Lumbar Assessment
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Expert Opinion[edit | edit source]
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Subjective[edit | edit source]
Patient Intake[edit | edit source]
- Self‐report
- Performance‐based outcome measures
- Region‐specific historical examination
Special Questions
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- Red Flags
- Yellow Flags
Investigations
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- Radiological Considerations
Objective[edit | edit source]
Observation[edit | edit source]
- Posture
- Movement Patterns
Functional Tests
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- walking, jogging, hopping, squatting, transfers, single leg, stance, crossing legs while seated, donning/doffing socks and shoes
Palpation[edit | edit source]
- supine
- prone
- seated
Neurologic Assessment
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Movement Testing[edit | edit source]
- AROM, PROM, and Overpressure
- Repeated Movements
- Passive Intervertebral Motion (PPIVMs, PAIVMs)
- Muscle Strength - Extensor Endurance Test, Active Sit‐up Test
Special Tests[edit | edit source]
Standing
a. Quadrant Test (overpressure)
b. Gillet Test
c. McKenzie Side Glide Test
2. Seated
a. Slump Test
b. Seated Flexion Test
3. Supine:
a. Straight Leg Raise
b. FABER
c. Posterior Shear (POSH) Test
d. Gap Test (Posterior SIJ Compression Test)
e. Supine‐to‐Sit Test
f. Resisted Abduction Test
g. Gaenslen Test
4. Prone:
a. Prone Instability Test (PIT)
b. PIVM Testing
c. Femoral Nerve Tension Test
5. Other Tests:
a. Waddell’s Signs
b. Hoover Test
c. Flexibility Assessment as appropriate