MSK Assessment Flashcards
subjective - body chart
location of current symptoms type of pain depth, quality, intensity of symptoms intermittent or constant abnormal sensation relationship of symptoms check other relevant regions
subjective - behaviour of symptoms
aggravating factors easing factors severity irritability ADLs/functional limitations 24hr behaviour stage of condition
Subjective - special questions
red flags
cauda equina/spinal cord symptoms
bilateral extremity numbness/P&Ns
Dizziness or any other vertebrobasilar insufficiency
subjective - history of present condition
MOI History of related symptoms relationship of onset of each symptomatic area change in each symptom since onset recent x-rays or investigations
PMH - subjective
relevant medical history
previous episodes of each symptom or present complaint
previous treatment or outcome
general health -
THREADS - Thyroid, Heart problems, RA, Epilepsy, asthma, diabetes
Drug history subjective
current meds
steriods
anticoagulants
allergies
Social and Family Hx
Age and gender home and work situation dependants Hobbies and activities Exercise Yellow flags
`physical examination - observation
posture muscle bulk and tone function gait structural abnormalities Soft tissues
Objective - active and passive joint movements
active and passive physiological movements
joint effusion present
Objective - Muscle testing
length
strength
control and stability
isometric muscle testing
neurological tests
integrity of the nervous system - dermatomes - myotomes - reflexes Mobility of the nervous system - straight leg raise - slump test - passive neck flexion - upper limb nuerodynamics Special tests (eg. coordination )
Objective - palpation
skin and superficial soft tissue muscle and tendon nerve ligament joint bone
