Myotomes Upper Limb | Peripheral Neurological Examination

[@natenraghav7365]

C5 - Deltoid C6 - Bicheps, Wrist Extension C7 - Triceps , Wrist Flexion C8 - Abductor Polli Brevis T1 - Interosseous of 1st Digit

[@roguemaxify]

Sitting here with my Ortho & Special Assessments final exam in 2 hours, your channel has helped a ton thank you so much for this content!

[@Physiotutors]

Hope it went well Max!

[@AnnaMarie-ym5tw]

Are you a boy/ girl @Max B

[@adamfarrar8071]

BICPES has 6 letters - C6 TRICEPS has 7 letters - C7

[@AnnaMarie-ym5tw]

Woah man👏

[@jayshrivaishnav9683]

Hello physios, I liked your vedios too much and your is the only channel where my all queries of physiotherapy solved clearly

[@mdawg3416]

I really love what you guys are doing. Thank you so much for putting out great, concise info.

[@chrislane2322]

This is very well done and helpful! Thank you!

[@helenhoover]

Thanks a lot for your work guys. This really helps me study! Keep it up!!!!!

[@Physiotutors]

No worries Laura! We certainly will -thanks for subscribing!

[@1717mimi]

YOU GUYS ARE AMAZING!!!!!!! THANKS SOOOOO MUCH!!

[@Physiotutors]

You’re welcome !

[@Janice-dk2gb]

Really great learning material - thank you so much for the videos. Keeping to the point is so helpful :-)

[@Physiotutors]

Glad you enjoy it 👍🏼

[@lobsterairsoft499]

Since the biceps are innervated by the musculocutaneous nerve which comes from C4, 5, 6, why does assessing the bicep assess C6. Wouldn't it also assess C4, and C5?

[@TroyW13]

Love the videos guys, very appreciative for your work. Just wanted to note that for C8 - unless it's partly inaudible or I'm mishearing it - I think the C8 myotome for FPB is resisting thumb 'ABduction' (I feel like I am hearing thumb ADDuction).

[@Physiotutors]

Thanks TW, appreciate it and thank you for following us! It's ABDuction. We are currently in the process of adding English subtitles to all of our videos. so these problems should soon be resolved!

[@แตงโมแตงโม๊-ศ6ธ]

It’s still Adduction, It should be ABduction. I’m very appreciated all your videos. It’s simple and useful. thx a bunch.

[@okleydo]

I'm not understanding why individual tests has low sensitivity/Sn & high specificity/Sp, while overall figures quoted by 2017 Lemeunier has a high sensitivity/Sn & low specificity/Sp -- conflicting information. Also, for C8/T1, I think you meant to say resisted thumb ABduction. Can anybody shine some light? Couldn't access the 2017 paper due to pay wall so can't find out for myself...

[@karinee007]

Beautiful! Thank you 😊

[@Physiotutors]

Ur welcome Karinee!

[@srilathachadalavada]

thank you physiotutors..

[@Physiotutors]

Ur welcome Srilatha, thanks for subscribing to our channel!

[@MrBryle37]

Your videos are all nice and easy to follow.I can use it in my review for fsbpt and for clinical practice once i passed and get my license.Thank you and wish me luck sir.😁🙏

[@Physiotutors]

Nice to hear Henry!Good luck!

[@omaral3nzy639]

You are the best 👌

[@saraali55]

Thanx for content it help me alot in reveiw my info

[@Physiotutors]

you're welcome sara, glad our video was helpful!

[@OmarhaiderAl-turkmani]

You guys you wow you are just sooo helpful

[@Physiotutors]

Thank you so much 😊

[@jeffreyhearn8404]

Thank you for your content. Would it be beneficial to test both sides simultaneously to check for weakness/symmetry?

[@alexahershlag8454]

Thanks ☺️

[@max51blake]

Is there a difference in testing myotomes vs a manual muscle test? If so, is the difference that MMT is a break test and myotome is a resisted isometric?

[@Physiotutors]

MMT can be both make (just isometrics) and break (break the resistance). With myotome testing your more interested in a particular muscle.

