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SPINAL EXAM
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CERVICAL AROM
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Flexion (60)
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With pain?
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Extension (60)
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With pain?
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L Rotation (80)
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With pain?
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R Rotation (80)
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With pain?
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L Lat Flexion (45)
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With pain?
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R Lat. Flexion (45)
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With pain?
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Cervical AROM all WNL
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THORACIC AROM
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Flexion (60)
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With pain?
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Extension (25)
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With pain?
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L Rotation (50)
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With pain?
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R Rotation (50)
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With pain?
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L Lat Flexion (35)
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With pain?
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R Lat. Flexion (35)
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With pain?
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Thoracic AROM all WNL
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LUMBAR AROM
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Flexion (60)
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With pain?
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Extension (30)
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With pain?
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L Rotation (30)
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With pain?
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R Rotation (30)
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With pain?
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L Lat. Flexion (30)
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With pain?
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R Lat. Flexion (30)
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With pain?
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Lumbar AROM all WNL
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ORTHOPEDIC TESTING
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Foraminal Compression (LOCAL) (+)
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Foraminal Compression (RADIC) (+)
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Location
• • •
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Cervical Distraction (LOCAL) (+)
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Cervical Distraction Test (RADIC) (+)
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Left Shoulder Depression Test (+)
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L Depression Radic Location
• • •
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Right Shoulder Depression Test (+)
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R Depression Radic Location
• • •
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O'Donahue's Manuever Strain (+)
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O'Donahue's Manuever Sprain (+)
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Cervical Exam Comments
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Farfan Torsion (Left) (+)
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Farfan Torsion (Right) (+)
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Schepelmann's (Left) (+)
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Schepelmann's (Right) (+)
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Thoracic Spinous Percussion (+)
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Location
• • •
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Adam's Test (L Rib Hump) (+)
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Adam's Test (R Rib Hump) (+)
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Thoracic Exam Comments
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Straight Leg Raise (local) (+)
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Straight Leg Raise (radic) (+)
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Location
• • •
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Bragard's (radic) (+)
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Location
• • •
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Kemp's (local) (+)
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Kemp's (radic) (+)
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Location
• • •
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Heel Walk Test (+)
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Toe Walk Test (+)
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Minor's Sign (+)
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Valsalva
• • •
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Lumbar Exam Comments
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Yeoman's (Left) (+)
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Yeoman's (Right) (+)
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Hibb's (Left) (+)
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Hibb's (Right) (+)
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Pelvis Exam Comments
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BASIC SPINAL NEURO
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REFLEXES
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L C5 (bicep)
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R C5 (bicep)
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L C6 (brachioradialis)
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R C6 (brachioradialis)
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L C7 (tricep)
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R C7 (tricep)
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Upper extrem reflexes WNL
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L L4 (patellar)
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R L4 (patellar)
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L L5 (hamstring)
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R L5 (hamstring)
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L S1 (Achilles)
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R S1 (Achilles)
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Lower extrem reflexes WNL
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MOTOR STRENGTH (MYOTOMES)
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L C5 (deltoid)
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R C5 (deltoid)
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L C6 (bicep / wrist extension)
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R C6 (bicep / wrist extensors)
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L C7 (tricep / wrist flexors)
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R C7 (tricep / wrist flexors)
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L C8 (finger flexors)
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R C8 (finger flexors)
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L T1 (finger add / abd)
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R T1 (finger add / abd)
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Upper Extrem WNL
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L L1-L2 (hip flexion)
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R L1-L2 (hip flexion)
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L L3 (knee extension)
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R L3 (knee extension)
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L L4 (tib anterior)
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R L4 (tib anterior)
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L L5 (great toe extension)
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R L5 (great toe extension)
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L S1-S2 (plantar flexion)
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R S1-S2 (plantar flexion)
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Lower Extrem WNL
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ADDITIONAL NEURO
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CRANIAL NERVES
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CN I: (olfactory)
• • •
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CN 2/3 (optic / oculomotor) RIGHT
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CN2/3 Right Eye (acuity, eye movement)
• • •
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CN 2/3 (optic / oculomotor) LEFT
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CN 2/3 LEFT
• • •
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Oculomotor CN 3, 4, 6 WNL
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Abnormal how? (oculomotor, trochlear, abducens)
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CN 5 (trigeminal) WNL
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CN 5 (sensory of face, chewing)
• • •
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CN 7 (facial) WNL
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CN 7 Grading (movements & taste)
• • •
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CN 8 (acoustic / vestibulocochlear) WNL
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CN 8 Grading (sound / balance)
• • •
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CN 9 (glossopharyngeal) WNL
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CN 9 Grading (gag / swallow)
• • •
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CN 10 (vagus) WNL
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CN 10 Grading (gag, swallow, speech)
• • •
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CN 11 (spinal accessory)
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CN 11 Grading (shrugs + head rotation)
• • •
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CN 12 (hypoglossal) WNL
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CN 12 (tongue straight & in cheek)
• • •
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DERMATOMES
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C5 dermatome
• • •
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C6 dermatome
• • •
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C7 dermatome
• • •
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C8 dermatome
• • •
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T1 dermatome
• • •
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Upper Extrem Dermatomes WNL
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L1-L2 dermatome
• • •
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L3 dermatome
• • •
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L4 dermatome
• • •
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L5 dermatome
• • •
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S1 dermatome
• • •
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Lower Extrem Dermatomes WNL
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Babinski Reflex (+)
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Clear of contraindications?
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PARQ performed?
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