Lumbar Spine Exam

[comment memo="Note: Findings that may be a red flag are marked with a **."]
[comment memo="STANDING AND WALKING EXAM"] 
Posture: [select value="Normal.|Acute kyphosis.|Left lateral shift.|Right lateral shift."]  Spine flexion: [select value="Normal.|Reduced.|"] Standing extension: [select value="Normal.|Reduced.|"] Gait: [select value="Normal.|Limp favors left**.|Limp favors right**.|Trunk leaning forward.|Trunk leaning left**.|Trunk leaning right**.|"] Heel walk: [comment memo="(L4/L5)"][select value="Normal.|Foot drop.|"] Single-leg toe raise:[comment memo="S1"][select value="Normal.|Weak left**.|Weak right**.|"][comment memo="SEATED EXAM"] Sensory: [select value="Normal. Equal and symmetric. |Diminished to light touch or pinprick**.|"] Location if diminished: [select value="Not diminished.|Lateral foot left (S1).|Lateral foot right (S1).|First web space left (L5).|First web space right (L5). |Medial ankle left (L4).|Medial ankle right (L4).|Medial knee left (L3).|Medial knee right (L3).|"] REFLEXES [comment memo="(Rate from 0 to 4: 0=none, 1+=somewhat diminished, low normal 2+=average,normal 3+=brisker than normal 4+=very brisk, hyperactive, with clonus. Sustained clonus is red flag**)"] Quadriceps:[comment memo="L4"] Left [text]/4. Right [text]/4. Achilles:[comment memo="S1"] Left [text]/4. Right [text]/4. Babinski reflex: Left [select value="Downgoing.|Upgoing**.|"] Right [select value="Downgoing.|Upgoing**.|"] MOTOR [comment memo="(Rate from 0 to 5: 0=no contraction, 1=trace of contraction 2=active movement with gravity eliminated 3=active movement against gravity 4=active movement against gravity with some resistance 5=Active movement against gravity with resistance without evident fatigue. Normal. Rating less than 3 may be red flag**)"] Hip flexion:[comment memo="(L2/L3"] Left [text]/5. Right [text]/5. Knee extension:[comment memo="L3"] Left[text]/5. Right [text]/5. Ankle dorsiflexion:[comment memo="(L4)"] Left [text]/5. Right [text]/5. Great toe extension:[comment memo="(L5)"] Left [text]/5. Right [text]/5. Seated straight leg raise Left [select value="Negative.|Positive**.|"]  Right [select value="Negative.|Positive**.|"] Pedal pulses present:  [select value="Yes.|No.|"] Hip range of motion: Internal rotation Left: [select value="WNL.|Reduced.|With pain.|"] Right: [select value="WNL.|Reduced.|With pain.|"] External rotation Left: [select value="WNL.|Reduced.|With pain.|"] Right: [select value="WNL.|Reduced.|With pain.|"]  [comment memo="SUPINE EXAM"]  Supine straight leg raise: Left [select value="Negative.|Positive**.|"]  Right [select value="Negative.|Positive**.|"] [comment memo="PRONE EXAM (Preferred in prone position; if not possible, conduct with patient standing or in lateral position)"] Palpation: [select value="No low back, upper buttock or greater trochanter tenderness.|Low back tenderness.|Upper buttock tenderness.|Left greater trochanter tenderness.|Right greater trochanter tenderness.|"] Femoral nerve stretch: [select value="Negative.|Positive.|"][comment memo="(Positive=reproduction or exacerbation of anterior thigh symptoms)"]
Note: Findings that may be a red flag are marked with a **.
STANDING AND WALKING EXAM
Posture: Spine flexion: Standing extension: Gait: Heel walk: (L4/L5) Single-leg toe raise:S1SEATED EXAM Sensory: Location if diminished: REFLEXES (Rate from 0 to 4: 0=none, 1+=somewhat diminished, low normal 2+=average,normal 3+=brisker than normal 4+=very brisk, hyperactive, with clonus. Sustained clonus is red flag**) Quadriceps:L4 Left /4. Right /4. Achilles:S1 Left /4. Right /4. Babinski reflex: Left Right MOTOR (Rate from 0 to 5: 0=no contraction, 1=trace of contraction 2=active movement with gravity eliminated 3=active movement against gravity 4=active movement against gravity with some resistance 5=Active movement against gravity with resistance without evident fatigue. Normal. Rating less than 3 may be red flag**) Hip flexion:(L2/L3 Left /5. Right /5. Knee extension:L3 Left/5. Right /5. Ankle dorsiflexion:(L4) Left /5. Right /5. Great toe extension:(L5) Left /5. Right /5. Seated straight leg raise Left Right Pedal pulses present: Hip range of motion: Internal rotation Left: Right: External rotation Left: Right: SUPINE EXAM Supine straight leg raise: Left Right PRONE EXAM (Preferred in prone position; if not possible, conduct with patient standing or in lateral position) Palpation: Femoral nerve stretch: (Positive=reproduction or exacerbation of anterior thigh symptoms)

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