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Lower Extremity - Important Impairments
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From Rehabilitation Specialist's Handbook: page 279
Terms in this set (12)
Patient is experiencing pain in the inguinal region, associated with a loss of sensation over the femoral triangle, and absent cremasteric reflex. Which nerve is impaired?
Genitofemoral Nerve
Patient is experiencing meralgia paresthetica resulting in a
sensory disturbance in the lateral aspect of the thigh
. The patient reports a burning, pain, numbness, paresthesia, and anesthesia from time to time. Which nerve is impaired?
Lateral Cutaneous Nerve of the Thigh
After labor patient is experiencing weakness of adduction, internal rotation, and external rotation of the thigh; associated with pain in the groin radiating along the medial aspect of the thigh. Which nerve is impaired?
Obturator Nerve
After a cardiac catherization patient is experiencing difficulty in walking because of an inability to keep the knee from buckling and walking down stairs, because the quadriceps weakness. Additionally patient states that pain is felt in the medial aspect of the knee; radiating distally to the medial side of the foot. Which nerve is impaired?
Femoral Nerve
After a fracture of the pelvis patient had a paralysis of all the muscles of the leg and foot, leading to a
steppage gait
and an inability to run;
footdrop
is also noticeable. There is a
loss of sensation on the lateral side of the leg
and the foot.
Loss of the Achilles reflex
and the
plantar reflex
is seen during the assessment; and there is an
inability to stand on the toes or heels.
Which nerve is impaired?
Sciatic Nerve
A Baker's popliteal cyst may compress the lower portion of the _________________
sciatic nerve
Patient is experiencing
inability to plantar flex, adduct, and invert the foot
and an inability to flex, abduct, and adduct the toes. During evaluation the patient is unable to stand on their toes and find walking fatiguing and painful.
Loss of the Achilles reflex
is seen during the assessment. Which nerve is impaired?
Tibial Nerve
The
Common Fibular Nerve
inervates which muscles?
tibialis anterior
extensor digitorum longus
extensor hallucis longus
peroneus tertius
extensor digitorum brevis
The
superficial fibular nerve
, which inervates which muscles?
peroneus longus and brevis muscles.
Patient states that after habitual
sitting in a cross-legged position
he is experiencing paralysis of the muscles of the anterior and lateral compartments of the leg; the subject cannot dorsiflex or evert the foot. Patient exhibits a
steppage gait
(compensating for lack of dorsiflexion he uses excessive hip flexion), and at heel strike the lateral border of the foot contacts the ground before the heel. Footdrop deformity is seen and he states that there is no sensation in the lateral portion of the leg and in the dorsum of the foot with this lesion. Which nerve is impaired?
Common
fibular nerve
Patient states that he
cannot dorsiflex the foot. He exhibits a steppage gait
, and at heel strike the lateral border of the foot contacts the ground before the heel. Which nerve is impaired?
Deep Fibular
Nerve
Patient states he cannot evert the foot. Dorsiflexion is preserved but is
always accompanied by inversion.
Sensory loss is notable on the medial part
of the
dorsum
of the foot.. Which nerve is impaired?
Superficial Fibular Nerve
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