Module 12:Pt. 1 Musculoskeletal assessment Flashcards
Developmental considerations for infants and children
- By 3 months they have cartilage skeleton
- at birth they have a C shaped spine
- bones stop growing around 20
Who may develop dysplasia of the hip?
Infants. Congenital abnormalities of the hip are common, dislocated or subluxion
Developmental considerations for pregnant women
- Increased joint mobility
- Lordosis, shift weight
Who is more likely to have arthritis and hip fractures
Women
What are the 5 recommendations for bone health
1) Diet- Dairy, fish, greens, soy, limit caffeine, have onions
2) Exercise
3) Lifestyle (Not smoking)
4) Medical options
5) Supplements (calcium, Vit D)
How to assess for self care in older adults
1) Self esteem disturbance
2) Loss of independence
3) Body image disturbance
4) Role performance disturbance
5) Social isolation
What is subluxation
Partial dislocation of the hip
What is contracture
Shortening of the muscles that causes less ROM
What is ankylosis
Stiffness in a joint
What is the phalen test
For carpal tunnel, shouldn’t hurt
like praying hands be downward
What is the tingles sign
percusion of the median nerve, it hurts in carpal tunnel
What does the bulge sign confirm
Small amounts of fluid in knee, flows from side to side 1
What does ballotteement of the patella confirm
Large amounts of fluid, push and compress the pouch above the patellar
What does the straight leg raising test confirm (Lasegue test)
Confirms the presence of a herniated nucleus pulposus
What is true leg length
Superior illac spine to medial side of bottom
What is apparent leg length
Umbillicus to medial malleolus
Common deformities in infants
Forefoot adduction: metatarsal adduct
Tibial torsion: Twisting of tibia
Ortolani manoeuver: move hips out shouldn’t have sound
Allis test: feet on flat table knees should be same elevation
Common deformities for preschool aged
- lordosis
- genu varum: knees apart
- Genu valgum: knees together
- flat feet and pigeon toes is common
- do trendelenburg sign
What does the trendelenburg sign do
-Stand on 1 leg than other lifting up other leg,
the iliac crest should stay level
-pelvis drops to other side means bad (side that ur standing on)