ANLS 1617 LC 1000 new -...

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LC 1000 Intern Name____________________ Patient Name__________________ Objective findings: Mark L1 L2 L3 L4 L5 RSI LSI Instrumentation x High muscle level Edema level Flexion restriction P Extension restriction P Rotation restriction R/L Lat Flex restriction R/L Iliolumbar Lig R/L Sitting Axial Rot SI joint R/L Stand Forward Flex SI joint R / L Sacrospinous Lig R/L Sitting forward flexion SI joint R/L Stand Lat flex SI joint R / L Sacrotuberous Lig R/L Sitting lateral flexion SI joint R/L Gait analysis: Toe in Toe out Postural analysis findings:
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Unformatted text preview: ________________________________________________________________ ________________________________________________________________ _______________ Notes:___________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ _______________________________...
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