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Hip Exam
HIP AROM
(L) Hip Flexion (130)
Flexion Symptoms
• • •
(L) Hip Extension (30)
Extension Symptoms
• • •
(L) Hip ABduction (50)
ABD Symptoms
• • •
(L) Hip ADduction (30)
ADD Symptoms
• • •
(L) Hip Int Rot (40)
IR Symptoms
• • •
(L) Hip Ext Rot (50)
ER Symptoms
• • •
(L) Hip AROM all WNL
(R) Hip Flexion (130)
Flexion Symptoms
• • •
(R) Hip Extension (30)
Extension Symptoms
• • •
(R) Hip ABduction (50)
ABD Symptoms
• • •
(R) Hip ADduction (30)
ADD Symptoms
• • •
(R) Hip Int Rot (40)
IR Symptoms
• • •
(R) Hip Ext Rot (50)
ER Symptoms
• • •
(R) Hip AROM all WNL
HIP ORTHO
Patrick's Test (L)
Patrick's Test (R)
Hibb's Test (L)
Hibb's Test (R)
Knee Exam
KNEE AROM
(L) Knee Flexion (150)
Flexion Symptoms
• • •
(L) Knee Extension (-5)
Extension Symptoms
• • •
(L) Knee Int Rot (5)
Int Rot Symptoms
• • •
(L) Knee Ext Rot (5)
Ext Rot Symptoms
• • •
(L) Knee AROM all WNL
(R) Knee Flexion (150)
Flexion Symptoms
• • •
(R) Knee Extension (-5)
Extension Symptoms
• • •
(R) Knee Int Rot (5)
Int Rot Symptoms
• • •
(R) Knee Ext Rot (5)
Ext Rot Symptoms
• • •
(R) Knee AROM all WNL
KNEE ORTHO
PA Drawer Test (L) ACL
PA Drawer Test (R) ACL
AP Drawer Test (L) PCL
AP Drawer Test (R) PCL
Wilson's Test (L)
Wilson's Test (R)
Clark's Sign (L)
Clark's Sign (R)
Genu Valgum Test (Knocked Knee)
Genu Varum Test (Bow Legged)
McMurray's Test (L)
McMurray's Test (R)
Patella Apprehension Test (L)
Patella Apprehension Test (R)
Ankle / Foot Exam
ANKLE / FOOT AROM
(L) Plantar Flexion (40)
Plantar Flexion Symptoms
• • •
(L) Dorsi Flexion (20)
Dorsi Flexion Symptoms
• • •
(L) Subtalar Inversion (20)
Inversion Symptoms
• • •
(L) Subtalar Eversion (10)
Eversion Symptoms
• • •
L Ankle AROM all WNL
(R) Plantar Flexion (40)
Plantar Flexion Symptoms
• • •
(R) Dorsi Flexion (20)
Dorsi Flexion Symptoms
• • •
(R) Subtalar Inversion (20)
Inversion Symptoms
• • •
(R) Subtalar Eversion (10)
Eversion Symptoms
• • •
R Ankle AROM all WNL
ANKLE / FOOT ORTHO
Foot Drawer Test (L)
Foot Drawer Test (R)
Lateral Stability Test (L)
Lateral Stability Test (R)
Medial Stability Test (L)
Medial Stability Test (R)
Medial Stability Test (L)
Tinel's Foot Test (R)
Tinel's Foot Test (L)
Tinel's Foot Test (R)
Bancroft's Test (L) - (Thrombophlebitis)
Bancroft's Test (R) - (Thrombophlebitis)
Lowenberg's Test (L) - (Thrombosis)
Lowenberg's Test (R) - (Thrombosis)
Allis Test (L Short)
Allis Test (R Short)
Comments / Freeform

DrChrono Chiropractic | Lower Extremity Exam Medical Form

Chiropractor

DrChrono's lower extremity exam form, customizable for your Chiropractic practice.

There are 2 copies in use.
Published: Dec. 11, 2018, 12:39 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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