Neurological Integrity Testing (Lumbar Spine)

• Neurological Integrity Testing (Lumbar Spine) - all Must be performed:

  • starts by performing a Babinski and Clonus reflex (sees if problems comes from upper motor neurone or lower motor neurone)
  • then test Dermatomes - an area of skin thats supplied by a nerve root
  • then test Myotomes - group of muscles that are supplied by a specfici nerve root:
  • L2 Hip Flexion
  • L3 Knee Extension
  • L4 Dorsiflexion
  • L5 Hallux Extension
  • S1 Ankle PF, Ev and Hip Ext
  • S2 Knee Flexion
  • then test Reflexes (sees if problems comes from upper motor neurone or lower motor neurone):
  • Knee Jerk L3
  • Ankle Jerk S1

  
• Neurological Integrity Testing (Lumbar Spine):

  • Palpation / PAVIMS:
  • Not part of Neurological Integrity Testing but could be used to tie findings
  • can help cement whether problems are coming from specific nerve root