Cervical Spine Exam Epic Template

Gait: ***
Neck Forward Flexion:
Patient was able to forward flex *** degrees
Neck Extension:
Patient was able to extend *** degrees
Neck Rotation:
Right to *** degrees and Left to *** degrees
Tenderness at Cervical, Thoracic, Lumbar Spine: ***
SENSATION
Posterior Upper Neck (C3-4): ***
R Lateral Arm (C5) : *** L Lateral Arm (C5) : ***
R Thumb/Index (C6): *** L Thumb/Index (C6): ***
R Middle Finger (C7): *** L Middle Finger (C7): ***
R Little Finger (C8): *** L Little Finger (C8): ***
R Medial Arm (T1): *** L Medial Arm (T1): ***
MOTOR
R Deltoid (C5): ***/5 L Deltoid (C5): ***/5
R Biceps (C5-6): ***/5 L Biceps (C5-6): ***/5
R Wrist Ext (C6): ***/5 L Wrist Ext (C6): ***/5
R Wrist Flex (C7): ***/5 L Wrist Flex (C7): ***/5
R Triceps (C7): ***/5 L Triceps (C7): ***/5
R Finger Flex (C8): ***/5 L Finger Flex (C8): ***/5
R Hand Intrinsics (T1): ***/5 L Hand Intrinsics (T1): ***/5
REFLEXES
R Biceps (C5): *** L Biceps (C5): ***
R Brachioradialis (C6): *** L Brachioradialis (C6): ***
R Triceps (C7): *** L Triceps (C7): ***
R Patella (L4): *** L Patella (L4): ***
R Achilles (S1): *** L Achilles (S1): ***
Hoffmans’s: ***
Clonus: ***
Babinski: ***