Lumbar Objective Exam Flashcards
1
Q
Planning the objective exam
A
Possible sources of pts sx and every region needing to be examined
Joints above and below should be examined
Any special tests indicated
Consider severity, irritability, nature of disorder
Contraindications
How do you expect to find comparable sign
Associated exam
2
Q
Objective Examination
A
Observation Posture screen Clear adjacent areas Active physiological tests Passive physiological tests (PPIVM) Passive accessory tests (PAIVM) Neuro Exam Strength, flexibility Neurodynamic tests Special tests
3
Q
Physical Exam - Lumbar spine
A
General observations
Standing, sitting, supine, sidelying, prone
4
Q
General Observation
A
Willingness to move Posture Body landmarks Skin Swelling Atrophy Deformity
5
Q
Standing
A
Postural assessment Bony landmarks ROM Overpressure if indicated Functional tests Repeated lumbar flexion and extension Pelvis special tests Gait
6
Q
Sitting
A
Slump test
Positional dx
Pelvic special tests
7
Q
Supine
A
Repeated motion testing Peripheral joint tests LE flexibility tests Myotomal testing Specific muscle testing Neurodynamic testing Abdominal mm strength Back extensor muscle length Pelvis special tests
8
Q
Prone
A
Palpation PAIVM Hip/lumbar strength Flexibility Prone knee flexion Prone instability test Repeated motion testing Special tests for pelvis Specific muscle testing
9
Q
Side lying
A
Reflexes PPIVM Stability test Muscle length/strength tests Specific muscle testing
10
Q
Assess
A
Before tx
During tx
After tx
Retrospectively
