Musculoskeletal Flashcards
Joints that are movable are called:
Joints that aren’t movable:
Synovial
Non-synovial
What abnormal subjective data do you collect regarding joints?
(3 things)
- Pain (OLDCARTS)
- Stiffness
- Swelling, heat, and redness
What abnormal subjective data do you collect about the muscles?
(two things)
- Pain (cramps)
- Weakness
If the patient claims to have calf pain,
what follow up question should you ask?
Is the pain with walking?
Does it go away with rest?
If the patient claims to have muscle aches,
what follow up questions should you ask?
Are the aches associated with:
- fever,
- chills,
- flu?
What abnormal subjective data do you collect on the bones?
(3 things)
- Pain
- Deformity
- Trauma (fractures, sprains…)
If the patient claims to have deformities,
what followup should you ask?
- Due to trauma?
- Does it affect ROM?
If the patient claims to have experienced trauma to bones,
what follow up questions should you ask?
- What joint was affected?
- When?
- Treatment?
- Limitations caused by injury?
A functional assessment of a patient determines what?
Do joint problems create limitations on ADLs.
Which ones?
Is assistance required?
What ADLs may be affected by joint problems?
- Bathing
- Toileting
- Dressing
- Grooming
- Eating
- Mobility
- Communicating
What are self-care behaviors that are assesed during a functional assessment?
Ask about occupational hazards
- Heavy lifting
- Repetitive motion
- Efforts to alleviate
What objective data is collected during a physical exam for musculoskeletal?
Inspect
- size/shape of joint
Palpate
- skin temp
- muscles
ROM
Muscle Testing
What are these muscle movements:
- Flexion
- Extension
What are these muscle movements:
- Abduction
- Adduction
What are these muscle movements:
- Pronation
- Supination
What are these muscle movements:
- Eversion
- Inversion
What are these muscle movements:
- Protract
- Retract
Muscle Testing
What are the grades?
0-5
- 0=No contraction
- 1= contraction (can’t achieve full ROM w/ support)
- 2= Full ROM without gravity (supported)
- 3=Full ROM with gravity
- 4= Full ROM against some resistance
- 5= Ful ROM against full resistance
What muscle testing grades are passive?
Which are Active?
Passive= grades 0, 1, 2
Active= 3, 4, 5
What are these limitations to ROM?
- Articular
- Extra-articular
Articular= Inside joint; limits active and passive ROM
Non-articular= Tendon, ligament, or nerve; limits active ROM
Audible and palpable cruning or grating of joint is:
Crepitation
What are the differences in:
- Rheumatoid arthritis
- Osteoarthritis
Rheumatoid= Inflammatory condition
Osteoarthritis= Degenerative joint disease
These symptoms indicate:
Osteoarthritis
These symptoms indicate:
Rhematoid Arthritis
