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Initial Exam Findings
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Discharge Findings
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Spinal ROM
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Right rotation: mildly limited
Left rotation: moderately limited
Right SB: moderately limited and painful
Left SB: mildly limited
Flexion: full without pain
Extension: mildly limited but with pain and hinging at L4
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Right rotation: full
Left rotation: full
Right SB: full
Left SB: full
Flexion: full
Extension: full without pain- hinging at L4
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Functional Stability Testing:
-
Alternate Hip extension
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Supine Marching
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+ for extension, rotation pattern bilaterally
+ for inability to dissociate
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+ for extension, rotation pattern bilaterally
+ for inability to dissociate on the right only
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Joint Mobility
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No pain with PA gliding at any level
Increased mobility at L3/4/5
Stiff TL junction and upper thoracic spine
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No pain with PA gliding
Increased mobility at L4/5
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SLR
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+ for moderate hamstring tightness bilaterally |
+ for mild hamstring tightness bilaterally |
Modified Thomas Test
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Tight RF on the left (65 deg)
No limitation on the right
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No restrictions present |
Hip IR and ER ROM - Prone
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IR: right: 43, left: 29
ER: right: 51, left: 56
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IR: right: 35, left: 40
ER: right: 46, left: 41
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Functional Movement/Asterisk Sign
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OHS: mild forward trunk lean, slightly early butt wink, increased lumbar lordosis, feet in ER
MSE: pain and limited
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OHS: very mild forward trunk lean, slightly early butt wink, feet in ER
MSE: full and pain free
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Quadrant Test
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Negative bilaterally |
Not tested |
Plank Holds:
- Front
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Right side
-
Left side
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Biering-Sorensen
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-
41 sec w/pain
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16 sec
-
19 sec
-
8 sec w/ pain
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-
50 sec
-
35 sec
-
36 sec
-
22 sec
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Hip Strength
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Posterior Glute Medius:
3- /5 bilaterally
Hip abduction:
4-/5 bilaterally
Glute max:
4-/5 bilaterally
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Posterior Glute Medius:
Lt: 3- /5, Rt: 4-/5
Hip abduction:
Lt: 4-/5, Rt: 4/5
Glute max:
4-/5 bilaterally
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Pain Rating
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Current: 1
Best: 0
Worst: 4
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Current: 0
Best: 0
Worst: 0
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Functional Outcome Measures
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FABQ (W): 10/42
FABQ (PA): 19/24
Revised ODI: 13/50
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FABQ (W): 3/42
FABQ (PA): 6/24
Revised ODI: 5/50
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