Objective Examination, Assessment, and Treatment Plan Flashcards Preview

PTRS 745 Exam 1 > Objective Examination, Assessment, and Treatment Plan > Flashcards

Flashcards in Objective Examination, Assessment, and Treatment Plan Deck (49)
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1

Content: Planning the objective examination (5)

1. Reflect if you've got everything

2. Decide on peripheral/spinal exam

3. SINSS - P/C

4. Extent of exam

5. Movements/tests that will confirm hypothesis

2

Content: 5 parts of the objective examination

1. Determine structure(s) involved

2. Confirm/refute hypothesis

3. Est. baseline

4. Identify impairments

5. Determine effect on function

3

Content: Key points to remember while performing an objective examination (7)

1. Tell pt. what you're doing

2. Test normal side 1st

3. Do active, then passive, then resisted isometric movements

4. Do painful movements last

5. Apply overpressure to test end feel

6. Repeat/sustain positions if history indicates

7. Take baseline signs

4

Q: With passive movements and ligamentous testing, both the _________ and ________ (end feel) of opening are important.

Degree, quality

5

Q: With ligamentous testing, ________ with increasing stress.

Repeat

6

Q: With myotome testing, make sure that contractions are held for _____ ________.

5, seconds

7

T/F: You should warn the pt. of potential exacerbations or painful parts of the OE.

True

8

Content: 8 components of the OE

1. Observation/posture

2. Scanning/screening to rule out/in spine

3. ROM - active and passive

4. Joint play

5. MMT

6. Palpation

7. Special tests  

8. Functional tests

9

Contents: 3 things to observe during an OE

1. Posture

2. Movement limitation

3. Care giver support

10

Content: Scanning/Screening - "Quick look" (4)

1. Rule out possibility of referral symptoms (esp. from spine)

2. Confirm where pathology located

3. Ensure correct diagnosis

4. No more than 5-10 minutes

11

Content: Using the scanning examination (7)

1. No history or trauma

2. Radicular signs present

3. Trauma with radicular signs

4. Altered sensation in limb

5. Spinal cord ("long track") signs

6. Pt. presents with abnormal patterns

7. Suspected psychogenic pain

12

Diagram: Decision tree for OE

13

Content: Scanning exam for the peripheral joint assessment: Perform in the spine (2) 

1. Active and passive movements

2. Resisted isometric movements

14

Content: 5 things that can be assessed from AROM during the OE

1. Symptoms reproduction

2. Quantity of ROM

3. Integrity of contractile and inert tissue 

4. Presence of muscle substituion

5. CPR

 

 

15

Q: Full and pain free ______ suggests normalcy.

AROM

16

Content: 3 things that can be assessed from PROM during the OE

1. AROM was limited

2. Apply gentle overpressure 

3. End feel 

17

Content: End feel (according to Cyriax) (4)

1. Capsular

2. Bony

3. Elastic

4. Soft tissue approximation

18

Content: 4 types of abnormal end feel

1. Springy 

2. Boggy

3. Spasm

4. Empty 

19

Defn: Springy end feel

Rebound sensation

20

Defn: Boggy end feel

Squishy sensation

21

Defn: Spasm end feel

Abrupt end

22

Defn: Empty end feel

Limitation without tissue resistance but with pain 

23

Content: 3 ways to assess flexibility

1. Using end feel

2. Postural analysis

3. Special tests (SLR, Ober, etc)

24

Q: What is goniometry used for?

Assessment and reassessment

25

Q: What 3 things can be measured with goniometry?

1. AROM

2. PROM

3. Flexibility 

26

Q: What does PAM stand for?

 

Passive articular mobility 

27

Content: PAM (3)

1. Also called joint glides

2. Assess the accessory movements

3. Determine: hypo/norm/hypermobile 

28

Content: Two types of unrestricted PAM

1. Normal

2. Excessive

29

Defn: Normal PAM

Integrity of joint and surrounding tissues

30

Defn: Excessive PAM

Instability or joint laxity