expose – 
alignment of spine – kyphosis / lordosis / scoliosis ( eg- left thorasic convex schiphosis_   – 
bend forward ( try to tounch the feet from hands – 90 degrees, and the lumbar lordosis reverses  )   – 
Bend back / thoracolambar extention ( hold the patient – 30 degrees at elast )  
bend laterally – nice smooth curvature noted – at least 30 degrees 
rotation – stabilize the hip and turn back – 
modified scobers test – 
 
neck movement holding one shoulder – 
( right, left, up , down, laterally ) 
 
if any issue in back – do neuro exam in LL 
if any issue in neck – do neuro in U/L 
 
feel  the spine – 
along the spinus processes along the spine ( top to bottom ) 
along the para spinal muscles – ( tip to bottom ) 
push on the 2 dimpals – for tenderess ( sacroilliac joint starts here – ) 
 
PSIS, ASIS, 
Iliac breast 
Great trochanter 
 
if any pain in back – 
Lower limb – 
Tone – 
power sensation – 
power – 
  hip flexion – L1 and L 2
  Knee extension – L3 and L4 
  Dorsiflexion of ankle – L5 S1 
  Planter flexion of ankle – S1 and S2 
 
reflexus – knee and ankle 
  Ankle – S1 and S2 
  Knee – L3 L4
  Bicep – C5,6
  Tricep – C7, 8 
 
sensation – L1,2,3,4 5, S1 
 
Special test – 
SLRT – 
FABER test – (hip and lower back – both can give this positive ) = Flexion, Abduction, External rotation – and stress- 
        is pain in sacroilliac joint – problem there 
        is pain in hip – its hip OA/pain 
role to the front – on abdoman now – 
?
femoral stretch test – femoral nerve is stretch – ask whether pain is reproduced in anterior thigh 
 
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