1. Introduces self to patient (full name and role) 2/1/0
2.Explains purpose of examination and obtains consent 2/1/0
Examination
3. Exposes the patient and comments on exposing patient adequately 1/0
4. Inspects spine, back and side, looking for scoliosis and normal [cervical, lumbar] lordosis, and [thoracic] kyphosis 2/1/0
5. Identifies C7 correctly (may be prompted) - 1/0
6. Palpates spinous processes 1/0
7. Palpates para-spinal muscles for tenderness 1/0
8. Tests cervical flexion and extension 1/0 (so chin to chest, head up to ceilin)
9. Tests lateral cervical flexion 1/0 (ear to shoulder, ear to shoulder)
10. Tests cervical rotation 1/0 (look left, look right)
11. Tests lateral lumbar flexion 1/0 (slide hand down side to the feet, and now the other side)
12. Tests lumbar flexion and extension 1/0 (bend forward, okay, and now bend as far back as you can, I'll help support you)
13. Performs Schoeber's test (2) or places fingers on spine (1), 2/1/0
14. Tests thoracic rotation stabilising pelvis 1/0 (cross your arms each hand touching the opposite shoulders, and I'm going to place my hand on your hips, now turn to the right, and then left. Alternatively, sit down, cross your arms, and turn to the right, and now to the left.)Schoeber’s test – measures the degree of back stiffness by measuring
spinous process separation on forward flexion of the spine. Ensure
movement is within the spinal column rather than just the hips! Schober’s test ( > 5cm lumbar flexion)
15. Demonstrates straight leg raise 1/0 (lie down for me, I'd like to hold down one side of your hip, lift your leg up, and now vice versa) ??
16. States would like to perform full neuro - vascular examination 2/1/0
17. Demonstrates adequate hand hygiene 1/0
Total (out of 23)
Global rating fail/borderline/pass/clear pass/excellent
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