1. Physical Examination in Occupational Medicine
Dr. Majid Golabadi
Occupational Medicine Specialist

4. Apley Scratch Test

5. Phalen Test

6. Tinnel sign

7. Upper Extremity Tendon Reflex
Reflex Abnormality
- Biceps, Triceps,
Brachioradialis

8. 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.

9. Straight Leg Raise SLR Sensitivity 91% Specificity 26 %
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 %
Consider Trendelenberg for Hip abductor weakness (L5) Hip extension for S1; short squat/getting out of chair (L4)

10. 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%
Consider Trendelenberg for Hip abductor weakness (L5) Hip extension for S1; short squat/getting out of chair (L4)

11. 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 ?
Consider Trendelenberg for Hip abductor weakness (L5) Hip extension for S1; short squat/getting out of chair (L4)

12. Duck Walk Test

13. Knee Deformities