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IM Lower Back

General - Set up info

General set up:
Please wear shorts and socks if possible. For the walking at the end, shoes with reflectors on the tip of the toe will be required. When patient is in the lying position you want to get the camera down to the level of the patient. You may want to use the tripod for these videos to make the camera placement/ stillness easier. For example, if patient is on the floor the camera will need to be positioned in the lowest tripod setting, closest to the floor. You can choose to use the tripod for any/all of the movements. For the final movement, the walking the tripod is mandatory.

Please, keep in mind the goal is to always see the entire patient in the recording. The provider will want to see head to toe and all inbetween.

The instructions are here to help you. Please take the time to read them, and if you have questions about the app you can call 415-691-7615 or you can check out your tutorial for this digital check up

You are going to do great.



Hip Internal Rotation (Lying on Front)

HOW TO VIDEO

 

Camera is TALL - show the patient’s whole body from above the patient's shoulders.

1. Patient is lying on the stomach.

2. Bend one knee until the foot points up towards the ceiling.

3. Allow the heel to fall out to the side while keeping your hips flat on the ground.

4. Then bring back up to neutral position. (kind of like a windshield wiper)

5. Repeat on the other leg.



Survey

For the next 6 movements there will be three pain check-ins. The 3 check ins are:
Before, During and After

Please explain to the patient there will be a minimum of 3 PAIN check-ins in each recording. When answering those check-ins we ask that the patient keep the following in mind: (please read aloud or have the patient read)

You will be asked to rate your pain 3 times for each movement, on a scale of 0-10 (zero being no pain and 10 the worst pain imaginable) When asked. Say the number that best describes your back pain, or each leg pain. If you have leg pain, how far down the leg is it going right now? Is it a discomfort of stretching in the back of your thigh or increased leg pain we sometimes call "Sciatic Pain"? Does it travel to the back of the thigh only or below the knee to the calf or foot?

If at any time, you feel increased discomfort, STOP and describe it. If you can move further than this spot, continue to do so. You will want to identify if the discomfort, location or intensity change with the increase in movement.

Your care partner will prompt you before, during and after each movement - by asking for a: Pain check-in: Total PAIN: 0-10? R leg: 0-10? describe? and to where? L leg: 0-10? describe? and to where?



Supine Straight Leg Raise

HOW TO VIDEO

Camera is WIDE - show the patient's whole body from the side: head to toe.

1. Patient lying on back on the edge of a couch/bed.

2. Keeping both knees straight. Move only the leg closest to the camera.

3. Raise your straight leg as high as you can, verbally indicate any change in pain.

4. Change sides close to the camera and repeat movement.

5. Remember any changes in pain.



Prone Lumbar Extension

HOW TO VIDEO

Camera is WIDE - show the patient's whole body from the side: head to toe.

1. Patient is lying on stomach.

2. Use your forearms to prop yourself up on your elbows (so that your back is arched backward) and then return to lying flat on your stomach. Repeat this movement 10 times.

3. If pain allows, use your hands to push yourself up with your elbows extended so that your back arches farther backward. Try to let your hips rest on the surface. Repeat this movement 10 times.

4. Remember any changes in pain.



Sitting Lumbar Flexion

HOW TO VIDEO

 

Camera is TALL - show the patient’s whole body seated in a chair in side view: head to toe.

1. Patient starts seated upright in profile.

2. Put arms between the legs.

3. Bend forward as far as possible.

4. Repeat 10 times.

5. Remember any changes in pain.



Standing Lumbar Flexion

HOW TO VIDEO

 

Camera is Tall - show the standing patient side view in frame: head to toe. If you have a tripod, use it please.

1. Standing with their side to the camera.

2. Keeping your knees straight, bend forward at your waist, reaching to the floor as far as you can.

3. Repeat this movement 10 times.

4. Remember any changes in pain.



Standing Lumbar Extension

HOW TO VIDEO

 

Camera is Tall - show the standing patient side view in frame: head to toe. If you have a tripod, use it please.

1. Standing with their side to the camera.

2. Put hands on your waist.

3. Bend backwards as far as you can.

4. Repeat this movement 10 times.

5. Remember any changes in pain.



Standing Lumbar Side Bending

HOW TO VIDEO

 

Camera is Tall - show the entire patient in frame: head to toe. If you have a tripod, use it please.

1. The patient is standing with back facing the camera.

2. Keeping your shoulders in line with your body.

3. Tilt to the right by sliding your right hand down the side of your thigh as far as you can without bending forward or backward and return to standing upright. Repeat 10 times.

4. Remember any changes in pain.



Gait Assessment

Camera is Tall - show the entire patient in frame: head to toe. If you have a tripod, use it please. If you have REFLECTORS, use them please.

Reflectors go on the front/tip of the shoe, do not bend. (imagine if you were gonna kick a door). Make sure you are not back lit when walking toward the camera.

1. Please start with the whole body in frame and the back to the camera.

2. Walking normally, take 6 steps away, turn around and then walk back toward the camera.

3. Stop the patient when BOTH feet / reflectors are still in view this will allow the computer analysis to happen.



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