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Alert and Oriented
Examined by Dr. Jon
Anterior weight bearing
History Hypertension (bruits palp negative)
C/S
GEORGE'S TEST Yes / No
Palpation spasm:
• • •
Location
Palpation trigger points:
• • •
Trigger point locations
Taught and Tender fibers
• • •
Tender Facets
• • •
Cervical ROM:
Cervicalgia left/right
Flexion
With pain?
with pain?
Extension
With pain?
with pain?
Rt. Rot
With pain?
with pain?
Lt. Rot
With pain?
with pain?
Lt.Lat. Flex
With pain?
with pain?
Rt.Lat. Flex
With pain?
with pain?
Measured Cervical Range of Motion (MVC)
Flexion (50)
with pain?
Extension (60)
with pain?
Left Lateral Flexion (45)
with pain?
Right Lateral Flexion (45)
with pain?
L Rotation (80)
with pain?
R Rotation (80)
with pain?
Forward shoulders
Head tilt
cervical Spinal listings
Cervical restrictions
• • •
Cervical Spine Orthopedic Tests
Shoulder higher
Cervical Compression Test
Spurlings Test (Radicular pain)
Cervical Distraction
Jacksons Cervical test
Shoulder Depression Test
Soto-Hall
U.E. myotomes
Myotomes normal
Left C5 shoulder abduction
Rt.
Left C6 elbow flexion/wrist extension
Rt.
Left C7 elbow extension/wrist flexion
Rt.
Left C8 finger flexion
Rt.
Left T1 finger abduction
Rt.
Light touch
UE Sensory intact
C5
C6
C7
Comment
C8
Comment
T1
Thoracic:
Visual:
Paraspinal imbalance
Adams forward bend test (scoliosis)
Tender Facets
• • •
Spinous Percussion
Palpation
• • •
Palpation trigger points:
• • •
Trigger point locations
Thoracic Spinal listings
Thoracic restrictions
• • •
Thoracic ROM:
Flexion
With pain?
Extension
With pain?
Rt. Rot
With pain?
Lt. Rot
With pain?
Lt.Lat. Flex
With pain?
Rt.Lat. Flex
With pain?
L/S:
Palpation trigger points:
• • •
Trigger point locations
Palpation
• • •
Palpation unilateral taught
• • •
Palpation (Spasm)
• • •
ITB
• • •
Tender Facets
• • •
Palpation (Trigger Points)
• • •
Lumbar AROM:
Flexion
with pain?
Extension
With pain?
with pain?
Rt. Rot
With pain?
with pain?
Lt. Rot
With pain?
with pain?
Lt.Lat. Flex
With pain?
with pain?
Rt.Lat. Flex
With pain?
with pain?
Lumbar Spinal listings
Lumbar restrictions
• • •
Lumbar Spine Orthopedic Tests
Psoas muscle testing
• • •
Antalgic Lean
Kemp's test
SLR
Dejerines Triad
Braggards
Minors sign
Milgram's (Bilat Leg Raise)
Well Leg Raise
Toe Walk
Yeomans
Slump Test
Heel Walk
Patrick FABER
L.E. Myotomes
Myotomes normal
L2/3
Rt.
Left L3/4
Rt.
Left L4/L5
Rt.
L5
Rt.
S1 Lt
Rt.
Light touch LE
LE Sensory intact
L5
Pelvis
Pelvis
• • •
DTRs
Normal LE DTR
Normal UE DTR
Lt C5
Rt
Lt. C6
Rt.
Lt. C7
Rt.
L4 Lt.
Rt.
S1 Lt.
Rt.
Shoulder Exam
Palpation
R/L/Bilat
Shoulder orthopedic exams
Hawkin's - Kennedy (Impingement)
• • •
Empty Can (Impingement)
• • •
Neer's test (Impingement)
• • •
Speeds Test (Biceps Tendinitis)
• • •
Dawburns Test (Bursitis)
• • •
Yergason's Test (Biceps Tendinitis)
• • •
Crank Test (SLAP)
• • •
Clunk Test (Bankart)
• • •
Elbow/Wrist/Hand
Observation:
• • •
Palpation (Trigger Points)
• • •
Palpation (Spasm)
• • •
Knee/Ankle/Foot
Observation:
• • •
General Knee Palpation
• • •
Palpation (Spasm)
• • •
Palpation (Trigger Points)
• • •
Knee/Foot/Ankle Orthos
R/L/Bilat
Anterior Drawer Test (ACL)
Posterior Drawer Test (PCL)
Valgus Stress Test (MCL)
Varus Stress Test (LCL)
Apley's Distraction (Meniscus)
• • •
Apley's Compression (Meniscus)
• • •
McMurray's Test (Meniscus)
• • •
Ankle Anterior Drawer Test
Ankle Posterior Drawer Test
Kleiger's Test
Morton's Squeeze Test

SOAP Objective (M Pound) Medical Form

Chiropractor

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Published: Dec. 29, 2022, 6:47 p.m.
Doctor: Dr. History Physical
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Sunnyvale, CA 94089

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