Capsular Pattern Blues (LE)
Nervey (Peripheral)
Capsular Pattern Blues (UE)
Nervey (Dermatomes)
ROM LE
100

I need joint _________, to improve my ________.

I need joint mobilization, to improve my situation.

100

I present with 2+/5 hip ADDUCTION. What PERIPHERAL NERVE is most likely affected, and describe the most distal place I would have sensory loss?

Obturator 

proximal medial thigh 

100

Define capsular pattern

predictable loss of motion in a joint d/t capsular restriction 

100

I present with 2+/5 hip flexion. What DERMATOME is most likely affected, and describe the place I would have sensory loss?

L2

Proximal anterior thigh 

100

Knee ROM

Flexion: 140-150 (soft tissue end feel)

Extension: 0 (hard end feel)

200

Lumbar Capsular Pattern

SB = Rot/Ext

200

I present with 2+/5 ankle PF/INV. What PERIPHERAL NERVE is most likely affected, and describe the most distal place I would have sensory loss?

Tibial 

Back of heel 

200

Shoulder 

ER > Abd > FL/IR

200

I present with 2+/5 Great Toe extension. What DERMATOME is most likely affected, and describe the most distal place I would have sensory loss?

L5 

Dorsum of foot in line with 3rd digit

200

Hip ROM (Flex, Ext, Abd, Add, ER, IR)

Flexion: 120 (soft tissue approximation)

Extension: 10-15 (tissue stretch/capsular)

Abd: 30-50 (tissue stretch/capsular)

Add: 20-30 (capsular/tissue stretch)

IR: 40-60 (capsular)

ER: 30-40 (capsular)

300

Knee Capsular Pattern

Flexion > Extension 

300

I present with 2+/5 ankle INVERSION. What TWO peripheral nerves could be affected, and describe the most distal place I would have sensory loss for each?

Tibial (back of heel)

Deep Peroneal (web space between 1st and 2nd digit) 

300

Elbow 

Flexion > Ext

Pronation = Supination

300

I present with 2+/5 knee extension. What DERMATOME is most likely affected, and describe the most distal place I would have sensory loss?

L3 

Anterior (slightly medial) thigh just proximal to knee 

300

Lumbar ROM

Flexion: 40-60

Extension: 20-35

SB: 15-20

Rot: 3-18

400

Hip Capsular Pattern 

IR > Ext/FL > Abd

400

I present with 2+/5 ankle DF. What dermatome could be affected AND what peripheral nerve? 

L4

Deep peroneal n. 

400

Cervical (atlanto-occipital, lower cervical, TMJ)

AO: ext = SB

lower cervical: SB = Rot/ext

TMJ = limitation of mouth opening

400

I present with 2+/5 ankle eversion and hip extension. What DERMATOME is most likely affected, and describe the most distal place I would have sensory loss?

S1


Lateral aspect of foot 

400

Ankle ROM 

PF: 40-50 (capsular/tissue stretch)

DF: 15-20 (capsular/tissue stretch)

INV: 20-30 (capsular/tissue stretch)

hindfoot INV: 20

EV: 15-20 (capsular/tissue stretch)

hindfoot EV: 10

500
Ankle Capsular Pattern 

(talocrural, subtalar, 1st MTP, 2-5 MTPs)

PF>DF

Varus>Valgus 

EXT>FL

Variable, tend toward FL restriction

500

I present with 2+/5 ankle EVERSION. What PERIPHERAL NERVE is most likely affected, and describe the most distal place I would have sensory loss?

Superficial Peroneal N.

Dorsum of foot 

500
Hand (radiocarpal/midcarpal, Thumb CMC, MCP, IP)

Radiocarpal/Midcarpal: Flex=Ext

Thumb CMC: Abd=Ext

MCP: FL>Ext

IP: FL>Ext

500

I present with 2+/5 knee flexion and ankle plantarflexion. What DERMATOME(S) is most likely affected, and describe the most distal place I would have sensory loss?

(bonus what is the other nerve root contributing to knee flexion?)

S1 (lateral foot)

S2 (medial heel)

L5 also contributes to knee flexion

500

Foot ROM (1st MTP, 2-5 MTP)

1st MTP Flexion: 70 (capsular/tissue stretch)

1st MTP Extension: 45 (capsular/tissue stretch)

2-5th MTP Flexion: 40 (capsular/tissue stretch)

2-5th MTP Extension: 40 (capsular/tissue stretch)

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