Assessment and Clinical Reasoning

Question 1

read over p 241-245

Answer 1

• deductive vs inductive reasoning, stages of clinical reasoning and skill development

Question 2

define: arthrokinematics vs arthrokinetics

Answer 2

p 245/246

Question 3

define: kinematics vs myokinematics vs myokinetics

Answer 3

p 246

Question 4

define: osteokinematics vs osteokinetics

Answer 4

p 246

Question 5

define degrees of motion, mechanical axis, and axis of movement - describe planes vs axis

Answer 5

p 247

Question 6

describe the bone movements: rock, roll, spin, swing (pure and impure), and translation

Answer 6

p 248/249

Question 7

describe the different degrees of freedom

Answer 7

p 249/250

Question 8

read over the different descriptions of movement

Answer 8

p 250-252

Question 9

what are the 3 types of joints?

Answer 9

p 253

Question 10

what is the classification of synovial joints?

Answer 10

p 253/253

Question 11

what are the different articular surface shapes?

Answer 11

p 254/255

Question 12

what movements occur in all joints?

Answer 12

p 255

Question 13

what is a concave vs convex ovoid surface in terms of the spin, roll, and slide movements?

Answer 13

p 255

Question 14

define: accessory movement

Answer 14

p 256

Question 15

define close packed vs loose packed vs resting position and the clinical significance

Answer 15

p 256/257

Question 16

what is the importance of inter-examiner reliability & kappa coefficient, sensitivity, and specificity?

Answer 16

p 257/258

Question 17

what are the 2 components of assessment for the MSK system

Answer 17

p 259

Question 18

describe the steps of the scanning examination

Answer 18

p 260

Question 19

what are specific spinal screening questions?

Answer 19

p 262

Question 20

what are mandatory serious pathology screening questions?

Answer 20

p 262/263

Question 21

ax - pain duration (general)

Answer 21

p 265

Question 22

ax - pain type (what do the diff types indicate? somatic, bone, radicular)

Answer 22

p 265

Question 23

ax - different pain behaviours and what they indicate

Answer 23

p 266

Question 24

describe selective tissue tension testing (the types of testing sand what is gained from each type)

Answer 24

p 267-270

Question 25

what are the grades for isometric testing (clarkson vs kendall)? at what point is the ms at its strongest, weakest, and can produce the most force?

Answer 25

p 270

Question 26

describe ligament stress testing and the grades

Answer 26

p 271

Question 27

what do positive compression and traction tests reveal?

Answer 27

p 271

Question 28

what is a capsular pattern of limitation and describe it for each joint

Answer 28

p 272

Question 29

describe the interpretation of diagnostic movements (inert vs contractile tissue lesion)

Answer 29

p 272

Question 30

describe the possible combinations and implications of combines inert and contractile lesions

Answer 30

p 273

Question 31

what is the interpretation for through rom, in lengthened but not shortened position, and on repetition but not initial testing, all movements cause pain

Answer 31

p 273/274

Question 32

what does a capsular pattern indicate?

Answer 32

p 274

Question 33

describe the different possible pathologies for non-capsular patterns

Answer 33

p 274/275

Question 34

define what a painful arc is

Answer 34

p 275

Question 35

describe a capsular end feel

Answer 35

p 276

Question 36

describe a bony end feel

Answer 36

p 276/277

Question 37

describe an elastic end feel

Answer 37

p 277

Question 38

describe a springy end feel

Answer 38

p 277/278

Question 39

describe a spasm end feel

Answer 39

p 278

Question 40

describe a boggy end feel

Answer 40

p 279

Question 41

describe an empty end feel

Answer 41

p 279

Question 42

describe soft-tissue approximation end feel

Answer 42

p 279

Question 43

look over specific observations

Answer 43

p 280

Question 44

describe isometric resisted tests (what info is provided and what to remember when testing)

Answer 44

p 281

Question 45

what do neurological tests test for and what is a myotome? what are the only true myotomes?

Answer 45

p 281/282

Question 46

what does key ms testing assess and what is the diff btw neurological weakness and ms weakness?

Answer 46

p 282

Question 47

describe the neurological testing procedure for myotomes and dermatomes

Answer 47

p 282-283

Question 48

reflexes - what does hyper- and hypo-reflexia suggest?

Answer 48

p 283

Question 49

explain the babinski, oppenheimer, and hoffmans tests

Answer 49

p 283

Question 50

explain the neurual mobility test significance

Answer 50

p 283/284

Question 51

define: movement, osteokinematic motion, arthrokinematic motio, PPIVM, PAIVM

Answer 51

p 285/286

Question 52

describe biomechanical tests - positional vs kinetic, passive physiological movement vs passive accessory movement and stress tests

Answer 52

p 286/287

Question 53

look into the chart on p 288 concerning order of assessment

Answer 53

p 288

Question 54

describe how to use the maitland spinal and peripheral diagrams

Answer 54

p 289/290

Question 55

describe how to use the spinal movement diagram

Answer 55

p 291-293

Question 56

describe the charting abbreviation symbols

Answer 56

p 293