Lab Thoracic and Lumbar Spine

Question 1

Muscle Strength Documentation

Answer 1

+0/5 No muscular contraction
+1/5 Barely detectable
+2/5 Active movement without gravity
+3/5 Active movement against gravity
+4/5 Active movement against gravity with some resistance
+5/5 Active movement against gravity with full resistance without fatigue

Question 2

DTRs Documentation

Answer 2

4+/4 hyperactive
3+/4 brisker than average
2+/4 Average
1+/4 somewhat diminished
0 Absent
Patella: L4
Achilles Tendon: S1

Question 3

Dermatomes

Answer 3

L4 Patella and big toe
S1 Lateral leg and pinky toe
T4 nipple
T10 umbilicus
L5 great toe

Question 4

Pulses

Answer 4

\+4/4 bounding
\+3/4 strong full, increased
\+2/4 normal
\+1/4 diminished
0/4 absent

Question 5

Straight Leg Raise

Answer 5

Lift leg and + sign is pain

• b/w 30-60 degrees lumbosacral radiculopathy (herniated disc)
• > 70 degrees mechanical low back pain
• > 15 degrees laterally IT band

Question 6

Contralateral Straight Leg Raise Test

Answer 6

Pos: pain on contralateral leg

Lumbosacral radiculopathy