On-Campus Activity Checklist CHIR 13008 Please bring this form with you to every class. You will need to complete each on- campus activity, and have it signed by your in-class tutor. At the end of weeks 5 and 10, you are required to scan a copy of the completed form and upload it into the assessment activity on the left-hand side of the Moodle page. Please note -this is an important document, as it will form part of your final grade. cervical facet (or disc) issue Week and Class On-Campus Activity Tutor Signature Week 2 Perform (A) or (P) ROM of the cervical spine Perform cervical motion palpation of C2-4 Week 3 Demonstrate an orthopaedic test for a Demonstrate Supine Index pillar push or cervical static palpation Demonstrate an orthopaedic test for a lumbar facet (or disc) issue Perform Crossed Bilateral Hypothenar/pisiform transverse push or Perform lumbar motion palpation of 13-4 Week 5 Demonstrate a lumbar nerve tension test (least provocative and most provocative) Perform (A) or (P) ROM of the lumbar spine Week 6 Demonstrate an orthopaedic test for the femoral nerve Perform static palpation on the lumbar spine or a lumbar hypothenar mammillary push HNiplp/H| OAS ls bleSacral thrust/ Gaenslen’s) bt Perform Pelvis hypothenar ilium push PI |», 4 Week 8 Perform a pelvis hypothenar ischium push |v AS es Perform a supine Index Altas Push D> Week 9 Perform a scoliosis screen Cg Perform Carver Bridge/Bilateral hypothenar transverse push Week 10 Perform 3 lumbar nerve tension tests from | 4. least to most provocative Perform a supine thumb pillar push >r Week 11 Demonstrate a TOS test ae