Back Pain Exam

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Author:
Anonymous
ID:
162602
Filename:
Back Pain Exam
Updated:
2012-07-15 18:57:03
Tags:
Back Pain Exam
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Description:
Testing cause of backpain
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  1. 2+ reflexes
    • Grading Reflexes:
    • 0   No evidence of contraction
    • 1+ Decreased, but still present (hyporeflexic)
    • 2+ Normal
    • 3+ Increased (hyper-reflexic)
    • 4+ Clonus: Repetitive shortening of the muscle after a single stimulation
  2. Lower extremity motion (hip,knee, ankle) and related spinal roots
    • Hip Flexion (L 2, 3, 4)     Hip Abduction (L 4, 5, S1)
    • Hip Adduction (L 2, 3, 4)
    • Knee Extension (L 2, 3, 4)  Knee Flexion (L 5, S1, S2)
    • Ankle Dorsiflexion (L 4, 5) Plantar Flexion (S 1, S 2)
  3. L3 Impingement
    • Reflex:Pateller
    • Pinprick sensation: lat thigh, medial femoral condyle
    • Motor Exam: extend quads
    • Functional Test: squat down and rise
    •    
  4. L4 Impingement Syndrome
    • Reflex: Pateller
    • Pinprick sensation: Medial leg and medial ankle
    • Motor Exam: dorsiflex ankle
    • Functional Test: walk on heels
  5. L5 Impingement syndrome
    • Reflex: medial hamstring
    • Pinprick sensation: lat leg and dorsum of foot
    • Motor Exam: dorsiflex great toe
    • Functional Test: walk on heels
  6. S1 impingement syndrome
    • Reflex: Achilles
    • Pinprick sensation: Post calf, plantar suface foot, lat ankle
    • Motor Exam: stand on toes
    • Functional Test: walk on toes

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