Musculoskeletal Assessment Flashcards

1
Q

Flexion

A

Bend limb at a joint

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2
Q

Extension

A

Straighten limb at a joint

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3
Q

Abduction

A

Move limb away from the midline of the body (abduct = move away)

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4
Q

Adduction

A

Move limb towards the midline of the body (add = move together)

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5
Q

Pronation

A

Turn forearm palm down

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6
Q

Supination

A

Turn forearm palm up

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7
Q

Circumduction

A

Move arm in circle around shoulder

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8
Q

Inversion

A

Move sole inward at ankle

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9
Q

Eversion

A

Move sole outward at ankle

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10
Q

Rotation

A

Move head around a central axis

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11
Q

Protraction

A

Move body part forward and parallel to ground

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12
Q

Retraction

A

Move body part backward and parallel to ground

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13
Q

Elevation

A

Raise body part

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14
Q

Depression

A

Lower body part

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15
Q

Health History Points

A
  1. Joints
    a. pain
    b. stiffness
    c. swelling, heat, redness
    d. limitation in ROM
  2. Muscles
    a. pain (cramps)
    b. weakness
  3. Bones
    a. pain
    b. deformity
    c. trauma - fractures, strains, sprain, dislocation
  4. Functional Assessment - impact of ADLs
  5. Knee Joint (if injured)
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16
Q

Temporomandibular Joint

A

Inspection: SEATED
-

Palpation: SEATED
- palpate TMJ with opening and closing –> feel
for smoothness, crepitation
- palpate temporalis and masseter muscles
for size, firmness and strength with teeth
clenched

17
Q

Testing CN V

A

Trigeminal Nerve
- ask the patient to move jaw forward and
laterally against resistance

18
Q

Cervical Spine

A

Inspection: SEATED
- alignment of head and neck (straight and
erect)

Palpation: SEATED
- palpate spinous processes
- palpate neck muscles for firmness, size,
symmetry

19
Q

Shoulders

A

Inspection: SEATED
- inspect and compare both shoulders
posteriorly and anteriorly

Palpation: SEATED
- palpate both shoulders –> note muscular
spasm, atrophy, swelling, heat, tenderness

20
Q

Elbow

A

Inspection: SEATED
- inspect for size and contour in flexed and
extended positions

Palpation: SEATED
- palpate the elbow when flexed 70 degrees
and relaxed

21
Q

Wrist and Hand

A

Inspection (dorsal and palmar side)
- note contour and shape
- coloration (no redness)
- no swelling, deformity, nodules

Palpation
- joints –> feel smooth, no swelling,
tenderness

22
Q

Wrist and Hand Strength Testing

A

position the patient’s forearm supinated on a table, stabilize by holding the patient’s arm with your hand
1. ask patient to flex hand up against
resistance
2. ask patient to extend hand down against
resistance

23
Q

Hip

A

Inspection: STANDING
- inspect hip joint WITH spine when
STANDING
- note symmetry bilaterally = levels of the iliac
crests, gluteal folds, equal sized buttocks
- note gait = even, smooth

Palpation: SUPINE
- palpate hip joints in a SUPINE position
- shoud feel stable, symmetrical
- no tenderness or crepitation

24
Q

Knee

A

Inspection: SUPINE
- legs extended fully –> legs should extend on
same axis as thighs
- skin intact, even colouration

Palpation: SUPINE
- quads should be completely relaxed
- joints are smooth –> NO warmth,
tenderness, thickening

25
Q

Ankle and Foot

A

Inspection: STANDING and SEATED
- compare feet –> should align with long axis of lower leg, toes point forward
- weight bearing should be borne on middle
of the foot, from the heel, along the
midfoot

Palpation: SEATED
- palpate metatarsophalangeal joints

26
Q

Ankle and Foot Strength Testing

A

with the patient sitting, support their lower leg with your hand
- ask the patient to dorsiflex against
resistance
- ask the patient to plantarflex against
resistance

27
Q

Thoracic and Lumbar Spine

A

Inspection: STANDING
- inspect for spine curvature (abnormal) –>
note normal convex thoracic curve and
concave lumbar curve
- ask the patient to toe walk a few steps, then
heel walk –> assess stability and gait

Palpation: STANDING
- palpate spinous processes

28
Q

Rheumatoid Arthritis

A

Chronic, systemic inflammatory disease of the joints and surrounding connective tissue
- Inflammation of the synovial membrane leads
to thickening, then to fibrosis (which limits
motion), and finally to bony ankylosis]
- Disorder is symmetrical and bilateral,
characterized by heat, redness, swelling, and
painful motion of the affected joints

29
Q

Osteroarthritis

A

Noninflammatory, localized, progressive disorder involving deterioration of articular cartilages and subchondral bone and formation of new bone (osteophytes) at joint surfaces
- Asymmetrical joint involvement commonly
affects hands, knees, hips, and lumbar and
cervical spine

30
Q

Osteoporosis

A

Decrease in skeletal bone mass occurring when the rate of bone resorption is greater than that of bone formation
→ this weakened bone state increases risk for
stress fractures, especially at the wrist, hip,
and vertebrae

31
Q

Older Adult Considerations (5)

A
  1. Postural changes
    • decreased height
    • kyphosis
  2. osteoporosis - bone breakdown surpasses bone deposition (
  3. distribution of subcutaneous fat changes
    - body contour changes, boney prominences more evident
  4. loss of muscle mass occurs
    • some decrease in size, atrophy (weakness)
    • senile tremors normal
  5. ROM and functional assessment normal if no musculoskeletal issues are present