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.