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EVALUARE OLD

Nume Prenume Data

Diagnostic

DREAPTA BILAN ARTICULAR STNGA

Data msurrii
III II I OLD I II III
Flexie (0-120)
Extensie ( 0-300)
Abducie ( 0-450)
Adducie ( 0-350)
Extensie MCF 3 (0-45)
Rotaie intern ( 0-450)
Rotaie extern ( 0-450)
Hipermobilitate:

Comentarii:

Semntur pacient:
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DREAPTA BILAN MUSCULAR STNGA

III II I MICAREA MUCHIUL INERVAIE I II III
Data msurrii
OLD
Flexie Psoas mare Lombar
Iliac Femural
Flexie Croitor Femural
Extensie Gluteu mare Gluteal
Biceps femural Sciatic
Semitendinos Sciatic
Semimembranos Sciatic
Abducie Gluteu mijlociu Gluteal
Gluteu mic Gluteal
Abducie Tensorul fasciei lata Gluteal
Adducie Grupul adductor Obturator
Rotaie intern Gluteu mijlociu Gluteal
Gluteu mic Gluteal
Tensorul fasciei lata Gluteal
Rotaie extern Grupul rotator extern Sacral/Lombar
Observaii:
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Semntur pacient