PHYSICAL EXAMINATION: The patient is awake, alert and
oriented appropriately to person, place, time and event.
Active range of motion (measured with the
goniometer and inclinometer):
Lower Extremities and lumbar Spine:
o Lumbar spine: Forward flexion is 80 degrees.
Extension is to 30 degrees. Rotation right and
left, lateral bending right and left are 45
degrees.
o Hips (passive): Internal and external rotation
are within normal limits at 45 degrees and 55
degrees bilaterally.
o Hips (active): Flexion is 120 degrees.
Extension is 30 degrees. Abduction is 60
degrees. Adduction is 45 degrees.
o Knees: Extension is to 0 degrees. Flexion is
to 110 degrees or greater.
o Ankles: Plantarflexion is 60 degrees.
Dorsiflexion is 30 degrees. Inversion and
eversion are 5 degrees.
Sensory examination is intact to light touch and
pinprick throughout the lower extremities.
Deep tendon reflexes are symmetric and
physiologic at 2/4 at the patellas and ankles.
Motor strength testing with manual muscle
strength testing:
o Hip flexion, extension, abduction and adduction
are within normal limits at 5/5.
o Knee extension and flexion are within normal
limits at 5/5.
o Ankle dorsiflexion, plantarflexion, inversion
and eversion are within normal limits at 5/5.
- Provocative tests:
o Lower extremities: Negative facet maneuver.
Negative Patrick’s test. Negative straight
leg raising test in the seated and supine
positions. Negative McMurray’s and Apley’s
grinding tests at the knees bilaterally. No
laxity with valgus or varus stress or
anterior/superior stress of the knee.
Negative Babinski’s sign. Negative Homans’
sign.
- Gait and stance are functional.
- 1-2+ pulses are palpated at the dorsalis pedis
and tibialis posterior arteries.
- No lower extremity or pedal edema noted.