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) DeformitiesIs the customer able to:(a) Tiptoe?(b) Squat?(c) Kneel?3. Site of any muscle spasm elicited4. Pain (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 from 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
RightLeft7. Unassisted straight leg raising (lying down)8. Measurements(a) Thighs(4 inches above upper border of patella)(b) Calves(4 inches below tibial tuberosity)9. Central Nervous System(a) Knee jerks(b) Ankle jerks(c) Plantar responses(d) Sensory disturbance(e) Loss of power of dorsiflexion of hallux10. General observations and or other physicalsigns not shown above:21
Page 1: Preventing Chronic Disabilityfrom L
Page 6 and 7: AcknowledgmentsThe author wishes to
Page 8 and 9: RENAISSANCE PROJECTPreventing Chron
Page 10 and 11: In appreciation of the facts that:a
Page 12 and 13: 7. MEDICAL ASSESSMENTSAs part of th
Page 14 and 15: 9. PROMOTING THE RENAISSANCE PROJEC
Page 16 and 17: 14APPENDICES
Page 18 and 19: APPENDIX A2:FORMS DESIGNED FOR USE
Page 20 and 21: 3.2 CAUDA EQUINA SYNDROMEYES NO●
Page 24 and 25: APPENDIX BGROWTH IN ILLNESS SCHEMES
Page 26 and 27: APPENDIX CSTATEMENTS FROM INTERNATI
Page 28 and 29: APPENDIX EOUTCOMES OF MEDICAL ASSES
Page 30 and 31: APPENDIX FOUTCOMES FOR APPEALS CASE
Page 32 and 33: APPENDIX GANALYSIS OF CLAIMS DURATI
Page 34 and 35: APPENDIX HOUTCOMES OF CALLS FOR ASS
Page 36 and 37: APPENDIX IESTIMATED SAVINGS FROM PR
Page 38: Table J: Comparison of outcomes of

Preventing Chronic Disability from Low Back Pain - Welfare.ie

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