Steps of orthopedic assessment
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each of the black spaces below before clicking
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| show | 1.gather info about client as it relates to the chief complaint 2.decide if the client has musculoskeletal condition that the therapist can work on, or refer out to another healthcare practitioner 3.to develop an index of suspicion
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| show | Cheif Comp, Onset( injury?), Location, Duration, Referral, Frequency, Intensity, Character, Aggravation, Relieving, & Associated symptoms(ADLs, neurological) Occupation, sports/hobbies, medications, previous diagnosis & treatment, past&family history
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| show | A list of possible conditions that the information from the interview has led the therapist to suspect.
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| show | 1.purpose, benefits, effects 2.process 3. time 4. dress 5.refusal 6. questions 7. confidentiality 8. explicit consent
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| show | Musculoskeletal imbalances or deviations from normal.
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| What are the reference points for a plumb line? Anterior, Lateral, and posterior. | show 🗑
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| When demonstrating a postural assessment you will start by asking your cleint to? | show 🗑
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| Posture assessment landmarks for Anterior | show 🗑
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| show | Lateral: just anterior to lateral malleolus, just anterior to the head of fibula, greater trochanter, acromion process, external auditory meatus.
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| show | Posterior:midway b/w medial malleoli, midway b/w knees, gluteal cleft, spinous processes, midway through head (external occipital protuberance)
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| show | Musculoskeletal imbalances or deviation from normal during motion; abnormal gait patterns (i.e. antalgic ataxic)
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| When demonstrating a gait assessment | show 🗑
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| List the 4 "Ts" of palpation and give an example. | show 🗑
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| show | Palpate unaffected side first to compare. Use a broad flat hand to start, gradually moving closer to the painful area and becoming more specific.
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| show | Contractile and non-contractile.
Ease or quality of movement.
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| In passive relaxed ROM what tissue is being tested? Where does a passive relaxed movement stop? What movement is performed at the end of a passive relaxed ROM? | show 🗑
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| In active resisted ROM what tissue is being tested? What type of contraction is used? How long do you hold it? What do you say to the client? What results are you looking for? | show 🗑
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| show | 1.hand placement 2. instructions to client 3.knowledge of ranges 4.confidence 5.positioning of client 6.mention scanning the joints above and below 7.mention testing unaffected side first.
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| show | Sensory
Equal quality of sensation on both sides.
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| Dermatome testing for cervical: | show 🗑
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| Dermatome testing for lumbar: | show 🗑
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| What part of the reflex arc is myotome testing? What is a normal result? | show 🗑
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| show | C1-C2:neck flexion C3:neck lateral flexion C4:shoulder elevation C5:shoulder abduction C6:elbow flexion/wrist extension(waiter) C7:elbow extension/wrist flexion C8:thumb extension/ulnar deviation T1:hand intrinsics
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| show | L1-L2:hip flexion L3:knee extension L4:ankle extension L5:toe extension S1:ankle plantar flexion, ankle eversion, hip extension, knee flexion S2:knee flexion
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| show | Both motor and sensory
Equal response on each side
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| show | Elbow flexion
C5/C6
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| What is the normal reflex response for triceps tendon? What is the nerve root for triceps tendon reflex? | show 🗑
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| show | Knee extension
L3/L4
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| show | Ankle plantar flexion
S1/S2
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| show | 1.summary of signs and symptoms noted in the assessment 2. location 3. stage of healing (if applicable) 4. possible condition 5. possible cause
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