[@roma2596]

Physiotutors but for a particular muscle we can even do individual muscle testing right then why myotome

[@Physiotutors]

Two different objectives: MMT: evaluate the strength of a particular muscle Myotome: Investigate whether or not a certain nerve root shows signs of radiculopathy

[@jjjinjutha2180]

Are you give force in midrange?

[@vaamirbasha6916]

Sir how to test C1,C2,C3&C4 nerve roots dermatomes

[@Physiotutors]

Didn't cover them because they are very rarely affected. You can find different dermatome maps on the internet

[@BlackMesaTrainee]

I read that in more than 80 % the anterior deltoid is innervated by the lateral pectoral nerve.

[@KhanZada-sv8do]

Good job

[@Physiotutors]

Thanks Khan 👍🏼

[@jessereeves3120]

Any idea why I'm finding so many reputable sources disagreeing on whether shoulder ABduction (delts) is C5 or C6?

[@Physiotutors]

Nerves innervate several muscles. that's why you'll find different info.

[@mike4878]

What percentage of cervical radiculopathy (nerve root pathology) comes from stenosis, If 75% is from DDD and the other 25% is from soft disc lesions?

[@Physiotutors]

Stenosis is a pathology related to DDD (Roth, 2009) and falls within the 75%.

[@abualmegdadnasri5811]

مشكورين جدا حقيقة فيدوهات رائعة علمية ومفيدة... اين اجد نسخ مترجمة من هذه الفيديوهات. لدي طفل عاني من شلل ارب والان تحسن كثيرا فقط لديه مشاكل في لوحة الكتف ماهي مساعداتكم في هذا الامر...خالص الشكر...

[@Physiotutors]

استخدمنا ترجمة جوجل لفهم تعليقك. نحن نشجع الأشخاص على كتابة ترجمات مصاحبة لمقاطع الفيديو التابعة لنا بلغتهم الأصلية. للأسف، لا يمكننا تقديم المشورة المناسبة بشأن ما يجب القيام به فيما يتعلق بمشكلة ابنك. لذلك علينا أن نوصي تذهب طلب المساعدة من أخصائي العلاج الطبيعي بالقرب منك.

[@maryaali9375]

Sir is there any website of your for studyng manual therpy

[@Physiotutors]

www.somtuniversity.nl/ But it's in Dutch!

[@maryaali9375]

@@Physiotutors ops but i dnt understand dutch iam from pakistan

[@maryaali9375]

@@Physiotutors any other website which is in engish

[@Physiotutors]

Oh I thought you were interested in our university. We don't know any good website for manual therapy, but we are publishing more and more MT videos and already have

[@maryaali9375]

@@Physiotutors ok sir .. your cannal also help me more in studying

[@priyaraval6045]

how to check for t2? thanks

[@Physiotutors]

Not possible as T2 innervates the intercostals...also not very common to have a hernia pressing on a nerve root at T2

[@priyaraval6045]

OK.....Thank you so much..

[@nassimran]

Please upload myotome examination for full body

[@Physiotutors]

We have one for lower extremity as well

[@izac6988]

Hey guys, where did you get the info that 75% of radiculopathy comes from DDD? Also is the full lemeunier paper available for free anywhere?

[@Physiotutors]

That's from Roth et al. (2009): www.ncbi.nlm.nih.gov/pubmed/19917324. Makes sense as well as we don't really have a nucleus pulposis in the cervical spine at a certain age anymore as it's basically fused with the annulus. Sorry, no idea...

[@izac6988]

Great stuff, thankyou! Your uploads recently have been weirdly in tune with my university timetable... keep it coming

[@Physiotutors]

+Isaac Lowton thanks, appreciate it! Good coincidence, what university are u studying at?

[@izac6988]

BSc Physio at University of Plymouth, Covering cervical spine and upper limb at the start of second year

[@Physiotutors]

+Isaac Lowton cool, never been there though! Feel free to spread the word to your classmates and good luck with ur BSc!

[@purple_n3954]

What the difference between myotomes testing and manual muscle testing ?

