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Lumbar Spine Examination: Difference between revisions
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== | ==Standing== | ||
*Gait | *Gait | ||
*Stature | *Stature | ||
*Build | *Build | ||
*Romberg | |||
*Transitioning movements | *Transitioning movements | ||
* | *Posture and alignment | ||
*Lumbar alignment sagittal plane | **Thoracolumbar alignment coronal and sagittal plane | ||
**Lumbar alignment coronal and sagittal plane | |||
**Pelvic alignment | |||
**Foot alignment | |||
*Movement | |||
**Forward flexion | |||
**Extension | |||
**Side flexion | |||
**Compound extension and rotation | |||
*Trendelenburg | |||
==Sitting== | |||
*Breathing | |||
*Pelvic alignment | *Pelvic alignment | ||
*Slump test | *Slump test | ||
== | ==Lying== | ||
*Tone | *Skin drag and rolling | ||
*Power | *Allodynia to cold and pin prick | ||
*Reflexes | *Palpation | ||
*Sensation | **Vertebral springing tenderness | ||
*Plantar reflexes | **Rotation testing | ||
**Bony landmarks: Iliac crest, PSIS, LPSL, sacroiliac joint | |||
**Soft tissue: sacrotuberous and sacrospinous ligaments, gluteus medius and gluteus minimus, piriformis, iliopsoas, quaratus lumborum, hamstring origin | |||
*SIJ provocation testing: distraction, thigh thrust, sacral thrust, compression | |||
*Hip joint range of motion | |||
*Special tests | |||
**Straight leg raise | |||
**Femoral stretch test | |||
**Iliopsoas length test and tenderness | |||
**Direction preference | |||
**Centralisation phenomenon | |||
*Neurological examination | |||
**Tone | |||
**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> | |||
**Sensation: L2, L3, L4, L5, S1, S2, S3 | |||
**Plantar reflexes | |||
==References== | ==References== |
Revision as of 19:29, 25 May 2021
This article is a stub.
Standing
- Gait
- Stature
- Build
- Romberg
- Transitioning movements
- Posture and alignment
- Thoracolumbar alignment coronal and sagittal plane
- Lumbar alignment coronal and sagittal plane
- Pelvic alignment
- Foot alignment
- Movement
- Forward flexion
- Extension
- Side flexion
- Compound extension and rotation
- Trendelenburg
Sitting
- Breathing
- Pelvic alignment
- Slump test
Lying
- Skin drag and rolling
- Allodynia to cold and pin prick
- Palpation
- Vertebral springing tenderness
- Rotation testing
- Bony landmarks: Iliac crest, PSIS, LPSL, sacroiliac joint
- Soft tissue: sacrotuberous and sacrospinous ligaments, gluteus medius and gluteus minimus, piriformis, iliopsoas, quaratus lumborum, hamstring origin
- SIJ provocation testing: distraction, thigh thrust, sacral thrust, compression
- Hip joint range of motion
- Special tests
- Straight leg raise
- Femoral stretch test
- Iliopsoas length test and tenderness
- Direction preference
- Centralisation phenomenon
- Neurological examination
- 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: L2, L3, L4, L5, S1, S2, S3
- Plantar reflexes