Radicular statement (lumbar spine)
| Last name : |
Smith | Name : | Bill |
|
Doctor : |
Fleming | Initial evaluation : |
11/11/2000 |
|
Sex : |
Male | Date : | 12/12/2000 |
|
Diagnosis |
Nerve root encroachment of L5/S1 | ||
Myotoms
|
|
L |
R |
|
L |
R |
| Iliopsoas (L2) |
|
|
Gastronemius (S1) |
|
X |
| Quadriceps (L3-L4) |
|
|
Gluteus maximus (S1-S2) |
|
|
| Tibialis anterior (L4) |
|
|
Extensor digitorum longus (S2) |
|
|
| Hallux (L5) |
|
|
Eversor (L5-S1) |
|
|
| Hamstrings (L5-S1) |
|
|
|
|
|
Reflexes
|
|
L |
R |
|
L |
R |
| Patellar |
|
|
Achilles Tendon |
|
X |
Special tests
|
|
+ |
- |
|
+ |
- |
|
Amyotrophy |
|
X |
Babinski's test |
|
X |
|
Deep tendon reflex |
X |
|
Slump's test |
|
X |
|
Tripod | X |
|
Valsalva |
|
X |
|
sphincter control |
|
X |
Pain when coughing |
X |
|
| Left SLR |
|
X |
Right SLR | 60 ° |
|
Remarks