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Hip Pain Normal
Hip Pain Right
• • •
Hip Pain Left
• • •
Tenderness Normal
Tenderness Right
• • •
Tenderness Left
• • •
ROM Flexion Normal N=100
ROM Flexion Right N=100
ROM Flexion Left N=100
ROM Extension N=30
ROM Extension Right N=30
ROM Extension Left N=30
ROM Abduction N=45
ROM Abduction Right N=45
ROM Abduction Left N=45
ROM Adduction N=30
ROM Adduction Right N=30
ROM Adduction Left N=30
ROM Internal Rotation N=40
ROM Internal Rotation Right N=40
ROM Internal Rotation Left N=40
ROM External Rotation N=45
ROM External Rotation Right N=45
ROM External Rotation Left N=45
ROM Knee Flexion
ROM Knee Flexion Right
ROM Knee Flexion Left
Strength Hip Flexion
Strength Hip Flexion Right
Strength Hip Flexion Left
Strength Hip Extension
Strength Hip Extension Right
Strength Hip Extension Left
Strength Hip Abduction
Strength Hip Abduction Right
Strength Hip Abduction Left
Strength Hip Adduction
Strength Hip Adduction right
Strength Hip Adduction left
Strength Knee Flexion
Strength Knee Flexion Right
Strength Knee Flexion Left
Strength Knee Extension
Strength Knee Extension Right
Strength Knee Extension Left
Gait
Gait Right
Gait Left
Leg Lengths Equal
Leg Length Uneven
Neurovascular status normal
Neurovascular Status Right
Neurovascular Status Rt Location
• • •
Neurovascular Status Left
Neurovascular Status Lt Location
• • •
Previous surgical wound
Surgical wound signs
• • •
hip diagram

Hip Examination Medical Form

Pain Management Specialist

Hip Examination

There are 64 copies in use.
Published: Feb. 8, 2013, 7:47 p.m.
Doctor: Dr. History Physical
Rating: +5   /

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Sunnyvale, CA 94089

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