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Spine Examination

From Mediwikis

Read the instructions carefully and examine the correct side, and attend to the patient's comfort. Observe the patients face throughout!

Wash Hands

Introduction, Explanation, Consent

Patient standing

Look

From side & behind

  • Normal cervical lordosis
  • Normal thoracic kyphosis
  • Normal lumbar lordosis

Feel

  • Palpate spinous process & paraspinal muscles

Move

  • Lumbar flexion & extension
  • Lumbar lateral flexion
  • Cervical flexion & extension
  • Cervical rotation
  • Cervical lateral flexion

Patient sitting

Move

  • Thoracic rotation

Patient lying down

Move

  • Straight leg raising
  • Big toe - dorsiflexion

Reflexes

  • Biceps
  • Triceps
  • Supinator
  • Knee jerk
  • Hamstring
  • Plantar/Babinski

Wash Hands