Questions

1. Do you have pain or stiffness in your muscle, joint or back?
2. Can you dress yourself completely without difficulty?
3. Can you walk up and down the stairs without difficulty?

Gait

• Gait Inspection

Back (Head to Toe)

• Shoulder
  • Bulk and symmetry
• Spine
  • Scoliosis
  • Paraspinal muscle symmetry
• Pelvis
  • Level iliac crest
• Knee
  • Popliteal (Baker’s) cyst
• Heel
  • Swelling (Achilles’ tendonitis)
  • Hind-foot deformity

Side (Spine)

• Spine
  • cervical lordosis
  • thoracic kyphosis
  • lumbar lordosis
• “Try to touch you feet” → lumbar spine and hip flexion

Front (Movement)

• Shoulder and upper arm
  • “Ear to shoulder” → cervical lateral flexion
  • “Hand behind your head” → shoulder abduction and external rotation
  • “Straighten your arm” → shoulder and elbow flexion
• Hand
  • “Palm up, palm down” → supination and pronation
  • “Make a fist” → grip
  • “Touch your fingers” → intrinsic hand muscle, precision, dexterity
  • Squash their 2-5 MCP (like shaking hand) → MCP Tenderness, synovitis
• Quads
  • Bulk and symmetry
• Feet
  • Fore-foot demformity
  • Normal arches