Sensory Testing

Question 1

What are the sensory function tests?

Answer 1

1. Superficial pain and light touch
2. Vibration
3. Position sense
4. Stereognosis
5. Graphesthesia
6. Two-point discrimination

Question 2

What are the signs of a fifth cervical nerve root syndrome?

Answer 2

1. Pain upper border scapula
2. Tenderness over transverse process C4-5 vertebrae
3. Radiation of pain to anterolateral arm
4. Numb sensation anterolateral forearm
5. Biceps reflex reduced
6. Motor weakness and atrophy of serratus magnus and anterior deltoid muscles

Question 3

What are the signs of a seventh cervical nerve root syndrome?

Answer 3

1. Pain over upper medial scapula
2. Tenderness over transverse process f vertebra
3. Radiation of pain to posterolateral arm
4. Numb sensation 2nd and 3rd digits
5. Triceps reflex reduced or absent
6. Motor weakness and atrophy of triceps muscle

Question 4

What are the signs of a fourth lumbar nerve root syndrome?

Answer 4

1. Pain in gluteal region over trochanter
2. Tenderness over transverse process of vertebra
3. Radiation of pain to anterior thigh and leg
4. Numbness of anterior leg, great toe
5. Reflex of patellar tendon reduced or absent
6. Motor weakness and atrophy of quadriceps muscle

Question 5

What are the signs of a first sacral nerve root syndrome?

Answer 5

1. Pain in medial gluteal region (over ischial tuberosity)
2. Tenderness over transverse process of vertebra
3. Radiation of pain to posterior thigh and leg
4. Numbness of posterior leg, little toe
5. Reflex of Achilles’ tendon reduced or absent
6. Motor weakness and atrophy of plantar flexors

Question 6

What are the signs of a sixth cervical nerve root syndrome?

Answer 6

1. Pain in upper medial scapula
2. Tenderness over transverse process of vertebra
3. Radiation of pain to lateral arm
4. Numbness sensation of thumb
5. Reflex of biceps tendon reduced or absent
6. Motor weakness and atrophy of thumb, biceps, and scapular muscles

Question 7

What are the signs of a eighth cervical nerve root syndrome?

Answer 7

1. Pain over medial scapular spine
2. Tenderness over transverse process of vertebra
3. Radiation of pain to posterior-medial arm
4. Numbness sensation of 4th and 5th digits
5. Reflex’s are intact
6. Motor weakness and atrophy of intrinsic muscles of hand

Question 8

What are the signs of a fifth lumbar nerve root syndrome?

Answer 8

1. Pain in gluteal region between ischial tuberosity and greater trochanter
2. Tenderness over transverse process of vertebra
3. Radiation of pain to lateral thigh and leg
4. Numbness sensation of lateral leg, three middle toes
5. Reflex’s are intact
6. Motor weakness and atrophy of dorsal flexors of ankle and toes

Question 9

What are the signs of a second sacral nerve root syndrome?

Answer 9

1. Pain in medial gluteal fold
2. Tenderness over upper lateral sacrum
3. Radiation of pain to posteriomedial thigh, leg and heel
4. Numbness of medial gluteal fold
5. Reflex of plantar flexion reduced or absent
6. No Motor weakness or atrophy recognized