[@Physiotutors]

Myotome testing is done with the goal of determining muscle weakness in regards to radiculopathy, manual muscle testing is not specific to the muscles related to specific nerve roots.

[@harivignesh6876]

@@Physiotutors hello physiotutors , How to differentiate if it is a local ,(muscle issue ) or a radiculopathy issue ? , For ex if a patient is not able to abduct their arm , should it be due to rc / delt weakness or c4 c5 disc derangement?

[@Physiotutors]

Radiculopathy will often show with tingling, burning quality, loss of sensation, diminished reflexes, aggravation in 3d extension, neck pain etc. Deltoid muscles don't just become weak. In case if subacromial pain syndrome we'd expect shoulder pain, a painful arc, etc

[@harivignesh6876]

@@Physiotutors you guys are best .Thanks for replying Lots of love

[@harivignesh6876]

@@Physiotutors Just one more question , What are we supposed to do in cases like c4 or c5 nerve root pain ? I mean what will work in such specific spinal segment pathology?

[@prachitisaklecha5733]

What is the grading system for myotomes?

[@Physiotutors]

MRC scale, we have a video on it

[@aimansajid5535]

how can we check c1 c2 c3 and c4

[@Physiotutors]

Some sources say C1= head/neck flexion, C2= head/neck extension, c3 = lateral flexion, C4= shoulder shrug. Way less common though to have radiculopathy in these regions, with C4 being reported in the literature.

[@etisamwahid3167]

Sir how to check C1 to C4 Myotomes?

[@Physiotutors]

Never read about radiculopathy anywhere from C1-C3, but the myotomes are described to be C1: head flexion, C2: Head extension, C3: Head/neck lateral flexion, C4: shoulder shrug

[@etisamwahid3167]

@@Physiotutors Thanks alot

[@maodouuuuuu8447]

Does anybody know what is SN SP mean? thx

[@Physiotutors]

Sensitivity and specificity

[@maodouuuuuu8447]

@@Physiotutors Thank you so much !

[@sebastianloscher3939]

Hey thanks for your work!! In which article I can find the SN and SP values of those tests? Was Pronation als assessed for C6 radiculopathy?

[@Physiotutors]

It’s from Wainner et al linked in the description

[@VioletAnn-d5t]

Aiden Circle

[@matthewzadrov6141]

Didnt know checking for mytomoes you need to be SHIRTLESS, il make sure to pass that along to the rest if my classmates. So checking for hip flexors , you need to be wihout pants then ?

[@AnnaMarie-ym5tw]

Focus on studying Rather passing *useless comments*

[@anhthihoang2200]

The physio looks like Nick Jonas without his curly hair

[@AnnaMarie-ym5tw]

EXACTLY WHAT I’ve been saying Omg real comment

[@berkoktar7949]

This is so wrong. Biceps is C5, C8 is flexor digitorum profundus which flex the distal phalanx

[@Physiotutors]

Nope, not wrong. What's your source? There are different text books that show different myotomes for the respective levels. Realize that no muscle is solely innervated by one spinal segment.

[@berkoktar7949]

@@Physiotutors I'm a medical student and this is not my professors taught me. I know that every muscle is innervated from 2 segments but this not the examination in our literature. c5 is Biceps brachii, c6 is extensor carpi radialis, c7 is Triceps brachii, c8 is flexor digitorum profundus and t1 is abduktor digiti minimi.

[@Physiotutors]

Well then provide the reference. You can find what we reference in the description below. You now have the burden of proof

[@physicaltherapymnemonics]

In testing the myotomes using the ASIA Scale, C5 is elbow flexors so the muscle tested is biceps. But myotomes per se, "consists of all the muscles innervated by a specific nerve root level." In the case of C5, you have deltoids, biceps. Shoulder abduction which is the action of the deltoid is the movement with the strongest association to the C5 myotome (though I can't find a primary source for this, I just read it on a website). That's why in this video, C5 is deltoid.

[@FOUGHALI-Soumaya]

Merci pour votre présentation 👏 J'ai trouvé cette danse aussi pour bien expliquer ta vidéo kzbin.info/www/bejne/p5nbn4ycqZ5-gdk