Lecture 2 Flashcards
Basic Steps of Assessment
History Observations Rule Outs -looking at the joints above and below Functional Tests -to determine what type of tissue is injured Special Tests Palpations
General Assessment Guidelines
Bilateral observation & functional assessment
Try to gain an understanding of MOI
- Compare ranges of motion, end feels and muscular strength
- Try to arrange your testing so the most painful test is done last
Functional and special testing is influenced by the history, observations and rule outs that you perform
Assessment: Introduction
Be professional
- Start observations of patient from the moment that they walk in
- Patient should be at eye level
- Develop a rapport with the patient
Wow factor! -First impressions
What is included in Personal History questions?
Name
Age
Address
Phone(home, work, cell)
Family physician
Referral contact
Occupation
General Assessment Guidelines - why do you start with unaffected side first?
Begin with the unaffected side first -If you start with injured site you are increasing their pain etc. right off the bat, start off with unaffected side to ease the patient into what you are doing and save the pain to the end
General Assessment Guidelines -why do the painful tests last?
Why? -You want to rule out via other tests first and save the painful ones that you suspect for last
General Assessment Guidelines -Why 3 IOS?
-Athlete may have given you partial info and you may be treating based upon that -May be awaiting imaging to confirm/rule out IOS
Why should you Always support the injured limb securely
-Gain confidence -Patient comfort -Prevent secondary complications
When taking a medical history and asking the question How can I help you? How must it be phrased and what key elements are you looking for?
Must be an open ended question.
Listen to their major concerns
May be several pathologies present
May relate to ADL’s
Listen to degree of concern
Injury History: MOI questions
Amount of force
Description of force
Other:
Date of injury
Sport
Level of Sport
Training schedule
Position
Warm-up
Injury History: Pain - Timing of pain questions
Was it immediate
More painful later
Beginning, middle or end of workout
Injury History: Pain - Description of pain questions
Sharp/dull
Referred
Spasmotic
Aching
Throbbing
Burning
Injury History: Pain - Location of pain questions
Superficial
Deep
Local
Diffuse
Vague
Injury History: Pain - Degree of pain questions
Grade 1-10
Injury History: Pain - when is it painful?
All the time
Serious or inflamed
With movement
Musculoskeletal
At rest
Visceral, inflamed
Night
Infection,
systemic disorder,
cancer,
bursal
On waking
Poor support at night
