exam 2 assessment summer 2020 Flashcards
(25 cards)
• Tendons connect muscle to
bone
• Ligaments connect bone to
bone
Synovial fluid is a thin lubricating
fluid
Bursa are small pockets of
synovial fluid
TYPES OF INJURIES – BONE
- Fractures are the most common
- Cancer
- Connection requiring tendons and ligaments
- Bruises
TYPES OF INJURIES - MUSCLE
- Over use
- Inflammation
- Infection
injury of ligaments or capsule (specific)
• Sprain –
injury involves tendon/muscles (generalized)
• Strain -
• Graded
I - stable joint and minimal tearing
II – incomplete tear, painful weight bearing, decreased ROM
III – complete tear, swelling mechanical instability and loss of function, unable to weight bear
PAIN
- From lack of blood supply
- From neuropathy
- Injury
- Change in Motor function
use of Tobacco alcohol and recreational drugs on ones health
slowed healing and
risk of falls trauma
Musculoskeletal Red Flags
- Hx of major trauma
- Hot and/or swollen joints
- Systemic/constitutional symptoms
- Focal or diffuse weakness
- Neurogenic Pain
- Claudication
- Poorly Localized pain/ recent surgery
- Unrelenting nighttime pain
5 P’S OF MS HISTORY
- Pain
- Paralysis
- Paresthesia
- Pallor
- Pulses
EXAMINATION OF MS SYSTEm
- Inspection
- Palpation
- ROM
- Muscle strength & Tone
- Neurological integrity
- Ligamentous Test
• Muscle strength grading
Grade 1 trace – 5 normal
• Mechanism of injury - exam/assessment
Proximal and distal to pain
• DTR grading
1 absent – 5 hyperactive
• Compare good to bad side
• Onset –
sudden, gradual, insidious, combination
• Duration –
constant, unremitting, intermittent, post use, intermittent
• Location/radiation –
be specific lateral shoulder, point to location unilateral versus bilateral
• Quality/severity –
rate from 1-10 or use face scale, burning, sharp, dull, aching, numbness, tingling
• Disability –
is there a limitation
•** Sudden onset - suggests
fracture or large tear
**Gradual onset - suggests
inflammation
• Duration-
systemic versus local and chronic versus acute