| Postural Findings |  | 
| Lumbar ROM - Active/Passive |  | 
| Flexion /50/ | Extension /20/ | 
| (L) Lateral Flexion /30/ | (R) Lateral Flexion /30/ | 
| (L) Rotation /35/ | (R) Rotation /35/ | 
| Reproduction of Pain/Symptoms• • • | Notes | 
| Manual Muscle Testing (MMT) |  | 
| Findings |  | 
| Lumbopelvic Orthopedic Tests  |  | 
| Findings |  | 
| Lumbopelvic Soft Tissue Findings |  | 
| Soft Tissue: 1• • • | Finding(s)• • • | 
| Soft Tissue: 2• • • | Finding(s)• • • | 
| Soft Tissue: 3• • • | Finding(s)• • • | 
| Notes |  | 
| Lumbopelvic Joint Findings |  | 
| Joint: 1• • • | Restriction• • • | 
| Joint: 2• • • | Restriction• • • | 
| Joint: 3• • • | Restriction• • • | 
| Notes |  | 
| Neuromuscular Patterns |  | 
| Findings |  | 

