MSK

Question 1

What questions are important to ask during interview for MSK

Answer 1

Medication history

• HRT - hormone replacement therapy
• Pain relief
• Ca2+ intake

Mobility
- Acitivity patterns, exercise programmes

Difficulty with ADL's
- Self care behaviours
Mobiity aids
Hx of falls
Safety concerns

Question 2

What important questions would u ask rt joints, muscles, bones

Answer 2

Joints
- Pain, stiffness, swelling, heat, redness, limitation of mvmnt

Muscles
- Pain, cramps, weakness

Bones
- Pain, deformity, trauma (fractures, sprains, dislocations).

Question 3

How would you explain the ax to the pt at the start and what is important to ask prior to starting ax?

Answer 3

What we’ll be doing now is a muscUloskeletal assessment which involves two parts - the first part will involve me palpating specific joints and assessing your range of movement. the second part i will be testing your upper and lower muscle resistance.

is this okay with you?
do you have any tender areas?

Question 4

When inspecting and palpating each joint what are you feeling for?

Answer 4

Swelling, tenderness, temp change, crepitus, masses.

Question 5

How many areas/joints will you be assessing? Name all in order

Answer 5

Neck
Shoulders
Elbows
Wrists
Fingers
Hips
Knees
Ankles
Spine

Question 6

Which upper and lower body muscles will you be testing resistance on? and what action on each

also should the client be standing or sitting during this

Answer 6

Shoulder shrug
Flexion/extension of elbows

Dorsiflextion + plantar flexion of each foot
Flexion of knee while u try to pull the knee forward (they’re trying to pull it back

sitting with bed slightly elevated!

Question 7

Neck, shoulders, elbows, wrists and fingers - what two actions will u get the pt to do on each one

Answer 7

Neck - Lateral bending of the head + rotation of 70deg R+L.

Shoulders - forward flexion and hyperextension(behind back) + adduction and abduction (abduction - away from abs).

Elbows - flexion and extension(flexion flexing your triceps) + pronation and supination

Wrists - palmer flexion and extension
ulnar/radial deviation

Fingers(only one movement)
abduction of fingers+tight fist.

Question 8

Hips, knees, ankles, and spine - what two actions will u get the pt to do on each one

Answer 8

LAYING DOWN ONLY FOR HIPS AND KNEES.

Hips - leg raise + flexion and extension(knee to hip line and back down)

Knees - (only one movement) flexion+extension(knee to chest)

SITTING DOWN
Ankles - plantar/dorsiflexion + inversion/eversion

STANDING
Spine - lateral bending(side drop), rotation of 30deg.

Question 9

Muscle resistance - what actions are you doing for all 4?

Answer 9

Shoulder shrug against resistance

Flexion extension of elbow - support by holding underneath arm near elbow

Knee flexion and extension

Foot - dorsiflexion+plantar flexion.

Question 10

Normal findings at end of ax?

Answer 10

(Name) had active movement in all areas and had equal resistance in their upper and lower body No swelling/masses/crepitus felt.