Neuromusculoskeletal Assessment Flashcards
1
Q
what is involved/ some stages behind hypothetico-deductive reasoning?
A
- Physio gains initial clues about the pt problem through the subjective assessment which forms an initial hypothesis
- Further data is collected during the objective assessment = confirms or negates the hypothesis
- Continued hypothesis generation can occur during the management and reassessment
- Reflection after the initial assessment/ subsequent sessions = helps the therapist to recognise patterns (reflection being essential tool to develop clinical reasoning)
2
Q
What are the 7 steps to hypothetico-deductive reasoning?
A
- Identify a broad problem area
- Define the problem statement
- Develop hypothesis
- Determine measures
- Data collection
- Data analysis
- Interpretation of data
3
Q
By the end an MSK assessment, what do you want to know?
A
- A problem list - pain, difficult with activities etc
- clinical diagnosis/ possible differential diagnoses
- Contributing factors to the problem (Internal + External factors)
- The patient’s goals
4
Q
What are internal and external factors (problem list)
A
- Internal factors = motor control/ mobility (including flexibility)/ stability (including strength)
- External factors = training regimen, footwear, equipment, surface, etc
5
Q
List the key areas of special questions in an MSK assessment (4 areas of questioning)
A
- General health = ‘Have you been feeling unwell recently?’ ‘Any general health concerns?’
- Weight loss = ‘Have you noticed any recent weight loss?’ ‘Can this be explained?’
- Cancer = ‘Do you or your family have a history of cancer?’
- THREADS Thyroid, heart, rheumatoid arthritis, epilepsy, asthma, diabetes, steroids/surgery
6
Q
What does the acronym THREADS stand for?
A
Thyroid
Heart
Rheumatoid arthritis
Epilepsy
Asthma
Diabetes
Steroids/surgery
7
Q
What are the areas that require further red flag/ special questions?
A
- Cx spine/ shoulder Assessment (Ax) = 5Ds + 3Ns
- Lumbar spine/ Hip Ax
- Peripheral Ax - Hip/ Knee
- General red flags
