Physical therapy Examination of LBP

Name :                                                                         Age/sex :

Address :                                                                     Occupation :

Chief Complaints and History of Present illness

EXAMINATION

I . OBSERVATION

            A. Body Type

            B. Gait

            C. Posture :

                                    Neck

                                    Upper Trunk

                                    Abdomen

                                    Lower Back

II. MOVEMENT EXAMINATION

            A.        SUPINE LYING EXAMINATION

                        1)         Hip Joint Examination

                                                Rt                    Lt

                        Flexion

                        2)         Knee Joint Examination

                                                Rt                    Lt

                        Extension

3)                  Special Tests

a)                  SLR Test

b)                  Thomas Test

c)                  SLR-90-90 test

d)                 SLR with chin flexion and ankle dorsiflexion

e)                  FABER’s Test

f)                   Fajerstain’s Test

g)                  Piriformis Test

4)         Myotomal Testing

            L2                                L4

            L3                                L5

5)         Reflexes

            Knee Jerk

            Ankle Jerk

6)                  Sensations

B. PRONE LYING EXAMINATION

            1)         Hip Joint

                                                Rt                    Lt

                        Extension

2)                  Knee Joint

Rt                    Lt

                        Flexion

            3)         Special Tests

                        Prone Knee Bending Test

3)                  Myotomal Testing

S1                    S2

C. SIDE LYING EXAMINATION

            1)         Hip Joint

                                                Rt                    Lt

                        Abduction

                        Adduction

2)         Special Tests

                        a)         Ganslen’s test

                        b)         Ober’s Test

D. HIGH SITTING EXAMINATION

            1)         Hip Joint

                                                Rt                    Lt

                        Medial Rotation

                        Lateral Rotation

2)         Knee Joint

Rt                    Lt

                        Extension

3)         Slump Test

4)         L3 Myotomal Testing

E. STANDING EXAMINATION

            1)         Lumbar Spine Movement Testing

                        a)         Flexion                        b)         Extension

                        c)         Side flexion                 d)         Rotation

            2)         Trendelenburg Test

            3)         Quadrant Test

            4)         Peripheralization/Centralization