Radial Nerve Evaluation chart form

Tinel or tenderness

__Lateral neck

__Lateral intermuscular septum

__Radial tunnel

__Distal edge of Supinator

__Distal P.I.N

__Dorsal sensory branch

Triceps (C7,C8) Strength ___/5 Bulk:___

BR (C5,C6) Strength ___/5 Bulk:___

ECRL/ECRB (C6,C7) Strength ___/5 Bulk:___

ECU (C7,C8) Strength ___/5 Bulk:___

EDM (C7,C8) Strength ___/5 Bulk:___

EDC- all (C7,C8) Strength ___/5 Bulk:___

EI (C7,C8) Strength ___/5 Bulk:___

EPB (C7,C8,T1) Strength ___/5 Bulk:___

APL (C7,C8) Strength ___/5 Bulk:___

EPL(C7,C8) Strength ___/5 Bulk:___

Supinator (C6,C7) Strength ___/5 Bulk:___

Provocative Tests __Roos

__Resisted wrist extension w/ wrist flexed, elbow extended

__Resisted middle EDC w/ wrist neutral, elbow extended

__Resisted supination

__Hyperpronation

__Pseudofinkelstein