Sensory & Motor blocks Assessment

دكتور أشرف

وضع إشارة مرجعية Sensory & Motor blocks Assessment Sensory block Complete sensory block was considered when there was complete loss of sensation to pin prick. Sensory block was graded as: ​ Grade 0: Sharp pin felt​ Grade 1: Analgesia, dull sensation felt​ Grade 2: Anesthesia, no sensation felt​ Motor block upper extremities Motor block assessment was done according to modified Bromage scale for upper extremities on a three-point scale: · Grade 0: No block-total arm and forearm flexion (normal motor function with full flexion and extension of elbow, wrist and fingers.) · Grade 1: Partial block,total forearm and partial arm flexion · Grade 2: Almost complete block,inability to flex the arm and decreased ability to flex the forearm · Grade 3: Total block,inability to flex both the arm and forearm The motor block in the upper limbs can be assessed by the epidural scoring scale for arm movements (ESSAM) score: hand grip (T1/ C8), wrist flexion (C8/C7), and elbow flexion (C6/ C5); four grades (0–3) based on the number of absent movements lower limbs The motor block in the lower limbs can be assessed by the modified Bromage scale: · Grade 0: free movement of legs and feet · Grade 1: just able to flex knees with free movement of feet · Grade 2: unable to flex knees but with free movement of feet · Grade 3: unable to move legs or feet. ​