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OPTIONAL ADDITIONAL MUSCLE TESTING

Neurosurgery

OPTIONAL ADDITIONAL MUSCLE TESTING

1. Diaphragm - tested using vital capacity or under fluroscopy. Movement of the hemidiaphragm >= 2 interspaces is normal.
2. Deltoids - major contributor for reach of the upper extremity. Cannot be properly tested in the supine position.
3. Abdominal muscles - T6-T12. Look for Beevor sign: with the patient flexing the head + neck, the umbilicus will move rostrally if the patient has a lesion below T10 because of the intact muscles above T10.
4. Hip adductors - important to monitor as these are the first muscles to recover after injury of the lower extremeties.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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