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Initial Visit Complaints
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Initial Visit Complaints
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Initial Visit Complaints
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Initial Visit Complaints
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Initial Visit Complaints
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Initial Visit Complaints
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Exam Complaints
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Exam Complaints
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Exam Complaints
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Exam Complaints
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Exam Complaints
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Causal Relation
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Height
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Weight
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Cervical Spine Flexion
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Pain with C/S flexion?
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Cervical Spine Extension
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Pain with C/S extension?
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Cervical Spine Right Lateral Fle
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Pain with C/S Rt. lateral flex?
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Cervical Spine Left Lateral Flex
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Pain with C/S Lt. lateral flex?
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Cervical Spine Left Rotation
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Pain with C/S Left Rotation?
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Cervical Spine Right Rotation
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Pain with C/S Right Rotation?
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L/S Flexion
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Pain with L/S flexion?
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L/S Extension
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Pain with L/S extension?
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L/S Right Lateral Flexion
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Pain with L/S right lateral flex
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L/S Left Lateral Flexion
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Pain with L/S left lateral flex?
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L/S Left Rotation
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Pain with L/S left rotation?
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L/S Right Rotation
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Pain with L/S right rotation?
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Foramina Compression
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Cervical Distraction Positive?
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Shoulder Depression
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Adson's Sign
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Eden's Sign
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Bakody's Sign
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Kemp's Test
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SLR
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Patrick's Test
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Advancement
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Trendelenberg Test
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Triceps Reflex
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Biceps Reflex
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Patellar Reflex
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Achilles Reflex
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Brachioradialis Reflex
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Posture
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U.E. Myotomes
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C5 Lt
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Rt.
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C6 Lt
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Rt.
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C7 Lt
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Rt.
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C8 Lt.
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Rt.
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T1 Lt
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Rt.
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L.E. Myotomes
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L2/3
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Rt.
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Left L3/4
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Rt.
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Left L4/L5
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Rt.
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L5
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Rt.
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S1 Lt
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Rt.
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Dermatomes Tested
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All Dermatomes WNL
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C5 Right
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C5 Left
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C6 Right
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C6 Left
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C7 Right
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C7 Left
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C8 Right
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C8 Left
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T1 Right
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T1 Left
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L3 Right
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L3 Left
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L4 Right
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L4 Left
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L5 Right
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L5 Left
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S1 Right
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S1 Left
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Treatment Frequency
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