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Osteopathic Static Postural Exam Template Visual Assessment Posterior View 1. Cervical spine alignment and paravertebral muscle mass 2. Slope of shoulder 3. Fingertip length 4. Spinal curvatures 5. Knee alignment 6. Calf muscle - asymmetry can imply long standing postural strain or nerve entrapment 7. Achilles tendon deviation 8. Arches of Feet Lateral View 9. Knees for hyperextension or contracture 10. A/P curves of spine, noting any hyper or hypo lordosis or kyphosis 11. Shoulders, noting protraction or retraction Anterior View: 12. Feet, noting toeing in or toeing out 13. Knees alignment 14. Thigh muscle mass, again asymmetry can imply long standing postural strain or nerve entrapment 15. Rib cage, noting pectus excavatum or carinatum 16. Clavicles, noting asymmetry of size, length, or carrying angle Osteopathic Static Postural Exam Template Examination of Bony Landmarks for Symmetry and Weight Bearing Left Right Notes: Mastoid Process AC Joint Inferior Angle of Scapula Iliac Crest – lateral most element Posterior Superior Iliac Spine (PSIS) Anterior Superior Iliac Spine (ASIS Mark if off Lateral Weight Bearing Line External Auditory Meatus Greater Tuberosity of Humerus Greater Trochanter of Femur Patella Lateral malleolus Skin Drag and Red Reflex Note areas with positive skin drag or red reflex: ________________________________________________________________ ________________________________________________________________________________________________________________________ Regional Motion Screening Note any regions with asymmetric, decreased, or excessive motion Cervical: ______________________________________________________________________________________________________________ Thoracic: ______________________________________________________________________________________________________________ Lumbar: _______________________________________________________________________________________________________________ Ribs: ___________________________________________________________________________________________________________________ Seated Flexion Test +L / +R Standing Flexion Test +L / +R Scanning Palpatory Exam Note areas of tenderness and/or tissue texture changes (for example: warm, boggy, congested, dense, fibrotic, cool, hypertonic):
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