The ability to touch toes, bend forward, lean back, twist, and bend sideways can be assessed during a standing exam to evaluate range of motion and identify pain.

“I'm first checking see if the shoulder heights are the same as well as I'll grab the iliac crest on either side to make sure that it's even next I'll have you bend forward I say try to touch your toes if you can great and then I have you stand up and I'm looking at the alignment of the spine and then to lean back all the while asking if any of these movements hurt okay stand up straight and then twist to the right twist to the left straight forward bend to the right and bend to the left and I'm just getting a general assessment if if if that's if they're capable of doing that and whether that elicits any pain”