Lumbar Spine Examination

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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
  • Sacroiliac joint provocation testing
  • Iliopsoas length test
  • Provocation test

Neurological Exam

  • Tone
  • Power
  • Reflexes
  • Sensation
  • Plantar reflexes