Disclosures Depuy/Synthes Spine honoraria Physical Examination - PowerPoint PPT Presentation

12/12/2015 Disclosures Depuy/Synthes Spine honoraria Physical Examination of the Lumbar Spine Stryker Spine consultant, honoraria, royalties Fellowship support: AOSpine, Nuvasive, Globus 4 Assessment of Gait 4 Palpation – Paraspinous muscles 4 Inspection – Spinous Processes – Posture – Facets – Sagittal/Coronal balance – SI joint – Skin lesions – Ischial tuberosity – Greater trochanter (trochanteric bursitis) – Rib/Flank Hump (Adams Forward Bending test) 1

12/12/2015 ROM of the lumbar spine Neurologic testing 4 Strength 4 Flexion (forward Bending)-disc – Hip flexors (L2) 4 Extension-facets – Quadriceps (L2, L3, L4) 4 Extension with ipsilateral rotation Nerve, facets) – TA (L4, L5) – GS (S1) 4 ROM of hips – EHL (L5) – FHL (S1) – Peroneals (S1) – Heel walking/Toe Raise – Trendelenberg test Lower extremity reflex examination Lower extremity sensory examination 4 Knee Jerk-L3/4 4 Ankle Jerk- S1 4 Clonus 4 Babinski 2

12/12/2015 Additional tests 4 FABER (SI joints) 4 Abdominal reflexes (Children, thoracic level neurologic disorders) 3