Motor - Myotome

• Flexor hallucis longus (Great toes flexion)
  • test with the patient seated, foot on floor – curl great toe against resistance
• Toe walking
  • walk five steps at maximum elevation
• Ankle plantarflexion
  • standing, toe raise (stand on the toes)10 times on both feet and then on each side individually, beginning with the affected side – examiner supplies balance
• knee flexion
• Hip extension
• Gluteus maximus muscle tone
  • test with patient prone – palpate buttocks as patient tenses and relaxes the muscle and observe for a decrease in muscle tone on the affected side after 5 to 10 repetitions

Sensory - Dermatome

• Lateral Malleolus

Reflex

• Ankle reflex
  • test with the patient kneeling