Movement tested
|
Main muscles |
Nerve root levels |
Peripheral nerve |
|
Shoulder |
|
|
|
|
Shrug
(elevation) |
Trapizius |
C2-5 |
Spinal accessory |
|
Abduction |
Deltoid/supraspinatus |
C5 (6) |
Axillary/suprascap. |
|
External
rotation |
Infraspinatus/teres |
C5 (6) |
Suprascapular |
|
Internal
rotation |
Pectoralis major |
C5-7 |
Lateral pectoral |
|
Adduction |
Latissimus/Pectoralis |
C6-8 |
Subsapular/pectoral |
|
Flexion |
Deltoid/corachobr. |
C5-6 |
Axillary/musculocut. |
|
Elbow |
|
|
|
|
Flexion |
Biceps/brachialis Brachioradialis |
C5-6 C5-6 |
Musculocutaneous Radial |
|
Extension |
Triceps |
C6-7 |
Radial |
|
Wrist |
|
|
|
|
Flexion |
Flexor carpi mm. |
C6-7 |
Median/ulnar |
|
Extension |
Extensor carpi radialis Ext. carpi ulnaris |
C6-7 C7-8 |
Radial Radial |
|
Pronation |
Pronator teres |
C6-7 |
Median |
|
Supination
|
Supinator |
C5-6 |
Radial |
|
Finger |
|
|
|
|
Flexion |
Flexor digitorum mm. |
C7-8 |
Median (ulnar) |
|
Extension |
Extensor digitorum |
C7-8 |
Radial |
|
Ab-
& adduction |
Interosseus muscles |
C8-T1 |
Ulnar |
|
Thumb
abduction |
Abductor pollicis |
C8-T1 |
Median |
|
Hip |
|
|
|
|
Flexion |
Iliopsoas |
L2-3 (L4) |
Lumbar plexus |
|
Extension |
Gluteus |
L5-S2 |
Inferior gluteal |
|
Abduction |
Gluteus medius |
L5-S1 |
Superior gluteal |
|
Adduction |
Adductur mm. |
L2-4 |
Obturator |
|
Knee |
|
|
|
|
Flexion |
Hamstring |
L5-S1 |
Sciatic |
|
Extension |
Quadriceps |
L2-4 |
Femoral |
|
Ankle |
|
|
|
|
Dorsiflexion |
Tibialis anterior |
L4-5 (S1) |
Peroneal (Fibular) |
|
Plantar
flexion |
Gastroc/soleus |
S1 (S2) |
Tibial |
|
Inversion |
Posterior tibial |
L5 (S1) |
Tibial |
|
Eversion |
Proneal (fibular) mm. |
L5 (S1) |
Peroneal (Fibular) |
|
Great toe |
|
|
|
|
Dorsiflexion |
Extensor hallucis |
L5 (S1) |
Peroneal (Fibulsr) |
|
Plantar
flexion |
Flexor hallucis |
(S1) S2 |
Tibial |
Table 2 – Strength testing. Movements and the principal muscles, nerves and nerve roots involved in the movement. Parentheses indicate a smaller contribution.