Evaluation - 2 Flashcards
objective: asymmetries, U/L Q screens, decision trees
objective asymmetries
posture
palpation
screens
posture
look from all sides
stand, sit, recumbent
palpation
hands on all sides
various positions
screens
U & L quarter
other
what is the purpose of U/LQ screens
focus on the correct region
minimize mistakes
ID contributing factors
R/O everything that you don’t suspect
as a referral source
clear spine
clearing the spine –> U/LQs
ROM of cervical or lumbar
flexion
extension
SBing
rotation
what should we check for with clearing the spine
AROM
over pressure –> end feel
PROM
what should we check in U/LQS
the nerves
nerves UQ
C3-T1 dermatomes, myotomes & DTRs
C3
derm: base of neck
myo: shoudler shrug
C4
derm: top of shoulder
myo: shoudler shrug
C5
derm: lateral shoulder
myo: shoulder ABD
DTR: delt & pec
C6
derm: thumb
myo: elbow flexion and wrist extension
DTR: biceps
C7
derm: middle finger
myo: elbow extension and wrist flexion
DTR: triceps
C8
derm: little finger
myo: thumb extension
T1
derm: medial forearm
myo: finger ABD
lower quarter nerves
L1-S2
L1
derm: groin
myo: hip flexion
L2
derm: anterior thigh
myo: hip flexion
L3
derm: medial knee
myo: knee extension
DTR: patellar tendon
L4
derm: medial calf
myo: DF
DTR: patellar tendon
L5
derm: lateral calf
myo: great toe extension
S1
derm: lateral foot
myo: PF
DTR: achilles
S2
derm: medial/posterior calf/thigh
myo: knee and toe flexion
DTR: achilles
after a U/LQS, what do we focus on
source of sxs
structures or tissues are the problem
decision trees have
5 components
summary
component 1 –> decision tree
initial observation
concerns
problems
stories
component 2 –> decision tree
dx tissue irritability/tolerance to physical stress
component 3 –> decision tree
rule in/out relevant conditions or impairments
component 4 –> decision tree
dx most relevant impairments and set strategies
component 5 –> decision tree
set tx priorities and implement w/ ongoing review
what helps us form our hypotheses
chief complaint
history
what helps us find the source of the sxs/narrow things down
asymmetries