You are evaluating your 52-year-old female patient who presented to your office with a complaint of lower back pain. You have completed your history and are performing your physical and osteopathic structural examination. As you ask your standing patient to bend one knee at a time, allowing the ipsilateral innominate to drop inferiorly (or lower), you find an asymmetry of motion between the sides. She can easily bend her left knee, allowing her left innominate to lower. However, when you ask her to bend her right knee, she has limited motion, and the innominate does not lower very much. The special test results described would lead you to which of the following physical examination assessments for this patient?

You are evaluating your 52-year-old female patient who presented to your office with a complaint of lower back pain. You have completed your history and are performing your physical and osteopathic structural examination. As you ask your standing patient to bend one knee at a time, allowing the ipsilateral innominate to drop inferiorly (or lower), you find an asymmetry of motion between the sides. She can easily bend her left knee, allowing her left innominate to lower. However, when you ask her to bend her right knee, she has limited motion, and the innominate does not lower very much. The special test results described would lead you to which of the following physical examination assessments for this patient?



A. Left lumbar convexity
B. Right lumbar convexity
C. Left thoracic convexity
D. Right thoracic convexity
E. Decreased lumbar lordosis


Answer: A


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Biomechanics

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