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Posture Element Analysis
Antalgic Lean
Analysis
Cervical Lordosis
Quality
• • •
Upper Thoracic Kyphosis
Quality
• • •
Mid-Thoracic Kyphosis
Quality
• • •
Lumbar Lordosis
Quality
• • •
Range Of Motion (Visual)
Cervical Flexion (Active - 50 Normal)
With Pain
Cervical Extension (Active - 60 Normal)
With Pain
L Cervical Lateral Flexion (Active - 45 Normal)
With Pain
R Cervical Lateral Flexion (Active - 45 Normal)
With Pain
L Cervical Rotation (Active - 80 Normal)
With Pain
R Cervical Rotation (Active - 80 Normal)
With Pain
Lumbar Flexion (Active - 90 Normal)
With Pain
Lumbar Extension (Active - 30 Normal)
With Pain
L Lumbar Lateral Flexion (Active - 30 Normal)
With Pain
R Lumbar Lateral Flexion (Active - 30 Normal)
With Pain
L Lumbar Rotation (Active - 30 Normal)
With Pain
Cervical Orthos
Valsalva
Shoulder Depression
Vertebrobasilar Artery
Cervical Distraction:
Cervical Compression
• • •
Foraminal Compression
Low Back Orthos
Trendelenberg Test
• • •
Antalgic
Kemp's Test
Femoral Nerve Traction Test
Neuros
Derms Normal
Derms exception
Reflexes Normal
Reflexes Exception
Biceps Reflex (C5) - L
Biceps Reflex (C5)- R
Brachioradialis Reflex (C6) - L
Brachioradialis Reflex (C6) - R
Triceps Reflex (C7) - L
Triceps Reflex (C7) - R
Patellar Reflex (L4) - L
Patellar Reflex (L4) - R
Achilles Reflex (S1) - L
Achilles Reflex (S1) - R
Spinal Asymmetry/Fixation
Occiput
C1
C2
C3
C4
C5
C6
C7
T1
T2
T3
T4
T5
T6
T7
T8
T9
T10
T11
T12
L1
L2
L3
L4
L5
L Ilium
R ilium
Sacrum
Palpation/Spasm/Tissue Changes
Area:
Finding
Severity - term
Severity - 0-4
Progress:
Area:
Finding
Severity - term
Severity - 0-4
Progress:
Area:
Finding
Severity - term
Severity - 0-4
Progress:
Area:
Finding
Severity - term
Severity - 0-4
Progress:
Area:
Finding
Severity - term
Severity - 0-4
Progress:
Area:
Finding
Severity - term
Severity - 0-4
Progress:

SOAP Objective Medical Form

Chiropractor

SOAP Objective

There are 10 copies in use.
Published: June 9, 2015, 9:40 a.m.
Doctor: Dr. History Physical
Rating: +5   /

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Sunnyvale, CA 94089

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