Go ahead, walk for me,
just looking for alignment,
general appearance, OK, turn around.
Come on back.
OK and turn around again.
Now go ahead and walk on your toes
looking for strength in her plantar flexors,
watching for heel, drop
good and turn around, coming back on your heels,
looking at the strength in her Dorsiflexors, watching for her
feet to slap or fall.
OK, go ahead and bend forward for me
looking at flexion of the lumbar spine
and come back up.
Go ahead, lean backwards.
Any of that bother you.
Let's have you lean to the side
and then lean to the other side.
I'm going to stabilize your hips with my hands.
Go ahead and cross your arms on your chest and rotate for me.
So baby, you know any other way.
And come on back towards me.
Look over your shoulder
and then the other side, look over your shoulder.
Bother you.
OK, OK,
I'm going to palpate a few things.
Let me know if anything's uncomfortable.
Starting point is iliac crest
Spinous Processes.
Lumbar Paraspinal
back to iliac crest, as the landmark
PSIS.
Sacral sulcus,
gluteal muscles
over to the trochanter, rotate your leg for me
Other side.
and then Piriformis muscle.
I'm going to start off by checking your strength.
OK, bring your leg up.
Hold it strong. That's L2 hip flexion.
This side. Good. Extend your knee.
That's L3. Other side.
L3 extends the knee.
Now bring your feet up.
So this is Dorsiflexion, L4.
and big toe extension is L5.
and then push your feet down.
That's S1, planter flexion.
So now I'm going to check some sensation.
Let me know if it feels the same on both sides so that, yes, that's L2.
Here.
That's L3.
L4. L5.
Yes, S1.
I'm going to check your reflexes.
So this can be the L4 reflex is the patellar.
And on the other side,
and then S1 is the Achilles reflex.
And on the other side.
Now I'm going to have you bend over,
let me know if that bothers you.
And on the other side, this is the slump test for radiculopathy,
Bend forward,OK.
Coming up, I'm gonna palpate some spots here,
let me know if it's uncomfortable, it's ASIS, Anterior Iliac Spine.
hip flexors
Greater Tochanter.
down the Iliotibal band, looking for
anything tender
down to the knee.
I'm going to start
doing some tests to see what's uncomfortable and what you can do.
I'm going to bring your foot into Dorsiflexion a little bit of internal rotation.
This is straight leg raise.
Does that bother you at all?
OK, now I'm going to check your hip flexion
external rotation, keep the leg up towards the ceiling
internal rotation and we're going to come across.
That's Fadir.
And then this is faber and stabilize the pelvis.
Same thing on the other leg.
So Dorsiflexion internal rotation.
Bring it up.
This is your straight leg raise
into hip flexion thigh, up straight
external rotation, internal rotation Fadir on this side
Faber and stabilize
the pelvis and back to neutral.
Go ahead and turn over for me.
And then push your chest up with your arms, arch your back.
Does that bother you? No.