lecture 3 - Patient assessment (physical examination)

Question 1

Components of assessment

Answer 1

• observation (static and functional)
• active movements +/- stress tests
• passive movements
• palpation
• functional tests

Question 2

Physical exam if IRRITABLE

Answer 2

• essential information exams
• avoid exacerbating
• minimal vigour

Question 3

Physical exam is NON IRRITABLE

Answer 3

• extensive examination
• high grade mobilisation
• need stress

Question 4

Observation

Answer 4

1. statics

2. dynamic

Question 5

limits of movement

Answer 5

P1 - onset of increase pain
P2 - limit of pain tolerance
R1 - onset of resistance
R2 - maximum resistance

Question 6

overpressures (OP)

Answer 6

gentle manual pressure at EOR

Question 7

Combined movements

Answer 7

Stressful: combine 2 most symptomatic active movements to be more provocative

Relieving: combine 2 relieving movements to reduce symptoms

Question 8

repeated movements

Answer 8

• more provocative

- can test pain relieving response

Question 9

functional tests

Answer 9

• task being tested with a specific purpose

- often related to specific component of treatment

Question 10

Steps of Patient Assessment

Answer 10

1. plan exam
2. observation
3. move
4. Feel (Neuro exam + special tests)