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