Objective Exam (Accessory ROM) - Musculoskeletal Flashcards
accessory movements
joint integrity and mobility
accessory movements are
occur b/w joint surfaces
involuntary
cannot…
have normal physiological motions w/o accessory motions
how are accessory movements assessed
passive movements of joint surfaces
checking slide and glide of joint
compare to other side
grading accessory movements
0-6
0 –> grading accessory movements
no movement
ankylosis
fused
1 –> grading accessory movements
considerable decrease in movement
2 –> grading accessory movements
slight decrease in movement
3 –> grading accessory movements
normal
4 –> grading accessory movements
slight increase in movement
5 –> grading accessory movements
considerable increase in movement
6 –> grading accessory movements
complete instability
degree of mobility
hypermobility
hypomobility
hypermobility
suggests a loss of continuity, a partial tear or a complete rupture
grades 4-6
how do we tx hypermobility
strengthening
hypomobility
may suggest
-fibrosis
-chronic stress or strain to surrounding tissue
-low grade inflammation
-adhesions to adjacent structures
hypomobility grades
0-2
tx hypomobility w/
stretching and joint mobs
other method of assessment
normal w/ or w/o pain
hypomobility w/ or w/o pain
hypermobility w/ or w/o pain
normal, painless mobility
no lesion at the structure
normal, painful mobility
minor strain of the structure
hypomobility and painless
contracture or adhesion of the involved structures
hypomobility and painful
muscle guarding
hypermobility and painless
a rupture of the structure where there is no intact fibers to conduct pain sensations
no nerve fibers attached
hypermobile and painful
partial tear w/ enough fibers intact to conduct pain sensations
