West Virginia Low Back Examination is a comprehensive physical examination technique used to evaluate the biomechanical and functional status of the lumbar spine. It includes an evaluation of posture, range of motion, muscle strength and endurance, and neurologic integrity. The examination is typically divided into four components: patient history; inspection of the lumbar spine; palpation; and special tests. The two main types of West Virginia Low Back Examination are manual and instrument-assisted. The manual examination includes passive motion testing, muscle testing, and reflex testing. The instrument-assisted examination includes static and dynamic palpation with a handheld device. Both types of examination are important for the accurate diagnosis and management of low back pain.
West Virginia Low Back Examination
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Tests for Neurological Dysfunction These include the straight leg raise test, the Lasegue test, the Slump test, and the femoral nerve traction test.
Your doctor will likely perform a physical exam, which may include: Examining your spine and posture to look for changes in the bony structure. Asking you to bend or lift your legs to determine how movement affects your pain. Testing your reflexes, muscle strength, and sensation.
Lumbar Spine Examination Practical clinical examination skills - YouTube YouTube Start of suggested clip End of suggested clip And then work our way more distally. So we're palpating to see whether the athlete has anyMoreAnd then work our way more distally. So we're palpating to see whether the athlete has any tenderness. We may also note a palpable step or a a male alignment at this level.
The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the ?gold standard? of low back functional outcome tools.
The most common provocative test is the straight leg test. To conduct this test, have the pateint lay supine and passively elevate the fully extended leg of the affected side to 30-60 degrees. You should need to extend the leg more than 60 degrees.
Learn the low back exam aspects that include: inspection. palpation. provocative tests. neuro exam.
First, evaluate for bony tenderness by palpating directly over the midline. Then, palpate the paravertebral areas bilaterally, evaluating for muscle tenderness or palpable spasm. If your patient is complaining of back pain, palpate directly over the sacroiliac joints, evaluating for sacroiliac joint inflammation.