Lab 1: Intro to Orthopedic Exam Flashcards
(46 cards)
this guides clinician in determining which structures need more investigating (MSK, neuro, CVP, integ, GI, GU)
includes assessments of gen health intake forms and vitals
systems review
based on Pt’s health history and subjective interview, what is MOST LIKELY going on w/ pt?
have. a list of top 3 ___ ___
diff dx
test the (involved/uninvolved) side first
uninvolved
order of ROM testing
AROM>PROM>resisted testing to save time
arom limited- contractile structure
both limited- non contractile structure
keep the painful tests ____
apply ____ w/ care to test and feel
repeated movements or sustain certain postures/positions if hx indicates
perform resisted testing in _____ position
remember w/ PROM and ligamentous testing, both the ____ and quality (end feel) of opening are important
w/ ligamentous testing, repeat with _____ stress
w/ myotome testing, hold contractions for ____ sec and repeated 3-5x if necessary
warn pt for possible exacerbations before they happen
maintain pt dignity
refer if necessary
- last
- overpressure
- resting
- degree and quality (end feel)
- increasing stress
- 5 sec
to scan or not to scan
- no MOI
- proximal cause for distal sx
- non mechanical sounding symptoms
go over scanning exam steps on slide 10
skilled hand movements and passive movements of joints/soft tissue intended to improve tissue extensibility, increase ROM, induce relaxation, mobilize or manipulate soft tissue/joints, modulate pain, decrease soft tissue swelling, inflammation and restriction.
Manual Therapy Techniques
passive technique designed to restore full painless joint function by rhythmic, repetitive passive movements, well within the patient’s tolerance, in voluntary and or accessory ranges
mobilizations
accurately localized or globally applied single, quick and decisive movement of small amplitude, following a careful positioning of the patient.
manipulaiton
manually assisted method of stretching/mobilizing where the patient actively uses their muscles on request while maintaining a targeted preposition against a distinctly executed counterforce
muscle energy technique
when convex surface moves on concave: roll and glide is in the ____ direction
concave moving on convex: roll and glide in the _____ direction
OPPOSITE
SAME
during joint play assessment: look for these things at baseline
symptoms
ROM
mobility
how to grade joint play assessment:
hypomobile
normal
hypermobile
joint play:
1. know the joint shape and ROM available at each joint
2. determine hand placement and line of ____ based on joint surfaces and motion
3. grade available joint motion as compared to ?
4. assess these 2 things for each joint glide examined:
- force
- opposite side, expected motion available, other joints (if need)
- hyper or hypomobile or normal? pain or no pain?
grade 1
small amplitude technique (25%) BEGINNING of available joint play
grade 2
large amplitude movement (50%) in MIDDLE of joint play
grade 3
large amplitude movement (last 50%) at the end of joint lay (to tissue resistance)
grade 4
small amplitude movement (last 25%) at end of joint play (to tissue resistance)
grade 5 also known as?
quick movement that exceeds resistance (picking up all the slack)
High Velocity Low Amplitude Thrust into tissue resistance
first tissue resistance
second tissue resistance
btw grade 1 and 2
btw grade 4 and 5
ALWAYS reassess ____ , _____ and _____ after joint treatments (grades)
symptoms
ROM
mobility
during talocrual distraction manipulation, bring the foo into ____ amount DF and take up slack to 2nd tissue resistance
neutral (zero degrees)
muscle energy technique: alternating add/abd isometric holds for:
pelvic/SIJ Dysfunction (anterior pain)
PT provides the resistance: “squeeze into my hands for about 3-5 seconds then relax” and repeat with abduction: “push your knees out”
