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HIP
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Hip ROM - Active/Passive
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(L) Flexion /100
/
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(R) Flexion /100
/
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(L) Extension /30
/
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(R) Extension /30
/
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(L) Internal Rotation /40
/
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(R) Internal Rotation /40
/
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(L) External Rotation /50
/
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(R) External Rotation /50
/
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(L) Abduction /45
/
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(R) Abduction /45
/
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(L) Adduction /30
/
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(R) Adduction /30
/
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Reproduction of Pain/Symptoms
• • •
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Notes
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Hip Manual Muscle Testing (MMT)
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Findings
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Hip Orthopedic Tests
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Findings
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Hip Soft Tissue Findings
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Hip Soft Tissue: 1
• • •
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Finding(s)
• • •
|
|
Hip Soft Tissue: 2
• • •
|
Finding(s)
• • •
|
|
Hip Soft Tissue: 3
• • •
|
Finding(s)
• • •
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Notes
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Hip Joint Findings
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Joint
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Restriction(s)
• • •
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|
Joint
|
Restriction(s)
• • •
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Notes
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Neuromuscular Patterns:
|
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Findings
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KNEE
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Knee ROM - Active/Passive
|
|
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(L) Flexion /150
/
|
(R) Flexion /150
/
|
|
(L) Extension /0
/
|
(R) Extension /0
/
|
|
Reproduction of Pain/Symptoms
• • •
|
Notes
|
|
Knee Manual Muscle Testing (MMT)
|
|
|
Findings
|
|
|
Knee Orthopedic Tests
|
|
|
Findings
|
|
|
Knee Soft Tissue Findings
|
|
|
Knee Soft Tissue: 1
• • •
|
Finding(s)
• • •
|
|
Knee Soft Tissue: 2
• • •
|
Finding(s)
• • •
|
|
Knee Soft Tissue: 3
• • •
|
Finding(s)
• • •
|
|
Notes
|
|
|
Knee Joint Findings
|
|
|
Joint: 1
• • •
|
Restriction
• • •
|
|
Joint: 2
• • •
|
Restriction
• • •
|
|
Joint: 3
• • •
|
Restriction
• • •
|
|
Notes
|
|
|
|
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|
ANKLE
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Ankle ROM - Active/Passive
|
|
|
(L) Dorsiflexion /20
/
|
(R) Dorsiflexion /20
/
|
|
(L) Plantarflexion /40
/
|
(R) Plantarflexion /40
/
|
|
(L) Hindfoot Inversion /30
/
|
(R) Hindfoot Inversion /30
/
|
|
(L) Hindfoot Eversion /20
/
|
(R) Hindfoot Eversion /20
/
|
|
Reproduction of Pain/Symptoms
• • •
|
Notes
|
|
Ankle/Foot Manual Muscle Testing
|
|
|
Findings
|
|
|
Ankle/Foot Orthopedic Tests
|
|
|
Findings
|
|
|
Ankle/Foot Soft Tissue Findings
|
|
|
Ankle/Foot Soft Tissue: 1
• • •
|
Finding(s)
• • •
|
|
Ankle/Foot Soft Tissue: 2
• • •
|
Finding(s)
• • •
|
|
Ankle/Foot Soft Tissue: 3
• • •
|
Finding(s)
• • •
|
|
Notes
|
|
|
Ankle/Foot Joint Findings
|
|
|
Joint: 1
• • •
|
Restriction
• • •
|
|
Joint: 2
• • •
|
Restriction
• • •
|
|
Joint: 3
• • •
|
Restriction
• • •
|
|
Notes
|
|
