]

Great teaching

[@vadimb3591]

Thank you so much

[@ClinicalPhysio]

You are very welcome!

[@sanashafique5125]

Simply best❤

[@ClinicalPhysio]

Thank you so much!

[@panagiotiskapodistrias9817]

Quick and simple, thanks!

[@ClinicalPhysio]

Very kind!

[@minahilmehmood6317]

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