Lumbar physical exam Flashcards
standing examination
observation, posture, gait G
Functional quick tests G
standing balance screening G
Myotomal screening Standing components G
gross lumbar AROM G
Measured lumbar ROM Y
Lumbar ROM with overpressure G
Lamar ROM with progressions Y
gait assessment
trunk and pelvis
anterior pelvic tilt
Excessive pelvic drop
Excessive posterior trunk lean
Excessive pelvic rotation
Hip
Excessive femoral adduction internal rotation
Hip hike
Insufficient hip extension
myotomal screening
Squat, or step up L3-4
Heel walk L4-5
toe raise L4-S1
Seated examination
observation G
Lower quarter seated neuro exam
Lower extremity vascular and motor assessment Y
Thoracic ROM screening Y
Thoracolumbar rotation G
Hip ROM screening Y
lower quarter seated neuro exam
LE myotomes G
LE dermatomes G
LE LMN reflexes G
UMN reflexes Y
Vascular and motor assessment
vascular-
pulses, dorsalis pedis, posterior tibialis
Capillary refill
Motor - toe wiggle
Sensation - light touch to digits and skin
Supine examination
Observation G
Leg length assessment Y
Hip AROM overpressure clearing exam G
Supine muscle length tests Y
Piriformis muscle length test Y
STRAIGHT LEG RAISE G
Hip AP accessory glide G
Hip accessory glide causal and lateral G
Leg length assessment
level pelvis via bridge
Assess for femur or tibial differences
Straighten legs
assess position manually or tape measure
Muscle length test
Thomas test
Hamstrings in 9090
SLR
disc herniation symptoms will be reproduced less than about 40°
prone examination
observation G
Lumbar Central and unilateral PAs G
prone muscle length assessment G
SI joint differentiation test cluster
-thigh thrust/ posterior pelvic pain, provocation test Y
-Sacroiliac distraction test Y
-Sacroiliac compression test Y
- Sacral thrust test
neurodynamic assessment
slump test Y
femoral nerve Y
Lumbar stability Test
prone instability test Y
