Active ROM
Ask the client to bend forward comfortably, allowing the trunk to move toward the floor.
ROM Assessment Guide
Lumbar ROM
Learn how to assess lumbar movement using Active, Passive and Resisted ROM.
Movement Selector
Selected Movement
Flexion
Passive ROM
Where appropriate and within scope, gently assist or guide lumbar flexion while monitoring symptoms.
Resisted ROM
Client attempts trunk flexion while gentle opposing resistance is applied.
What to Observe
- Pain
- Range restriction
- Compensation
- Difference between sides
Assessment Flow
Assessment Flow
Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Focused Assessment
Focused Assessment
Focused Assessment
Straight Leg Raise
Used as part of assessment when lower-limb radiating symptoms or neural involvement are suspected.
Slump Test
Used as a neurodynamic assessment when symptoms suggest possible neural mechanosensitivity.
Lumbar Movement Comparison
Compare flexion, extension and lateral flexion for range, pain, stiffness and compensation.
Neurological Symptoms
Ask about radiating pain, numbness, tingling or weakness and refer when findings are outside scope or concerning.
Quick Check
Quick Check
1. Which lumbar movement bends the trunk forward?
2. Which movement bends the trunk backward?
For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.