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Lumbar Spine Examination: Difference between revisions
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==Neurological Exam== | ==Neurological Exam== | ||
*Tone | *Tone | ||
*Power | *Power - hip flexion (L2), hip adduction (L3), ankle dorsiflexion (L4), great toe extension (L5), knee flexion (S1) | ||
*Reflexes - knee (L3, L4), [[:File:Medial hamstring reflex.PNG|medial hamstring]] (L5), achilles (S1) <ref>{{#pmid:23087820}}</ref> | *Reflexes - knee (L3, L4), [[:File:Medial hamstring reflex.PNG|medial hamstring]] (L5), achilles (S1) <ref>{{#pmid:23087820}}</ref> | ||
*Sensation | *Sensation |
Revision as of 11:24, 20 October 2020
This article is a stub.
Inspection
- Gait
- Stature
- Build
- Transitioning movements
- Lumbar alignment coronal plane
- Lumbar alignment sagittal plane
- Pelvic alignment
- Thoracolumbar alignment coronal plane
- Thoracolumbar alignment sagittal plane
Palpation
- Skin drag
- Skin rolling
- Vertebral springing tenderness
- Rotation testing
- Iliac crest palpation
- PSIS palpation
- Long dorsal sacroiliac and sacrotuberous ligament palpation
- Iliopsoas palpation
- Gluteus medius, minimus, and piriformis palpation
Movement
- Forward flexion
- Extension
- Side flexion
- Rotation
- Extension/Rotation test
Special Tests
- Slump test
- Straight leg raise
- Femoral stretch test
- Sacroiliac joint provocation testing
- Iliopsoas length test
- Provocation test
Neurological Exam
- Tone
- Power - hip flexion (L2), hip adduction (L3), ankle dorsiflexion (L4), great toe extension (L5), knee flexion (S1)
- Reflexes - knee (L3, L4), medial hamstring (L5), achilles (S1) [1]
- Sensation
- Plantar reflexes