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    Lumbar Eval

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    maximum360
    This document provides guidelines for performing a lumbar evaluation, including subjective questions to ask the patient and objective tests and assessments to perform. The evaluation begins with observing the patient's gait and posture from different angles while standing. Range of motion and muscle strength tests are then conducted in standing, followed by single leg stance, dynamic movement, and neurological tests while seated. Further assessments of muscle length and strength, special tests for the hip and SI joints, and palpation of the lumbar spine, pelvis, and lower extremities are outlined in prone, sidelying, and supine positions. The thorough evaluation provides information on the patient's symptoms, functional limitations, musculoskeletal impairments, and guides the physical therapist in developing an appropriate treatment plan

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    Lumbar Eval

    Uploaded by

    maximum360
    32 views4 pages
    This document provides guidelines for performing a lumbar evaluation, including subjective questions to ask the patient and objective tests and assessments to perform. The evaluation begins with observing the patient's gait and posture from different angles while standing. Range of motion and muscle strength tests are then conducted in standing, followed by single leg stance, dynamic movement, and neurological tests while seated. Further assessments of muscle length and strength, special tests for the hip and SI joints, and palpation of the lumbar spine, pelvis, and lower extremities are outlined in prone, sidelying, and supine positions. The thorough evaluation provides information on the patient's symptoms, functional limitations, musculoskeletal impairments, and guides the physical therapist in developing an appropriate treatment plan

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    This document provides guidelines for performing a lumbar evaluation, including subjective questions to ask the patient and objective tests and assessments to perform. The evaluation begins with observing the patient's gait and posture from different angles while standing. Range of motion and muscle strength tests are then conducted in standing, followed by single leg stance, dynamic movement, and neurological tests while seated. Further assessments of muscle length and strength, special tests for the hip and SI joints, and palpation of the lumbar spine, pelvis, and lower extremities are outlined in prone, sidelying, and supine positions. The thorough evaluation provides information on the patient's symptoms, functional limitations, musculoskeletal impairments, and guides the physical therapist in developing an appropriate treatment plan

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    32 views4 pages

    Lumbar Eval

    Uploaded by

    maximum360
    This document provides guidelines for performing a lumbar evaluation, including subjective questions to ask the patient and objective tests and assessments to perform. The evaluation begins with observing the patient's gait and posture from different angles while standing. Range of motion and muscle strength tests are then conducted in standing, followed by single leg stance, dynamic movement, and neurological tests while seated. Further assessments of muscle length and strength, special tests for the hip and SI joints, and palpation of the lumbar spine, pelvis, and lower extremities are outlined in prone, sidelying, and supine positions. The thorough evaluation provides information on the patient's symptoms, functional limitations, musculoskeletal impairments, and guides the physical therapist in developing an appropriate treatment plan

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 4

    Lumbar Eval

    Subjective

     Description of symptoms
     Date of symptoms onset
     Locations of symptoms
     Precipitating injury/known cause or recent lifestyle change?
     Symptoms improving or worsening since onset?
     What aggravates and what eases symptoms?
     24 hour behavior of symptoms
     Prior PT for treatment of symptoms?
     Medication used to ease symptoms?
     Functional limitations due to symptoms

    ***Always assess level of symptoms before and after any test.

    Observation pt gait into evaluation room

    Assess pt standing (facing away from PT)

     Ear level
    o Also noted cervical rotations
     Shoulder level
     Scapula level
     Iliac crest level
     Trochanter level
     Gluteal folds
     Knees
     Ankle/Feet

    Movement tests standing (ROM)

     Flexion
    o Lumbar levels should be slightly lordotic or go to neutral
    o Assess muscle bulk
    o Have pt flex and extend neck to assess symptoms
     Extension
     Side-bending
     Rotation
     Quadrant
    Single leg stance

     Look for Trendelenberg, compensated trendelenburg (trunk lean)

    Dynamic Tests

     Assess SI joint movement with repeated unilateral march


     Half squat
    o Knee should track over second toe
     Heel raise
    o WB on 1st metatarsal
    o MMT Gastrocs
     Standing rotation – assess pronation & supination of midtarsal and subtalar joints

    Pt seated

     Assess dermatomes
     Reflexes
     Slump Test
     Babinsky; clonus

    Prone:

     MMTs
    o Glut Max
    o Hamstrings
     (Muscle length assessment)
    o Quads (120°)
    o Gastrocs (10°)
    o Iliacus/Psoas (30°)
     Palpation
    o Ligaments
     Supraspinous
     Iliolumbar
     Long/short posterior SI
    o Muscles
     Iliocostalis
     Longissimus
     Multifidus
     QL
     Glut Max
     Glut Med Posterior/Anterior
     TFL
     Glut Min
     Medial/lateral Hamstrings
     Medial/lateral Gastrocs
     Soleus
     FHL
     FDL
     Tib Post.
     Peroneous longus/brevis
     Popliteus

    Sidelying:

     MMTs
    o Hip abductors
    o Hip adductors
     Ober’s Test

    Supine:

     SLR Test
     Clear SI/hip joint
    o Grind Test
    o FABER
    o FADDIR
     MMTs
    o Hip flexors
    o Hip IRs
    o Hip ERs
    o Knee Extensors
    o Ankle Dorsiflexors
    o Great Toe Extension
     Leg Length
     (Muscle Length Assessment)
    o Hamstrings (60°)
    o Glut Max (120°)
    o Piriformis (30°)
    o Adductors (65°)
     Palpation
    o Bones
     ASIS
    o Muscles
     Pectineus
     Add. Longus/Brevis/Magnus
     Gracilis
     Iliacus
     Psoas

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