Lower Quarter Neurological Screen

required on all patients with…

low back pain, symptoms extending from the lumbar spine below the gluteal fold, lower quarter symptoms of questionable origin, history of trauma or surgery

Myotome

group of muscles innervated by a common nerve root

myotome L2 and L3 motion

hip flexion

myotome L3 and L4 motion

knee extension

myotome L4 and L5 motion

ankle dorsiflexion

myotome L5 motion

big toe extension

myotome S1 motion

ankle plantarflexion

functional myotome L3 and L4 motion

step-up

functional myotome L4 and L5 motion

heel walking

functional myotome S1 and S2 motion

toe walking

Dermatome

areas of skin innervated by a common nerve root

L1 dermatome

inguinal area

L2 dermatome

anterior mid-thigh

L3 dermatome

medial knee

L4 Dermatome

medial malleolus

L5 dermatome

distal medial dorsum of foot

S1 dermatome

lateral border of foot

S2 dermatome

medial/posterior calcaneus

L2, L3, L4 reflex

patellar tendon

L5 relfex

hamstring

S1 relfex

achilles tendon