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  • 00:04

    Go ahead, walk for me,
    Go ahead, walk for me,

  • 00:07

    just looking for alignment,
    just looking for alignment,

  • 00:08

    general appearance, OK, turn around.
    general appearance, OK, turn around.

  • 00:11

    Come on back.
    Come on back.

  • 00:16

    OK and turn around again.
    OK and turn around again.

  • 00:17

    Now go ahead and walk on your toes
    Now go ahead and walk on your toes

  • 00:20

    looking for strength in her plantar flexors,
    looking for strength in her plantar flexors,

  • 00:22

    watching for heel, drop
    watching for heel, drop

  • 00:25

    good and turn around, coming back on your heels,
    good and turn around, coming back on your heels,

  • 00:28

    looking at the strength in her Dorsiflexors, watching for her
    looking at the strength in her Dorsiflexors, watching for her

  • 00:31

    feet to slap or fall.
    feet to slap or fall.

  • 00:35

    OK, go ahead and bend forward for me
    OK, go ahead and bend forward for me

  • 00:38

    looking at flexion of the lumbar spine
    looking at flexion of the lumbar spine

  • 00:41

    and come back up.
    and come back up.

  • 00:44

    Go ahead, lean backwards.
    Go ahead, lean backwards.

  • 00:47

    Any of that bother you.
    Any of that bother you.

  • 00:50

    Let's have you lean to the side
    Let's have you lean to the side

  • 00:53

    and then lean to the other side.
    and then lean to the other side.

  • 00:58

    I'm going to stabilize your hips with my hands.
    I'm going to stabilize your hips with my hands.

  • 01:00

    Go ahead and cross your arms on your chest and rotate for me.
    Go ahead and cross your arms on your chest and rotate for me.

  • 01:04

    So baby, you know any other way.
    So baby, you know any other way.

  • 01:08

    And come on back towards me.
    And come on back towards me.

  • 01:09

    Look over your shoulder
    Look over your shoulder

  • 01:11

    and then the other side, look over your shoulder.
    and then the other side, look over your shoulder.

  • 01:14

    Bother you.
    Bother you.

  • 01:15

    OK, OK,
    OK, OK,

  • 01:18

    I'm going to palpate a few things.
    I'm going to palpate a few things.

  • 01:19

    Let me know if anything's uncomfortable.
    Let me know if anything's uncomfortable.

  • 01:22

    Starting point is iliac crest
    Starting point is iliac crest

  • 01:25

    Spinous Processes.
    Spinous Processes.

  • 01:30

    Lumbar Paraspinal
    Lumbar Paraspinal

  • 01:33

    back to iliac crest, as the landmark
    back to iliac crest, as the landmark

  • 01:36

    PSIS.
    PSIS.

  • 01:39

    Sacral sulcus,
    Sacral sulcus,

  • 01:42

    gluteal muscles
    gluteal muscles

  • 01:44

    over to the trochanter, rotate your leg for me
    over to the trochanter, rotate your leg for me

  • 01:48

    Other side.
    Other side.

  • 01:50

    and then Piriformis muscle.
    and then Piriformis muscle.

  • 01:56

    I'm going to start off by checking your strength.
    I'm going to start off by checking your strength.

  • 01:58

    OK, bring your leg up.
    OK, bring your leg up.

  • 01:59

    Hold it strong. That's L2 hip flexion.
    Hold it strong. That's L2 hip flexion.

  • 02:02

    This side. Good. Extend your knee.
    This side. Good. Extend your knee.

  • 02:04

    That's L3. Other side.
    That's L3. Other side.

  • 02:08

    L3 extends the knee.
    L3 extends the knee.

  • 02:09

    Now bring your feet up.
    Now bring your feet up.

  • 02:11

    So this is Dorsiflexion, L4.
    So this is Dorsiflexion, L4.

  • 02:14

    and big toe extension is L5.
    and big toe extension is L5.

  • 02:18

    and then push your feet down.
    and then push your feet down.

  • 02:19

    That's S1, planter flexion.
    That's S1, planter flexion.

  • 02:22

    So now I'm going to check some sensation.
    So now I'm going to check some sensation.

  • 02:23

    Let me know if it feels the same on both sides so that, yes, that's L2.
    Let me know if it feels the same on both sides so that, yes, that's L2.

  • 02:29

    Here.
    Here.

  • 02:29

    That's L3.
    That's L3.

  • 02:32

    L4. L5.
    L4. L5.

  • 02:36

    Yes, S1.
    Yes, S1.

  • 02:38

    I'm going to check your reflexes.
    I'm going to check your reflexes.

  • 02:40

    So this can be the L4 reflex is the patellar.
    So this can be the L4 reflex is the patellar.

