MSK objective assessment

Question 1

What is the order to perform an objective assessment?

Answer 1

1. observation
2. palpation
3. AROM and overpressure (Pain, Quailty, Range)
4. PROM (end feel, range and Pain)
5. Resisted muscle tests (Pain and power)
6. Special tests
7. Neurological assessment if indicated

Question 2

When would neurological testing be required?

Answer 2

• Radiating Pain (pain below the knee or below the elbow.)
• Weakness
• Loss of sensation
• Pins and needles

Question 3

What 4 Reflex tests are there ?

Answer 3

Archie = Ankle (S1/S2)
Kidnaps = Knee (L3/L4)
Baby = Biceps (C5/C6)
Toothless = Triceps (C7/C8)

Question 4

What are the Upper limb tension tests?

Answer 4

1. ULTT 1 = median nerve
2. ULTT 2a = median nerve
3. ULTT 2b = radial nerve
4. ULTT 3 = Ulnar nerve Bias

Question 5

What are the Lower limb tension tests?

Answer 5

1. Slump test = sciatic nerve
2. Straight leg raise
3. Prone knee bend = femoral nerve bias

Question 6

What is Grade 3 on the Oxford scale?

Answer 6

Grade 3 = AROM against gravity through full range

Question 7

What is Grade 2 on the Oxford scale ?

Answer 7

Grade 2 = AROM with gravity eliminated through full range.

Question 8

What is Grade 4 on the Oxford scale?

Answer 8

Grade 4 = AROM against gravity through full range with resistance.

Question 9

What are the Myotomes?

Answer 9

C2= Neck flexion and extension
C3= Lateral neck flexion
C4= Shoulder elevation
C5= Shoulder abduction
C6= Elbow flexion and wrist extension
C7= Elbow extension and wrist flexion.
C8= thumb extension

T1= finger abduction
L2= Hip flexion
L3= Knee extension
L4 = does I flexion
L5 - toe extension
S1= plantar flexion
S2= Hip extension

Question 10

What other Reflex tests are there?

Answer 10

Hoffmans (middle finger flicker)
Babinski and clonus

Question 11

what are the three different areas of balance?

Answer 11

1. Sensory 2.Motor 3. cognitive

Question 12

What are the assessments for sensory balance?

Answer 12

the clinical test of sensory interaction of balance

1. eyes open
2. eyes shut
3. eyes open on foam surface
4. eyes shut on foam surface

Question 13

What are the components of sensory?

Answer 13

vision, vestibular and sensation and proprioception

Question 14

What are the components of motor?

Answer 14

strength, co-ordination, ROM, balance and gait

Question 15

What are the components of cognitive?

Answer 15

fear of falling, TUAG + cognitive and lack of awareness