MSK Assessment Flashcards
What are ‘special’ questions to ask in an assessment?
(deleted itself) :-(
Weight bearing lunge test.
a functional measure of ROM (ankle dorsiflexion)
Foot parallel to wall. Bend knee to touch wall. Move foot as far back as possible with knee still touching wall. Measure distance.
How do you conduct a straight leg raise?
Passive hip flexion with the knee in extension
FADDIR & FABER tests are used to diagnose which intra-articular pathologies?
- Labral tears
- Femoroacetabular impingement (FAI)
- Osteoarthritis
What is the Keel StarTBack Tool?
The patient is asked to think about the last 2 weeks and tick “disagree” or “agree” for questions 1-8 and then give a scale for question 9.
- Back pain spread down the leg(s)
- Pain in the shoulder or neck at some time
- Only walked short distances due to back pain
- Dressed more slowly due to back pain
- “It is not safe for a person with a condition like mine to be physically active”
- “Worrying thoughts have been going through my mind a lot of the time”
- “I feel that my back pain is terrible and it’s never going to get any better”
- “In general, I have not enjoyed all the things I used to enjoy”
- How bothersome has your back pain been?
What is the femoral nerve slump test?
testing the top leg
How do you conduct the femoral nerve slump test?
- Lie on the opposite side to the one you want to test
- Patient holds the lower leg to their chest and flexes neck
- The uppermost knee if flexed and the hip extended.
How do you conduct a desensitising test during the femoral nerve slump test?
Cervical extension (should ease symptoms)
What are the aims when treating neurodynamic problems?
- Reduce the mechanosensitivity of the nervous system
- Restore its normal capabilities for movement
What is the role of a physio in pain management?
- Assessment
- Treatment and needed
- Red flag assessment
- Pain education / demystifying pain
- Goal setting
- Encourage self management
- Onwards referral to pain specialist
Describe a pain assessment.
- Subjective ratings scales: VAS, NRS, faces pain scales
- Objective measures: McGill pain questionnaire, Pain beliefs and attitudes inventory, EQ-5D
- Visual observations: pain behaviours, communication changes
- Physiological responses: HR, BP, sweating, colour