  • 02:44

    And on the other side,
    And on the other side,

  • 02:47

    and then S1 is the Achilles reflex.
    and then S1 is the Achilles reflex.

  • 02:51

    And on the other side.
    And on the other side.

  • 02:56

    Now I'm going to have you bend over,
    Now I'm going to have you bend over,

  • 02:59

    let me know if that bothers you.
    let me know if that bothers you.

  • 03:01

    And on the other side, this is the slump test for radiculopathy,
    And on the other side, this is the slump test for radiculopathy,

  • 03:04

    Bend forward,OK.
    Bend forward,OK.

  • 03:09

    Coming up, I'm gonna palpate some spots here,
    Coming up, I'm gonna palpate some spots here,

  • 03:10

    let me know if it's uncomfortable, it's ASIS, Anterior Iliac Spine.
    let me know if it's uncomfortable, it's ASIS, Anterior Iliac Spine.

  • 03:15

    hip flexors
    hip flexors

  • 03:18

    Greater Tochanter.
    Greater Tochanter.

  • 03:21

    down the Iliotibal band, looking for
    down the Iliotibal band, looking for

  • 03:23

    anything tender
    anything tender

  • 03:26

    down to the knee.
    down to the knee.

  • 03:30

    I'm going to start
    I'm going to start

  • 03:31

    doing some tests to see what's uncomfortable and what you can do.
    doing some tests to see what's uncomfortable and what you can do.

  • 03:34

    I'm going to bring your foot into Dorsiflexion a little bit of internal rotation.
    I'm going to bring your foot into Dorsiflexion a little bit of internal rotation.

  • 03:38

    This is straight leg raise.
    This is straight leg raise.

  • 03:39

    Does that bother you at all?
    Does that bother you at all?

  • 03:41

    OK, now I'm going to check your hip flexion
    OK, now I'm going to check your hip flexion

  • 03:45

    external rotation, keep the leg up towards the ceiling
    external rotation, keep the leg up towards the ceiling

  • 03:48

    internal rotation and we're going to come across.
    internal rotation and we're going to come across.

  • 03:51

    That's Fadir.
    That's Fadir.

  • 03:53

    And then this is faber and stabilize the pelvis.
    And then this is faber and stabilize the pelvis.

  • 03:56

    Same thing on the other leg.
    Same thing on the other leg.

  • 03:58

    So Dorsiflexion internal rotation.
    So Dorsiflexion internal rotation.

  • 04:00

    Bring it up.
    Bring it up.

  • 04:01

    This is your straight leg raise
    This is your straight leg raise

  • 04:04

    into hip flexion thigh, up straight
    into hip flexion thigh, up straight

  • 04:07

    external rotation, internal rotation Fadir on this side
    external rotation, internal rotation Fadir on this side

  • 04:13

    Faber and stabilize
    Faber and stabilize

  • 04:15

    the pelvis and back to neutral.
    the pelvis and back to neutral.

  • 04:19

    Go ahead and turn over for me.
    Go ahead and turn over for me.

  • 04:25

    And then push your chest up with your arms, arch your back.
    And then push your chest up with your arms, arch your back.

  • 04:27

    Does that bother you? No.
    Does that bother you? No.

All phrase
walk for
//
phrase
model the clothes of a particular designer or fashion house at a fashion show.

Low Back and Hip Examination

4,834 views

Veterans Health Administration

Video Language:

  • English

Caption Language:

  • English (en)

Accent:

  • English (US)

Speech Time:

77%
  • 3:29 / 4:31

Speech Rate:

  • 155 wpm - Fast

Category:

  • Education

Tags :

Intro:

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.

Video Vocabulary

towards

/tôrd/

preposition

In the direction of someone or something.

flexion

/ˈflekSHən/

noun

State of being flexed (as of a joint)deviation from a straight or normal courseact of bending a joint; especially a joint between the bones of a limb so that the angle between them is decreased.

watching

/wäCH/

verb

To keep in check, manage, or control something.

plantar

/ˈplan(t)ər/

adjective noun

relating to sole of foot. Concerning the undersurface of the foot.

stabilize

/ˈstābəˌlīz/

verb

To make stable/consistent, with no major changes.

looking

/ˈlo͝okiNG/

adjective verb

having specified appearance. To appear to be when you look at them; seem.

general

/ˈjen(ə)rəl/

adjective noun

Widespread, normal or usual. Top ranked officer in the army.

strength

/streNG(k)TH/

noun

quality or state of being physically strong.

forward

/ˈfôrwərd/

adjective adverb noun verb

directed or facing towards front. towards front. attacking sports player. send letter on to further destination.