Lec 2 Flashcards
Paris divides his evaluation into the following 15 points:
- Interview with receptionist
- Pain assessment
- Initial observation
- History and interview with physio
- Structural observation
- Active movements
- Upper/lower extremity evaluation
- Neurological assessment
- Palpation for condition
- Palpation for position
- Palpation for mobility
- X-rays and other medical findings
- Summary of objective findings
- Plan of treatment for objective findings
- Prognosis.
What Is needed for a good assessment?
1- specific knowledge.
2- specific skills.
3- experience.
Physiotherapists have to come to their opinion by evaluating
1- purely subjective data offered
by the patient .
2- second, objective data elicited
by a clinical examination.
Results of the subjective examination
• the patient’s problem and how he views it
• the patient’s expectations of you and himself
• the history, nature and behavior of the problem
• its degree of irritability
• possible contraindications to treatment
• a working hypothesis of which structures might be involved
• a sound theoretical reason for planning certain investigations
a list of factors that might indicate a slower progression to treatment avenues Kendall et al (1997) described them as:
Attitudes and beliefs
Behaviors.
Compensation.
Diagnosis and treatment issues.
Emotions
Family
Work
Recognition of change
An extensive objective examination will include aspects of:
- Observation
- Active movements
- Passive movements
- Resisted or repeated movements
- Palpation of the area
- Neural tension testing
- Neurological testing (if indicated)
- Muscle patterning.
- Measurements
- Special tests
True or false
The disadvantages are all the patients
going to the same kind of questioning/approach
True
True or false
The function of the assessment is to make sense of the examination findings.
True
True or false
Clearly, only the most potent tests are going to not be employed and only those that are going to shed most light on the problem.
False
Clearly, only the most potent tests are going to be employed and only those that are going to shed most light on the problem.
