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Objective:
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Neck
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Mid Back
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Low Back
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Shoulder
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Hip
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Shoulder
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Visual Inspection
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Posture:
• • •
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Gait:
• • •
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Visual Inspection:
• • •
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Location of Abnormality:
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Muscle Palpation
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Short Text for Muscle Palpation
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NECK Muscle Palpation WNL:
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Severity of NECK
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Left | Right | Bilateral
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NECK Musculature:
• • •
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MID BACK Muscle Palpation WNL:
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Severity of MID BACK
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Left | Right | Bilateral
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MID BACK Musculature:
• • •
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LOW BACK Muscle Palpation WNL:
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Severity of LOW BACK
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Left | Right | Bilateral
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LOW BACK Musculature
• • •
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SHOULDER Muscle Palpation WNL:
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Severity of SHOULDER
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Left | Right | Bilateral
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SHOULDER Musculature:
• • •
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HIP Muscle Palpation WNL:
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Severity of HIP
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Left | Right | Bilateral
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HIP Musculature:
• • •
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Chiropractic Palpation
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Short Text for Motion Palpation
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CERVICAL Segments Restricted:
• • •
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THORACIC Segments Restricted:
• • •
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LUMBAR Segments Restricted:
• • •
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SI JOINT Left/Right/Bilateral:
• • •
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SHOULDER Left/Right/Bilateral:
• • •
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HIP Left/Right/Bilateral:
• • •
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Range of Motion
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Range of Motion Short Text
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Cervical ROM WNL:
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CERVICAL Short Text (exp: Pain with)
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Flexion
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Extension
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Left Rotation
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Right Rotation
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Left Lateral Flexion
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Right Lateral Flexion
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THORACIC ROM WNL:
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THORACIC Short Text (Exp: Pain with)
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Flexion
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Extension
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Left Rotation
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Right Rotation
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Left Lateral Flexion
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Right Lateral Flexion
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LUMBAR ROM WNL:
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LUMBAR Short Text (Exp: Pain with)
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Flexion
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Extension
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Left Rotation
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Right Rotation
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Left Lateral Flexion
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Right Lateral Flexion
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SHOULDER ROM WNL:
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SHOULDER Short Text (Exp: Pain with)
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Left Shoulder Flexion
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Right Shoulder Flexion
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Left Shoulder Extension
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Right Shoulder Extension
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Left Shoulder Internal Rotation
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Right Shoulder Internal Rotation
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Left Shoulder External Rotation
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Right Shoulder External Rotation
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Left Shoulder Abduction
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Right Shoulder Abduction
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Left Shoulder Adduction
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Right Shoulder Adduction
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HIP ROM WNL:
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HIP Short Text (Exp: Pain with)
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Left Hip Flexion
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Right Hip Flexion
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Left Hip Extension
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Right Hip Extension
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Left Internal Rotation
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Right Internal Rotation
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Left External Rotation
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Right External Rotation
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Left Adduction
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Right Adduction
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Left Abduction
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Right Abduction
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Orthopedic Testing
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Orthopedic Testing Short Text
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Cervical Spine Orthopedic Tests
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Short Text for Cervical Orthos
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Cervical Orthopedic Exams WNL:
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Maximum Cervical Compression Test
• • •
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O'Donoghue's Test (un/resisted ROM)
• • •
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Cervical Compression Test
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Cervical Distraction
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Shoulder Depression Test
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Deklyne's Test
• • •
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Dejerines Test (coughing/sneezing)
• • •
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Bakodys Test (hand over head)
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Thoracic Orthopedic Tests:
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Short Text for Thoracic Orthos
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Thoracic Orthopedic Exams WNL:
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Adam's Sign
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Schepelmann's Sign
• • •
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Lumbar Spine Orthopedic Tests
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Short Text for Lumbar Orthos
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Lumbar and SI Orthopedic Exams WNL:
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Heel/Toe Walk Test
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Valsalva Maneuver
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SLR | Straight Leg Raise Test
• • •
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WLR | Well Leg Raise
• • •
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Bechterew's Sitting Test
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Bilateral Leg Lowering Test
• • •
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Kemp's Test
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Yoeman's Test
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Nachlas Test (Prone Quad Stretch)
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Gaenslen's Test (Supine Glut/Hip Flexor Stretch)
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Shoulder Orthopedic Tests
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Short Text for Shoulder Orthos
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Shoulder Orthopedic Tests WNL:
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Supraspinatus Press Test
• • •
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Speed's Test
• • •
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Yergason's Test
• • •
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Apley's Scratch Test
• • •
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Hip Orthopedic Tests
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Short Text for Hip Orthos
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Hip Orthopedic Tests WNL:
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Nachlas Test (Prone Quad Stretch)
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Hibb's Test
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FABER'S Test
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Gaenslen's Test (Supine Glut/Hip Flexor Stretch)
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Ober's Test
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Anvil
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Neurological Testing
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Upper Extremity Dermatomes
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Upper Extremity Dermatomes WNL
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C5 Left:
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Right:
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C6 Left:
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Right:
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C7 Left:
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Right:
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C8 Left:
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Right:
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T1 Left:
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Right:
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Lower Extremity Dermatomes
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Lower Extremity Dermatomes WNL
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L3 Left:
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L3 Right:
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L4 Left:
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L4 Right:
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L5 Left:
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L5 Right:
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S1 Left:
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S1 Right:
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Upper Extremity Reflexes
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Upper Extremity Reflexes WNL
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C5 (Bicep) Left
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Right
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C6 (Brachioradialis) Left
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Right
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C7 (Tricep) Left
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Right
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C8 (Finger Flexors) Left
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Right
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Lower Extremity Reflexes
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Lower Extremity Reflexes WNL
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L2-4 (Patellar) Left:
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Right:
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S1 (Achilles) Left:
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Right:
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Upper Extremity Muscle Testing
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Upper Extremity Muscle Testing WNL
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Deltoid Left:
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Right:
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Elbow Flexion Left:
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Right:
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Wrist Flexion Left:
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Right:
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Wrist Extension Left:
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Right:
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Finger Flexion Left:
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Right:
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Finger Extension Left:
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Right:
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Finger Adduction Muscles Left:
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Right:
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Finger Abduction Left:
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Right:
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Lower Extremity Muscle Testing
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Lower Extremity Muscle Testing WNL
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Hip Flexion Left:
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Right:
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Hip Adduction Left:
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Right:
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Hip Abduction Left:
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Right:
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Knee Flexion Left:
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Right:
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Big Toe Extension Left:
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Right:
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