Quick assessment of level of lesion
When you are presented with a CNS case, a quick look at the movements of the patient can guide you to the site of lesion.
Look below for the nerve supply for different areas of the body
Upper body
- C1 to C6- Neck flexion
- C1 to T1- Neck extension
- C3 to C5- Supply to diaphragm
- C5 to C6- Raising arm and elbow flexion
- C6- Externally rotate arm
- C6 to C7- extension of elbow and wrist/ Pronate arm
- C7 to T1- Flexion of wrist
- C7 to T1- supplies small muscles of hand
Lower body
- T1 to T6- Intercostal muscles of chest
- T7 to L1- Abdominal muscles
- L1 to L4 thigh flexion
- L2 to L4- Thigh adduction
- L4 to S1- Thigh abduction
- L5 to S2- Extension at hip joint
- L2 to L4- Extension at knee
- L4 to S2- Flexion of knee
- L4 to S1- Dorsiflexion of foot and extension of toes
- L5 to S2- Plantar flexion of foot and flexion of toes
Reflexes and nerve connection
- Biceps reflex- C5
- Supinator reflex- C5
- Triceps reflex- C7
- Knee reflex- L2 and L3
- Ankle reflex- L5 and S1