|
Exam Findings
|
|
|
Thermal Scan - See Attached
|
EMG- See Attached
|
|
HRV - See Attached
|
Posture - See Attached
|
|
Lower/Hip- See Attached
|
Upper/Shoulder - See Attached
|
|
Cranial Nerves - See Attached
|
ADL - See Attached
|
|
FMS - See Attached
|
Symptom Survey - See Attached
|
|
Turn on - Muscle Grading
|
|
|
Headers Turn on - Cervical ROM
|
|
|
C1, 2 Flexion
|
Degrees
• • •
|
|
C1, 2 Extension
|
Degrees
• • •
|
|
C3 Rt Lat Flex
|
Degrees
• • •
|
|
C3 Lt Lat Flex
|
Degrees
• • •
|
|
C4, XI Rt Rot
|
Degrees
• • •
|
|
C4, XI Lt Rot
|
Degrees
• • •
|
|
|
|
|
Nerve Root Headers Turn on
|
|
|
C5 - Deltoid / Abd
|
|
|
L
|
R
|
|
Bicep Reflex Left
|
Biceps Reflex Right
|
|
Sensation
|
Notes
|
|
C6 - Bi Flex & Wrst Ext
|
|
|
L
|
R
|
|
Brachioradialis Reflex Left
|
Brachioradialis Reflex Right
|
|
Sensation
|
Notes
|
|
C7 - Tri Ext & Wrist Flex
|
|
|
L
|
R
|
|
Tricep L
|
Reflex- Tricep R
|
|
Sensation
|
Notes
|
|
C8 - Finger Flex
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
T1 - Finger Abd
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
|
|
|
Headers Turn on - Lumbar ROM
|
|
|
Lumbar Flexion
|
Degrees
• • •
|
|
Lumbar Extension
|
Degrees
• • •
|
|
Lumbar Rt Lat Flex
|
Degrees
• • •
|
|
Lumbar Lt Lat Flex
|
Degrees
• • •
|
|
|
|
|
Nerve Root Headers Turn on
|
|
|
L1 - Psoas / Hip Flex
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
L2 - Quad / Knee Ext
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
L3 - Sartorius / Drag
|
|
|
L
|
R
|
|
Patellar Reflex- Left
|
Patellar Reflex Right
|
|
Sensation
|
Notes
|
|
L4 - Hams / Knee Flex
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
L4 - Foot Inversion
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
L5 - F/T Dorsiflexion
|
|
|
L
|
R
|
|
Sensation
|
Notes
|
|
S1 - Foot Eversion
|
|
|
L
|
R
|
|
Achilles Reflex Left
|
Achilles Reflex Right
|
|
Sensation
|
Notes
|
|
Public Bone
|
|
|
L
|
R
|
|
|
|
|
I diagnosed Mr./Ms. (last name)
|
with subluxations at the levels of
• • •
|
|
associated with
|
concomitant with
|
|
complicated by
|
and aggravated by
|
|
Orthopedic Upper
|
Shoulder Depressor
• • •
|
|
Bakody
• • •
|
Foraminal Compression
• • •
|
|
Orthopedic Lower
|
Trendelenberg
• • •
|
|
Kemps
• • •
|
New Field
• • •
|
|
Chrages
• • •
|
|
