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Lumbar spine notes
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Back Examination
Observation Examination
o Active Movements (w/ OP) Forward Flexion _____ Extension _____ Right side flexion _____ Left side flexion _____ Right rotation _____ Left rotation _____ Right quadrant _____ Left quadrant _____
o Passive Movements Forward Flexion _____ Extension _____ Right side flexion _____ Left side flexion _____ Right rotation _____ Left rotation _____
o Resisted Isometric Testing Forward Flexion _____ Extension _____ Right side flexion _____ Left side flexion _____ Right rotation _____ Left rotation _____
o Special Test Repeated Movements _____ Slump Test _____ _____ Single Leg Raise _____ _____ Femoral Tension _____ _____ Prone Instability _____
o PPIVM’s Forward Flexion _____ Extension _____ Right side flexion _____ Left side flexion _____ Right rotation _____ Left rotation _____
o PAIVM’s CPA/ R&LUPA/R<P/Trans
L1 _____ _____ _____ _____ L2 _____ _____ _____ _____ L3 _____ _____ _____ _____ L4 _____ _____ _____ _____ L5 _____ _____ _____ _____ S1 _____ _____ _____ _____ S2 _____ _____ _____ _____
Functional Test Walking Jogging Hopping Squatting
Bony Palpation Iliac Crests Greater Trochanter Ischial Tuberosities PSIS Spinous Processes Transverse Processes Sacrum/spines Soft Tissue
Back Examination
Observation Examination
o Active Movements (w/ OP) Forward Flexion _____ Extension _____ Right side flexion _____ Left side flexion _____ Right rotation _____ Left rotation Right quadrant Left quadrant
o Passive Movements Forward Flexion Extension Right side flexion Left side flexion Right rotation Left rotation
o Resisted Isometric Testing Forward Flexion Extension Right side flexion Left side flexion Right rotation Left rotation
o Special Test Repeated Movements Slump Test Single Leg Raise Femoral Tension Prone Instability
o PPIVM’s Forward Flexion Extension Right side flexion Left side flexion Right rotation Left rotation
o PAIVM’s CPA/UPA/TP/Trans
L1 L2 L3 L4 L5 S1
Functional Test Walking Jogging Hopping Squatting
Bony Palpation Iliac Crests Greater Trochanter Ischial Tuberosities PSIS Spinous Processes Transverse Processes Sacrum/spines Soft Tissue
