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2+ reflexes
- Grading Reflexes:
- 0 No evidence of contraction
- 1+ Decreased, but still present (hyporeflexic)
- 2+ Normal
- 3+ Increased (hyper-reflexic)
- 4+ Clonus: Repetitive shortening of the muscle after a single stimulation
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Lower extremity motion (hip,knee, ankle) and related spinal roots
- Hip Flexion (L 2, 3, 4) Hip Abduction (L 4, 5, S1)
- Hip Adduction (L 2, 3, 4)
- Knee Extension (L 2, 3, 4) Knee Flexion (L 5, S1, S2)
- Ankle Dorsiflexion (L 4, 5) Plantar Flexion (S 1, S 2)
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L3 Impingement
- Reflex:Pateller
- Pinprick sensation: lat thigh, medial femoral condyle
- Motor Exam: extend quads
- Functional Test: squat down and rise
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-
L4 Impingement Syndrome
- Reflex: Pateller
- Pinprick sensation: Medial leg and medial ankle
- Motor Exam: dorsiflex ankle
- Functional Test: walk on heels
-
L5 Impingement syndrome
- Reflex: medial hamstring
- Pinprick sensation: lat leg and dorsum of foot
- Motor Exam: dorsiflex great toe
- Functional Test: walk on heels
-
S1 impingement syndrome
- Reflex: Achilles
- Pinprick sensation: Post calf, plantar suface foot, lat ankle
- Motor Exam: stand on toes
- Functional Test: walk on toes
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