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Low Back Pain OBJECTIVE Physical Therapy Exam | Part 2

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Dr. Justin Lee, Doctor of Physical Therapy

The subjective exam of a physical therapy evaluation is one of the most important parts of an evaluation.

The information that you gather from your subjective drives what tests and measures you will gather for your objective exam. There are specific questions you want to ask in your subjective to help you differentiate between diagnosis

Information that’s valuable from this specific example:
1. Pain onset = 3 weeks ago
2. Mechanism of injury = lifting
3. Aggs = standing, twisting
4. Ease = sitting, walking
5. No AM/PM pain pattern
6. Hobbies/activities = lifting, cleaning, golf

You can review the subjective exam (part 1) with the link below:
Part 1 Subjective Physical Therapy Exam
   • Low Back Pain SUBJECTIVE Physical The...  

You can reference the FULL evaluation here:
   • Low Back Pain FULL Physical Therapy E...  

Part's 1, 2, 3, 4 explained:
   • Physical Therapy Evaluation: Step by ...  

Typically, you want to have the patient move in this order (to avoid unnecessary position changes) = Stand, Sit, Supine, Prone

THREE tips for objective exam
1. Get objective measurements
2. Locate eggs or asterisk sign
3. Clarify if the pain is the specific pain the patient is coming in for

1:05 How it works (objective exam)
1:56 Stand, sit, supine, prone
3:00 3 tips for objective exam
4:45 Benefits of PhysioU
6:10 Thought process from subjective to objective
6:20 List of valuable informations from subjective
10:00 Moving on to the objective exam
10:27 Best apps for PT school    • Best Apps for Physical Therapy School  
10:40 Using PhysioU app to guide my PT evaluation clinical reasoning

11:34 My top 3 hypothesis diagnosis
12:04 Facet Syndrome clinical findings
21:28 Facet Syndrome key findings

15:04 Lumbar Instabilities clinical findings
23:27 Lumbar Instabilities key findings

17:29 Lumbar Muscle Strain clinical findings
25:05 Lumbar Muscle Strain key findings
28:18 Thought process of rule in/rule out top 3 hypothesis diagnosis

You can get the PhysioU apps and try a FREE trial here:
PhysioU Apps: http://physiou.com

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posted by halitoseuy