Orthopedic Screen

Upper Quarter Screen

-C-spine AROM with overpressure
-UE AROM (full/limited/unable); overpressure if AROM painless:
    -Shoulder flexion
    -Shoulder abduction
    -Reach behind head
    -Reach behind back
    -Elbow flexion and extension
    -Wrist flexion and extension
    -Fist and open hand
-UE Resistance (strong/diminished/unable):
    -Shoulder flexion
    -Shoulder abduction
    -ER
    -IR
    -Elbow flexion
    -Elbow extension
    -Wrist flexion
    -Wrist extension
    -Grip

Lower Quarter Screen

Lumbar AROM and overpressure
-Squat
-Single leg squat vs unilateral lunge (all of this is in the pdf document)
-Walking on heels, walking on toes

Neurological Screening Exam

-Sensation: light touch, pin prick, proprioception
-Dermatomes:
    -C1: top of head
    -C2: two spots above ears
    -C3: behind both ears
    -C4: top of shoulders
    -C5: middle deltoid
    -C6: side of thumb
    -C7: palmar tip of middle finger
    -C8: inside palm

    -T1: inside forearm
    -T2: inside arm
    -L2: upper thigh
    -L3: inside of knee
    -L4: medial malleoli
    -L5: dorsal big toe
    -S1: lateral malleoli
    -S2: upper calf

-Myotomes

    -C1: capital flexion
    -C2: capital extension
    -C3: cervical lateral flexion
    -C4: shoulder/scapular elevation
    -C5: shoulder abduction
    -C6: elbow flexion and/or wrist extension
    -C7: elbow extension and/or wrist flexion
    -C8: thumb abduction
    -T1: finger adduction
    -L1 and L2: hip flexion
    -L3: knee extension
    -L4: dorsiflexion
    -L5: great toe extension
    -S1: plantarflexion

    -S2: knee flexion

-Reflexes:

    -C5: biceps

    -C6: brachioradialis
    -C7: triceps
    -L3-L4: patellar
    -S1-S2: achilles
    -Pathological reflexes (present or absent)
        -Hoffman’s Sign. A positive test would be flexion of the index and/or thumb.
        -Inverted Supinator Sign. A positive sign would be a triceps contraction and absent brachioradialis         reflex.
        -Babinski’s Sign

        -Ankle Clonus