Upper Quarter Screen Template
Initial Observation:
Anterior View: Head Position, Shoulder Height, Symmetry of Muscle Mass
Lateral View: Head Position, Shoulder Positions, Thoracic Spine
Cervical AROM:
Flexion (if Full ROM, apply overpressure)
Lateral Flexion (if Full ROM, apply overpressure)
Rotation (if Full ROM, apply overpressure)
Extension (if Full ROM, apply overpressure)
Shoulder AROM:
Flexion
Scratch Test (Internal & External Rotation)
Manual Muscle Test
Cervical Rotation (C2)
Shoulder Elevation (C3-4)
Shoulder Abduction, ER, & IR (C5)
Elbow Flexion (C6)
Elbow Extension (C7)
Wrist Flexion (C7-8)
Wrist Extension (C7-8)
Thumb Extension (C8)
Finger Abduction / Adduction (C8-T1)
Muscle Stretch Reflexes
Biceps (C5)
Brachioradialis (C6)
Triceps (C7)
Sensation
Dermatomes C3-T1
C1 = superior aspect of cranium
C2 = occiput and sides of cranium
C3 = lateral aspect of neck
C4 = superior aspect of shoulder
C5 = deltoid area and lateral forearm
C6 = thumb and lateral forearm
C7 = middle finger (posterior aspect)
C8 = 5th finger and ulnar border of hand
T1 = medial forearm/arm region
Lower Quarter Screen Template
Initial Observation:
Thoraco-lumbar AROM:
Flexion (if Full ROM, apply overpressure)
Lateral Flexion (if Full ROM, apply overpressure)
Rotation (if Full ROM, apply overpressure)
Extension (if Full ROM, apply overpressure)
Manual Muscle Test
Hip Flexion (L2)
Knee Extension (L3)
Ankle Dorsiflexion (L4)
Hallux Extension (L5)
Plantar Flexion (S1)
Muscle Stretch Reflexes
Patella (L3,L4)
Achilles (S1)
Sensation
Dermatomes C3-T1
L1 – Anterior hip
L2 – Anterior thigh
L3 – Anterior thigh & knee
L4 – Medial leg
L5 – Anterior/lateral leg
S1 – Lateral leg, foot & toes
S2 – Posterior/lateral leg