|
Inspection Normal
|
Inspection Abnormal
|
|
Percussion Normal
|
|
|
Percussion Right
• • •
|
Percussion Rt Location
• • •
|
|
Percussion Left
• • •
|
Percussion Lt Location
• • •
|
|
Palpation Normal
|
|
|
Palpation Right
• • •
|
Palpation Rt Location
• • •
|
|
Palpation Left
• • •
|
Palpation Lt Location
• • •
|
|
ROM Flexion Normal N=80
|
ROM Flexion Abn N=80
|
|
ROM Passive Flexion Normal N80
|
ROM Passive Flexion Abn N80
|
|
ROM Extension Normal N=25
|
ROM Extension Abn N=25
|
|
ROM Passive Extension Normal N25
|
ROM Passive Extension Abn N25
|
|
ROM Rotation Normal N=60
|
|
|
ROM Rotation Right
|
ROM Rotation Left N=60
|
|
ROM Passive Rotation Normal N60
|
|
|
ROM Passive Rotation Right
|
ROM Passive Rotation Left N60
|
|
ROM Sidebending Normal N=35
|
|
|
ROM Sidebending Right
|
ROM Sidebending Left N=35
|
|
ROM Passive Sidebending Normal
|
|
|
ROM Passive Sidebending Right
|
ROM Passive Sidebending Left N35
|
|
Musculature Normal
|
|
|
Musculature Right
• • •
|
Musculature Rt Location
• • •
|
|
Musculature Left
• • •
|
Musculature Lt Location
• • •
|
|
Sacrum Normal
|
|
|
Sacrum Right
• • •
|
Sacrum Left
• • •
|
|
Coccyx Normal
|
|
|
Coccyx Right
• • •
|
Coccyx Left
• • •
|
|
Sacroiliac Joint Normal
|
|
|
Sacroiliac Joint Right
• • •
|
Sacroiliac Joint Left
• • •
|
|
Knee Reflex Normal
|
|
|
Knee Reflex Right
|
Knee Reflex Left
|
|
Ankle Reflex Normal
|
|
|
Ankle Reflex Right
|
Ankle Reflex Left
|
|
EHL Strength Normal
|
|
|
EHL Strength Right
|
EHL Strength Left
|
|
FHL Strength Normal
|
|
|
FHL Strength Right
|
FHL Strength left
|
|
Dermatomes Normal
|
|
|
Dermatomes Right
• • •
|
Dermatomes Left
• • •
|
|
Anterior Tibialis Normal
|
|
|
Anterior Tibialis Right
|
Anterior Tibialis Left
|
|
Gastroc-Soleus Normal
|
|
|
Gastroc-Soleus Right
|
Gastroc-Soleus Left
|
|
Hamstrings Strength Normal
|
|
|
Hamstring Strength Right
|
Hamstring Strength Left
|
|
Quadriceps Strength Normal
|
|
|
Quadriceps Strength Right
|
Quadriceps Strength Left
|
|
Anterior Thigh Normal
|
|
|
Anterior Thigh Right
• • •
|
Anterior Thigh Left
• • •
|
|
Calf Sensation Normal
|
|
|
Calf Sensation Right
• • •
|
Calf Sensation Left
• • •
|
|
Foot Sensation
|
|
|
Foot Sensation Right
• • •
|
Foot Sensation Left
• • •
|
|
Stocking/Glove Distribution
|
|
|
Patrick Test
• • •
|
Patrick Test Definition
|
|
Kernig Test
• • •
|
Kernig Test Definition
|
|
Trendelenburg Sign
• • •
|
Trendelenburg Sign Definition
|
|
Milgram Test
• • •
|
Milgram Test Definition
|
|
Hoover Test
• • •
|
Hoover Test Definition
|
|
SLR/Sitting Root Normal
|
|
|
SLR/Sitting Root Right
|
SLR/Sitting Root Rt Degrees
|
|
SLR/Sitting Root Left
|
SLR/Sitting Root Lt Degrees
|
|
Gait Normal
|
|
|
Gait Right
• • •
|
Gait Left
• • •
|
|
Toe and Heel Walk
|
|
|
Long Tract/Clonus Normal
|
|
|
Long Tract/Clonus Right
|
Long Tract/Clonus Rt Degree
|
|
Long Tract/Clonus Left
|
Long Tract/Clonus Lt Degree
|
|
Medial/Malleolar Tinel's Norm
|
|
|
Medial/Malleolar Tinel's Right
|
Medial/Malleolar Tinel's Left
|
|
Capillary Filling Normal
|
|
|
Capillary Filling Right
• • •
|
Capillary Filling Left
• • •
|
|
Previous surgical wound
|
Surgical wound signs
• • •
|
