Preventing Chronic Disability from Low Back Pain - Welfare.ie
Preventing Chronic Disability from Low Back Pain - Welfare.ie
Preventing Chronic Disability from Low Back Pain - Welfare.ie
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C: MEDICAL REPORT ON BACK CONDITIONSurname: ________________ Initials: ____________ PPS No. _______________1. Is an appliance worn?(a) Type(b) Has the customer been instructed not to remove it?(c) If not was the appliance removed for the examination?2. (a) Posture(b) Gait(c) Spinal Curve(d) Deformit<strong>ie</strong>sIs the customer able to:(a) Tiptoe?(b) Squat?(c) Kneel?3. Site of any muscle spasm elicited4. <strong>Pain</strong> (a) Site and nature(b) Direction(c) Site of local tenderness5. Movements (Should never be permitted beyond the limit of comfort)(a) Flexion (Measured to tibial thirds and inches <strong>from</strong> the floor)(b) Extension(c) Lateral flexion (fingertips in relation to popliteal crease)(d) Rotation6. Is the customer able to touch toes sitting on couch?20
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