|
Time
|
Subjective
|
|
Objective
|
|
|
Posture
• • •
|
Derm/Myo/Ref WNL
|
|
Dermatomes RIGHT
• • •
|
Dermatomes LEFT
• • •
|
|
Myotome RIGHT
• • •
|
Myotome LEFT
• • •
|
|
Reflexes RIGHT
• • •
|
Reflexes LEFT
• • •
|
|
Lumbar flexion ROM
• • •
|
Lumbar extension ROM
• • •
|
|
Lumbar RIGHT side bend ROM
• • •
|
Lumbar LEFT side bend ROM
• • •
|
|
PROM RIGHT hip flexion
|
PROM LEFT hip flexion
|
|
PROM RIGHT hip extension
|
PROM LEFT hip extension
|
|
SFMA
|
|
