Brilliant video, my uni linked vid of two guys that only confused me and haven'tprovided all myotoms, so I decided to find better one and here it is!! I only watched this once and remember all the moves ! Thanks 😊
Hi Dr. Khalid, Would you recommend the pt hold your their contraction against your resistance for at least 5 seconds, as myotomal weakness takes time to identify? Thank you, Isaac
To be honest my friend true myotomal weakness may not even take 5 seconds. However this may be a good habit to ensure consistency for you. If someone can start the contraction very well but then it fades over the 5 seconds I wouldn't necessarily think this is myotomal (because they could achieve the good contraction initially)
heres a question for you, if there is a reduced sensation on the oxford scale or even the area being tested feels weak could mobilisation or HVT improve the nerve irritation symptom for that single nerve route? so lets say C5 as an example ?
Hi Robbie - the idea is that therapy is aimed at improving the pathology by reducing the compression and thus improving strength. In specific answer to your question, Manual therapy is something I am using less and less because the evidence seems to be shifting away from it, but I suppose in theory, yes if manual therapy to the area reduces the compression then symptoms should improve
@@ClinicalPhysio thanks, in reference to your reply if you were to pick 3 areas that you focus on if manual therapy is becoming less supported what would your current therapeutic focus be?
@@robbieedwards2039 For this patient, and if there are no serious concerns re: neurological deterioration.... 1) Helping them get right analgesia, 2) Education and Reassurance, 3) Exercise Therapy
Hi! Myotomes are very useful because they are a SET list of actions to test all levels of the Cervical Spine. For example, if you were assessing a patient with shoulder pain, would we routinely do resistance tests of Cervical Spine, Shoulder, Elbow, Wrist and Hand?..... Usually not, that is where myotomes makes the difference
@@ClinicalPhysio first of all thanks for the quick response. So would u say that you only test out the Myotomes if you suspect of a neuropatic disorder?
excellent video, Sir. Visual display of our theoretical knowledge is really helpful. One thing i would suggest is to improve the sound quality ,please.
![I.N "HALLUCINATION" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/n5B5q1Hwt_U/mqdefault.jpg)
C1 cervical flexion
C2 cervical extension
C3 lateral cervical flexion
C4 shoulder girgle elevation
C5 shoulder abduction
C6 elbow flexion
C7 elbow extension
C8 thumb extension
T1 finger abduction adduction
Thank you
You're welcome!
For myotome testing, do you typically grade your force, like you would in an MMT. Do you typically hold if for 5 seconds.
what an excellent tutorial!
Glad it was helpful! Thank you for watching!
More super easy to follow tutorials! Thank you Khalid. More Inspiration for me and my physio channel 👍🏼
Thank you buddy! 🙌🏼
Clinical Physio keep them coming sir 😊
Myotome for cervical rotation??
Brilliant video, my uni linked vid of two guys that only confused me and haven'tprovided all myotoms, so I decided to find better one and here it is!! I only watched this once and remember all the moves ! Thanks 😊
😍😂 Thank you so much! Please feel free to share our video with your uni would be happy to help!
Hi Dr. Khalid,
Would you recommend the pt hold your their contraction against your resistance for at least 5 seconds, as myotomal weakness takes time to identify?
Thank you,
Isaac
To be honest my friend true myotomal weakness may not even take 5 seconds. However this may be a good habit to ensure consistency for you. If someone can start the contraction very well but then it fades over the 5 seconds I wouldn't necessarily think this is myotomal (because they could achieve the good contraction initially)
Great visual video. So glad I found your channel.
Thank you so much for your kind words Martin! Hope we can keep helping!
heres a question for you, if there is a reduced sensation on the oxford scale or even the area being tested feels weak could mobilisation or HVT improve the nerve irritation symptom for that single nerve route? so lets say C5 as an example ?
Hi Robbie - the idea is that therapy is aimed at improving the pathology by reducing the compression and thus improving strength. In specific answer to your question, Manual therapy is something I am using less and less because the evidence seems to be shifting away from it, but I suppose in theory, yes if manual therapy to the area reduces the compression then symptoms should improve
@@ClinicalPhysio thanks, in reference to your reply if you were to pick 3 areas that you focus on if manual therapy is becoming less supported what would your current therapeutic focus be?
@@robbieedwards2039 For this patient, and if there are no serious concerns re: neurological deterioration.... 1) Helping them get right analgesia, 2) Education and Reassurance, 3) Exercise Therapy
@@ClinicalPhysio cheers mate
@@robbieedwards2039 no problem! Good luck!
why do we do myotomes tests if we did already resistence movements tests??
Hi! Myotomes are very useful because they are a SET list of actions to test all levels of the Cervical Spine. For example, if you were assessing a patient with shoulder pain, would we routinely do resistance tests of Cervical Spine, Shoulder, Elbow, Wrist and Hand?..... Usually not, that is where myotomes makes the difference
@@ClinicalPhysio first of all thanks for the quick response. So would u say that you only test out the Myotomes if you suspect of a neuropatic disorder?
@@goncalomadureira2588 you’re welcome 😊 Yes that is correct - for neurological pathology
And then like you said, resisted tests for other pathologies where you may wish to be more specific towards local pathology and local tissue
@@ClinicalPhysio Thanks you so much for the answer!! And thanks for all the amazing content, it really been helpfull
Eagerly waiting for you to make Dermatomes THIS EASY too! :D
Thank you! But you dont have to wait! Our upper Limb dermatomes video is already released and on our RUclips channel 😁🥳
excellent video, Sir. Visual display of our theoretical knowledge is really helpful. One thing i would suggest is to improve the sound quality ,please.
Thank you so much! Yes sound is definitely something that has improved in our more recent videos 🙏🏼
Very helpful for me. ❤️😍 Thanks
You are very welcome!
very good tutorial!
Thank you!
1:43
Thanku to you too 😁😁
Nice
Thank you so much!
❤️❤️
🙏🏼
Magnificant
🙏🏼🙏🏼🙏🏼
طلاب طب الموصل شلونكم ؟
Wow, the girl is so perfectly beautiful.