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TherEx Higgins 1
Chapter 1 of Therapeutic Exercise: From theory to practice by Michael Higgins
Question | Answer |
---|---|
What acronym is used for the evaluation process | HIPS, HOPS, or HOPER. History, Inspection, Palpitation, Special test |
When do we evaluate a patient | before and after treatment |
Comprehensive Medical History | Patient records, Subjective History |
What is Subjective History | MOI, Activities that aggravate and alleviate, Past history, Patient goals, Social History. MAPPS |
What is Objective history | Visual inspection: Assess posture, gait, functional tests, Direct contributors, indirect contributors |
MOI | allows for clinician to determine what activities to avoid |
Palpatation | evaluation of bony and soft tissue structures for point tenderness, deformity, crepitus, rigidity, and heat. |
Range of Motion | Active and passive range of motion, measured in quality and quantity |
Cyriax's rule | Assess pain during or at end of ROM test. Delineate presence of pain at various points during the motion |
Cyriax's rule: Contractile tissue involvement | Pain during motion actively in one direction and end range pain actively or passively in opposite direction |
Cyriax's rule: Inert tissue involvement | Pain during motion actively and passively in same direction |
Flexibility testing | Tests that asses "cause of the cause." Muscle tightness can be linked to many problems |
Joint Mobility testing | tests joint hypomobility and hypermobility |
Strength Testing | Manual muscle testing or resistive ROM testing |
MMT: 0 | None. No visible or palpable contraction |
MMT: 1 | Trace. Visible or palpable contraction with no movement |
MMT: 2 | Poor. Full ROM, no gravity |
MMT: 3 | Fair. Full ROM, against gravity |
MMT: 4 | Good. full ROM against gravity, moderate resistance |
MMT: 5 | Normal. Full ROM against gravity and maximal resistance |
Resistive Range of Motion Testing | movement through ROM against an exxternal resistance |
Determining the diagnostic | Medical diagnosis uses ICD-9 code. |
What is SOAP | Subjective, Objective, Assessment, Plan |
What composes a Problems list | Comprehensive compilation of all abnormal findings from evaluation |
Short term goals | Consist of performance objectives, measurable objective, accomplished within 2 weeks. |
Long Term Goals | Comprehensive or Abstract goals: ex: Return to activity |