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Chart Notes 6603 220th St. SW Suite 102Mountlake Terrace, WA 98043-2186Phone: (425) 774-2411Fax: (425) 672-7065 <br />Olympic Spine and Sports Therapy <br />Ins Co:WA MEDICARE-NORIDIAN Pol #:NONE <br />Date 07/29/2025Provider:Mark Shelley, DC, DACNB *** continued from previous page ***Inspection: No masses or effusions. Pathological Reflexes: Hoffman's test - Normal. <br />LEFT UPPER EXTREMITY:Inspection: No masses or effusions. Pathological Reflexes: Hoffman's test - Normal <br />RIGHT LOWER EXTREMITY:Inspection: No masses or effusions Strength Testing:Ankle DF:4.5/5 Ankle PF:5/5 Foot Inv:5/5 Foot Ev:5/5 EHL: 4.25/5 EDL:4.25/5 FD:5/5 QP:5/5Reflexes: Pat: 1+/2+Achilles: 0/2+ Sensory: Sensation grossly intact - WNL Pathological Reflexes:Plantar Reflex - NormalAnkle Clonus - NormalWithdrawal Reflex - Normal <br />Pain with Digital Pressure & Hypertonicity: Psoas, Tensor Fascia Latae, Gluteus Maximus, Gluteus Medius, Rectus Femoris and Vastus Lateralis Location of Pain: Specific Motor ImpairmentDecreased strength was noted in the following muscles based on a specific muscle strength assessment: Psoas, Tensor Fascia Latae, Gluteus Maximus and Gluteus MediusRange Of Motion: ·Hip Extension decreased·Hip Internal/Medial Rotation decreased·Hip External/Lateral Rotation decreased <br />LEFT LOWER EXTREMITY:Inspection: No masses or effusions Strength Testing:Ankle DF:5/5 Ankle PF:5/5 Foot Inv:5/5 Foot Ev:5/5 EHL: 5/5 EDL:5/5 FD:5/5 QP:5/5Reflexes: Pat: 1+/2+Achilles: 0/2+ Pathological Reflexes:Plantar Reflex - Normal <br />Printed:Page 3 Of 7Tuesday, August 12, 2025 4:16:38 PM