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Developing Physiotherapy Practice 3 > L2: Advanced MSK Assessment > Flashcards

L2: Advanced MSK Assessment Flashcards

1
Q

what makes up an subjective MSK assessment

A
  • PC
  • HPC
  • PMH
  • DH
  • SH
  • Goals and expectations
  • Red flags
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2
Q

what are some red flags to look out for during an assessment

A

Cancer - night sweats, unexplained weight loss (4-6 weeks), previous history of cancer

Septic arthritis - joint looks infected + patient feels very unwell

Cauda equina syndrome (CES) - bladder retention, bowel incontinence, saddle anaesthesia, gait disturbance

Rheumatology - prolonged morning stiffness (>1 hour), widespread pain, cardinal signs of inflammation

VBI / CAD - 5 Ds and 3 Ns

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3
Q

what are the 5 Ds

A

dysphagia
diplopia
dysarthria
drop attacks
dizziness

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4
Q

what are the 3 Ns

A

nystagmus
nausea
numbness

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5
Q

What makes up an objective assessment?

A
  • Observation
  • AROM
  • PROM
  • Strength testing
  • Palpation
  • Gait
  • Movement analysis
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6
Q

what is the art of clnical reasoning

A

correct subjective assessment leads to planned objective assessment leads to correct interventions and treatment technique

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7
Q

what are the things you need to do for a problem that a patient comes to you with?

A
  • onset
  • symptoms
  • presentation (how it looks)
  • tests
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8
Q

what is the onset for an ATFL tear

A

ankle inversion trauma

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9
Q

what are the sympoms for an ATFL tear

A
  • Pain over lateral ankle
  • Swelling
  • Restricted ROM
  • Worse with activity
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10
Q

what is the presentation of an ATFL tear

A
  • Antalgic gait
  • Swelling
  • Bruising
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11
Q

what is the test for an ATFL tear

A
  • AROM
  • PROM
  • Strength
  • Anterior drawer test
  • Palpation of ATFL
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12
Q

how do you complete an anterior drawer test for an ATFL tear

A
  • patient has knee bent so foot is flat on the bed
  • physio sits on foot to keep in place
  • physio pushes tibia back until there is a lock

(positive result will be lack of end feel or excessive anterior translation relative to the contralateral side)

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13
Q

what is onset of hip OA

A

gradual onset from age/ overuse

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14
Q

what are symptoms of hip OA

A
  • Pain around buttock, lateral hip and/or groin
  • Morning stiffness <30 min
  • Worse towards the end of the day
  • Worse with activity
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15
Q

what is the presentation pf hip OA

A
  • Antalgic gait
  • trendelemburg gait (hip hitching)
  • Reduced muscle bulk
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16
Q

how to test for hip OA

A
  • AROM
  • PROM
  • Strength
  • Palpation
  • FABERs
  • FADDIRs
17
Q

how to carry out FABERs test for hip OA

A
  • have patient lying down on plinth
  • move hip into flexion
  • then into abduction while still flexed
  • then into external rotation

(positive result would be if there is pain and reduced ROM)

18
Q

how to carry out FADDIRs test for hip OA

A
  • have patient lying down
  • move hip into flexion
  • then into adduction while flexed
  • then into internal rotation

( positive result would be pain/ reduced ROM)

19
Q

what is the onset of a rotator cuff tear

A

traumatic FOOSH or degenerative

20
Q

what are the symptoms of a rotator cuff tear

A
  • Pain around shoulder and down humerus
  • Pain with movement
  • Unable to lift arm
  • pain at night
21
Q

what is the presentation of a rotator cuff tear

A
  • reduced muscle bulk
  • pseudo-paralysis
  • arm being kept across body
  • reduced range
22
Q

what are the tests for rotator cuff tear

A
  • AROM
  • PROM
  • Strength
  • Palpation
  • ExternalRotation/InternalRotation lag sign
  • drop arm test
  • lift-off test
23
Q

how do you carry out external roatation lag sign test for rotator cuff test

A

gently move arm into external rotation and release

positive result is if arm moves back

24
Q

how do you carry out drop arm test for rotator cuff test

A

gently move arm into hitler salut position

positive result would be if arm drops

25
Q

how to carry out lift-off test for rotator cuff test

A

gentle position arm behing back with palm touch back (elbow bent). ask patient to move hand away from back

positive result is if patient cannot move hand off back

26
Q
A

Developing Physiotherapy Practice 3 (6 decks)

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