Lumbar Spine Exam Epic Template

Gait: ***
Back Forward Flexion:
Patient was able to forward flex *** degrees
Back Extension:
Patient was able to extend *** degrees
Back Lateral Bending:
Right to *** degrees and Left to *** degrees
Tenderness at Cervical, Thoracic, Lumbar Spine: ***
MOTOR
R Hip Flex (T12-L3): ***/5 L Hip Flex (T12-L3): ***/5
R Quads (L2-4): ***/5 L Quads (L2-4): ***/5
R Ankle DF (L4): ***/5 L Ankle DF (L4): ***/5
R EHL (L5): ***/5 L EHL (L5): ***/5
R Foot PF (S1-2): ***/5 L Foot PF (S1-2): ***/5
SENSATION
R Anterior Thigh (L2/3): *** L Anterior Thigh (L2/3): ***
R Medial Shin/Leg (L4): *** L Medial Shin/Leg (L4): ***
R Big Toe (L5): *** L Big Toe (L5): ***
R Little Toe (S1): *** L Little Toe (S1): ***
REFLEXES
R Patella (L4): *** L Patella (L4): ***
R Achilles (S1): *** L Achilles (S1): ***
Abdominal TTP: ***
SI FABER: ***
SI Distraction: ***