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OBJECTIVE
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Postural Findings
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Task Analysis
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Gait Analysis
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CERVICAL
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Cervical ROM - Active/Passive
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Flexion 0-45
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Extension 0-45
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(L) Lateral Flexion 0-45
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(R) Lateral Flexion 0-45
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(L) Rotation 0-60
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(R) Rotation 0-60
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Reproduction of Pain/Symptoms
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Notes
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Cervical Manual Muscle Testing (MMT)
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Flexion
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Extension
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(L) Lateral Flexion
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(R) Lateral Flexion
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(L) Rotation
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(R) Rotation
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Cervical Special Tests
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Cervical Arterial Dysfunction (5 D's and 3N's)
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Vertebral Artery Insufficiency Test
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Cervical Instability
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Cervical Quadrant Test
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Cervical Flexion Rotation Test (44 deg)
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OA Flexion Mobility Assessment
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Lower Motor Reflex Testing
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Upper Motor Neuron Reflexes
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Cervical Radiculopathy
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Upper Limb Neurodynamic Tests
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Findings
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Cervical Soft Tissue Findings
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Cervical Soft Tissue: 1
• • •
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Finding(s)
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Cervical Soft Tissue: 2
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Finding(s)
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Cervical Soft Tissue: 3
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Finding(s)
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Notes
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Cervical Joint Findings
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Joint: 1
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Restriction
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Joint: 2
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Restriction
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Joint: 3
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Restriction
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Notes
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Neuromuscular Patterns
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Findings
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Additional Cervical Findings
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Findings
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THORACIC
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Thoracic ROM - Active/Passive
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Flexion 20-45
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(R) Extension 25-45
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(L) Lateral Flexion 20-40
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(R) Lateral Flexion 20-40
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(L) Rotation 35-50
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(R) Rotation 35-50
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Reproduction of Pain/Symptoms
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Notes
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Thoracic Manual Muscle Testing (MMT)
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(L) Rhomboids
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(R) Rhomboids
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(L) Lower Trapezius
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(R) Lower Trapezius
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(L) Middle Trapezius
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(R) Middle Trapezius
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(L) Upper Trapezius
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(R) Upper Trapezius
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Findings
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Thoracic Special Tests
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Lateral Epicondylalgia
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Medial Epicondylalgia
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Ulnar Nerve/Cubital Tunnel Syndrome
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Median Nerve/Pronator Teres Syndrome
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Median Nerve/Anterior Interosseous Syndrome (AIN)
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Radial Nerve/Radial Tunnel Syndrome
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Ulnar Collateral Ligament (UCL)
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Radial Collateral Ligament
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Biceps Tendon Rupture
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Findings
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Thoracic Soft Tissue Findings
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Thoracic Soft Tissue: 1
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Finding(s)
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Thoracic Soft Tissue: 2
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Finding(s)
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Thoracic Soft Tissue: 3
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Finding(s)
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Notes
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Thoracic Joint Findings
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Joint: 1
• • •
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Restriction
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Joint: 2
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Restriction
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Joint: 3
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Restriction
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Notes
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Additional Thoracic Findings
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Findings
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LUMBAR
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Lumbar ROM - Active/Passive
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Flexion
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Extension
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(L) Lateral Flexion
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(R) Lateral Flexion
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(L) Rotation
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(R) Rotation
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Reproduction of Pain/Symptoms
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Notes
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Lumbar Manual Muscle Testing (MMT)
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Trunk Flexion
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Trunk Extension
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Findings
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Lumbar Special Tests
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Balance
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Lumbar Quadrant Test
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Aberrant Motion Assessment
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Centralization/Peripheralization
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Lateral Shift
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Heel/Toe Walking
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Dermatomal Testing
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Finding
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Myotomal Testing
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Finding
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Upper Motor Neuron Reflexes
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Lower Motor Reflex Testing
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Straight Leg Raise
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Slump Test
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Lower Limb Neurodynamic Tests
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Sacroiliac Joint Tests
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Prone Instability Test (PIT)
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Findings
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Lumbar Soft Tissue Findings
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Lumbar Soft Tissue: 1
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Finding(s)
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Lumbar Soft Tissue: 2
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Finding(s)
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Lumbar Soft Tissue: 3
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Finding(s)
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Notes
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Lumbar Joint Findings
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Joint: 1
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Restriction
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Joint: 2
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Restriction
• • •
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Joint: 3
• • •
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Restriction
• • •
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Notes
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Additional Lumbar Findings
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Findings
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Objective Treatment
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Manual Therapy
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Therapeutic Exercise
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Therapeutic Activity
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Gait Training
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Neuromuscular Re-Education
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