Week 1: Subjective And Objective Assessment

Question 1

What is the purpose of a patinet interview?

Answer 1

• bulid rapport
• formulate a diagnosis
• screen for none MSK factors
• determine contraindications and precautions
• gain information about prognosis
• gain information about treatment directions
• determine factors related to assessment order
• determine other problems/ other parties (can’t afford or have workcover ect.)

Question 2

What is the order of a patient interview ?

Answer 2

1. 90 second rule
2. Body chart

• current history (CHx)
• aggs/ eases + 24hr pattern
• past history
• past medical history (PMHx)
• special questions
• social history (SHx)
• goals

Question 3

What should be included on a body chart?

Answer 3

• Where the pain is and it’s distribution (shade for representation)
• pain type anaesthesia or paraesthesis or pain)
• quality of pain (sharpe, dull, ache, buring)
• intensity (VAS)
• constant vs intermittent
• deapth
• relationship between symptoms
• other symptoms (joint sounds)
• VBI signs
• cauda equina signs
• cord signs

Question 4

What should be included in the current history ?

Answer 4

• when and how the current injury/episode first started?
• what symptoms started first?… then what happened?
• current treatment and the effects?
• current status… better, same or worse?

Question 5

What should be included in past history?

Answer 5

• previous episodes of similar injury? Explain
• previous treatment?
• previous interventions or meds?
• other relevant injuries, surgery ect

Question 6

What should be included in behaviour of symptoms?

Answer 6

-Is it mechanical? Yes- what pattern? No- need to ask more questions

Components:

• aggs/ eases
• 24hr pattern
• status (same, better or worse)
• irritability (low, moderate or high)

Question 7

What are the standard components for an assessment of low back pain (LBP)?

Answer 7

• observation
• AROM
• PPIVAMs (rotations)
• PAVAMs. (Central and unilateral)
• Clear SIJ + Hip
• SLR

Question 8

What are the optional components for an assessment of low back pain (LBP)?

Answer 8

• neurological assessment
• NDTs
• Special tests
• trunk muscle assessments
• PPIVAMs (flexion, extension, lateral flexion)
• PAVAMs (transverse)
• other muscle assessments