Examination Flashcards
Oldcarts
onset location duration characteristics Aggrevating conditions relieving conditions Temporal Component Severity
to describe pain, you can use
VAS or NPRS
If no activity makes pain symptoms better or worse, what is a possibility?
possible that pt doesn’t have mechanical problem and should see physician for medical workup to determine source of symptoms
A proportional motion restriction unique to each jt that indicates irritation of entire synovial membrane or jt capsule
a capsular pattern
non capsular patterns fall into what 3 categories
ligamentous adhesions
internal derangements
extraarticular lesions
pain before tissue resistance indicates:
what is this also known as?
acute (irritable)
empty end feel
pain with resistance:
subacute
pain with overpressure
chronic (stiff)
what are the end feels?
soft (elbow flexion)
Firm (hip ext.)
Hard/ bony (elbow ext)
what are the abnormal end feels?
empty (pain before resistance)
springy
examination of mvmd occurring between jt surface
accessory motion examination
a mvmd perpendicular to and away from flattened jt surface
distraction
what are the 3 descriptions in the 3 grade system of accessory motion?
hypermobile
normal
hypomobile
7 descriptions of 7 grade system for accessory motion?
0: fused
1: Considerably hypomobile
2: Slightly hypomobile
3: normal
4: slightly hypermobile
5: Considerably hypermobile
6: unstable
pain that increases with compression and decreases with distraction is believe to indicate
problem with jt surface
pain that decreases with compression and increases with distraction is believe to indicate
problem with jt capsule
know if excursion hypo mobile or hyper mobile with pain or no pain. what does that mean?
contracture vs. laxity
acute vs. chronic
strong and painful isometric means
mild lesion of contractile tissue
weak and painfree isometric means
complete lesion of nerve
atrophy
or rupture of contractile tissue tested
weak painful isometric means
significant lesion of contractile tissue
Fx or tumor
Grade 1,2,3 sprain
1: pain, no increase in laxity
2: pain, a little laxity
3: no pain, increased laxity
What are the PT tests and measures?
inspection palpation ROM accessory motion Strength exam Neuro exam Special test
What 3 things do you observe/ inspect during examination
Gait
Posture
Alignment
Where are normal findings of painful arc?
60-120 degrees