Physical Examinationin Occupational

Medicine

Dr. Majid GolabadiOccupational Medicine Specialist

Apley Scratch Test

Phalen Test

Tinnel sign

Reflex Abnormality - Biceps, Triceps, Brachioradialis

Upper ExtremityTendon Reflex

• Kyphosis is excessive curvature of the spine in the sagittal (A-P) plane. The normal back has 20° to 45° of curvature in the upper back, and anything in excess of 45° is called kyphosis.

• Scoliosis is abnormal curvature of the spine in the coronal (lateral) plane. Scoliosis of between 10° and 20° is called mild. Less than 10° is postural variation.

• Lordosis or hyperlordosis is excessive curving of the lower spine and is often associated with scoliosis or kyphosis. It can be exaggerated by poor posture.

Straight Leg RaiseSLR

Examiner raises straight leg (30 to 60 degrees) eliciting radicular pain on same

side (Lasegue Sign). Then lowers leg until pain goes away, the foot is then

dorsiflexed causing return of pain

Sensitivity 91%Specificity 26 %

Crossed Straight Leg Raise

(Crossed SLR)

Examiner raises straight leg (30 to 60 degrees) eliciting radicular pain on

opposite side.

Sensitivity 25%Specificity 90-97%

Reverse Straight Leg Raise

(Reverse SLR)

Patient is prone, examiner raises straight leg (30 to 60 degrees) –pain

radiating to anterior thigh indicative of L3-L4 root irritation

Sensitivity ?Specificity ?

Duck Walk Test

Knee Deformities