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having completed these three preliminary questions the physical examination begins item four in the aims examination requires the patient to sit up straight in the chair with their hands resting on each knee the legs should be slightly apart four to six inches with both feet flat on the floor the examiner should look at the entire body for movements while the patient is in this position pay particular attention to the patient's face hands and feet item 5 instructs the patient to sit with their hands hanging unsupported this may be accomplished by hanging the arms down between the legs or by dropping both arms at the sides unsupported to achieve the full benefit of this maneuver the use of a chair without arms is very important movements may be noted in the hands and fingers at this time but do not forget to check all seven body areas for other subtle movements item 6 of the examination requires the patient to open their mouth for approximately 10 seconds this procedure should be done t

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