In the method of Schober & Ott, the patient stands erect while the examiner marks the S1 spinous process and a second point 10 cm higher. Regarding the thoracic spine, the examiner marks the C7 spinous process and a second point 30 cm lower (1st figure).
Then the examiner asks the patient to bend as forward as possible and measures the distance between the points again (2nd figure). A normal range of motion (RoM) at the lumbar spine will result in an increased distance of about 15 cm (+5 cm). A normal RoM at the thoracic spine will result in an increased distance of about 38 cm (+8).
Following the same logic, extension in both thoracic and lumbar spine can be assessed (3rd figure).
An alternative method is to measure the smallest finger-to-floor distance with the knees extended.
good post
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