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PTRS 745 Exam 1 > Objective Examination, Assessment, and Treatment Plan > Flashcards

Objective Examination, Assessment, and Treatment Plan Flashcards

1
Q

Content: Planning the objective examination (5)

A
  1. Reflect if you’ve got everything
  2. Decide on peripheral/spinal exam
  3. SINSS - P/C
  4. Extent of exam
  5. Movements/tests that will confirm hypothesis
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2
Q

Content: 5 parts of the objective examination

A
  1. Determine structure(s) involved
  2. Confirm/refute hypothesis
  3. Est. baseline
  4. Identify impairments
  5. Determine effect on function
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3
Q

Content: Key points to remember while performing an objective examination (7)

A
  1. Tell pt. what you’re doing
  2. Test normal side 1st
  3. Do active, then passive, then resisted isometric movements
  4. Do painful movements last
  5. Apply overpressure to test end feel
  6. Repeat/sustain positions if history indicates
  7. Take baseline signs
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4
Q

Q: With passive movements and ligamentous testing, both the _________ and ________ (end feel) of opening are important.

A

Degree, quality

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5
Q

Q: With ligamentous testing, ________ with increasing stress.

A

Repeat

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6
Q

Q: With myotome testing, make sure that contractions are held for _____ ________.

A

5, seconds

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7
Q

T/F: You should warn the pt. of potential exacerbations or painful parts of the OE.

A

True

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8
Q

Content: 8 components of the OE

A
  1. Observation/posture
  2. Scanning/screening to rule out/in spine
  3. ROM - active and passive
  4. Joint play
  5. MMT
  6. Palpation
  7. Special tests
  8. Functional tests
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9
Q

Contents: 3 things to observe during an OE

A
  1. Posture
  2. Movement limitation
  3. Care giver support
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10
Q

Content: Scanning/Screening - “Quick look” (4)

A
  1. Rule out possibility of referral symptoms (esp. from spine)
  2. Confirm where pathology located
  3. Ensure correct diagnosis
  4. No more than 5-10 minutes
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11
Q

Content: Using the scanning examination (7)

A
  1. No history or trauma
  2. Radicular signs present
  3. Trauma with radicular signs
  4. Altered sensation in limb
  5. Spinal cord (“long track”) signs
  6. Pt. presents with abnormal patterns
  7. Suspected psychogenic pain
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12
Q

Diagram: Decision tree for OE

A
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13
Q

Content: Scanning exam for the peripheral joint assessment: Perform in the spine (2)

A
  1. Active and passive movements
  2. Resisted isometric movements
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14
Q

Content: 5 things that can be assessed from AROM during the OE

A
  1. Symptoms reproduction
  2. Quantity of ROM
  3. Integrity of contractile and inert tissue
  4. Presence of muscle substituion
  5. CPR
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15
Q

Q: Full and pain free ______ suggests normalcy.

A

AROM

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16
Q

Content: 3 things that can be assessed from PROM during the OE

A
  1. AROM was limited
  2. Apply gentle overpressure
  3. End feel
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17
Q

Content: End feel (according to Cyriax) (4)

A
  1. Capsular
  2. Bony
  3. Elastic
  4. Soft tissue approximation
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18
Q

Content: 4 types of abnormal end feel

A
  1. Springy
  2. Boggy
  3. Spasm
  4. Empty
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19
Q

Defn: Springy end feel

A

Rebound sensation

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20
Q

Defn: Boggy end feel

A

Squishy sensation

21
Q

Defn: Spasm end feel

A

Abrupt end

22
Q

Defn: Empty end feel

A

Limitation without tissue resistance but with pain

23
Q

Content: 3 ways to assess flexibility

A
  1. Using end feel
  2. Postural analysis
  3. Special tests (SLR, Ober, etc)
24
Q

Q: What is goniometry used for?

A

Assessment and reassessment

25
Q

Q: What 3 things can be measured with goniometry?

A
  1. AROM
  2. PROM
  3. Flexibility
26
Q

Q: What does PAM stand for?

A

Passive articular mobility

27
Q

Content: PAM (3)

A
  1. Also called joint glides
  2. Assess the accessory movements
  3. Determine: hypo/norm/hypermobile
28
Q

Content: Two types of unrestricted PAM

A
  1. Normal
  2. Excessive
29
Q

Defn: Normal PAM

A

Integrity of joint and surrounding tissues

30
Q

Defn: Excessive PAM

A

Instability or joint laxity

31
Q

Defn: Restricted PAM

A

Joint surface and/or surrounding tissues are implicated

32
Q

Content: 3 types of Distraction

A
  1. Limited
  2. Painful
  3. Eases pain
33
Q

Q: What limits distraction?

A

Contracture of connective tissues

34
Q

Q: What makes distraction painful?

A

Tearing of connective tissue

35
Q

Q: What about distraction eases pain?

A

Articular surfaces are implicated

36
Q

Content: 2 types of compression

A
  1. Eases pain
  2. Painful
37
Q

Defn: Compression that eases pain

A

Joint capsule implication

38
Q

Defn: Compression that is painful

A

Joint surface implication

39
Q

Q: How many grades are involved in the Maitland approach?

A

I to V

40
Q

Q: What does the following MMT finding imply? Strong and painless

A

Normal finding

41
Q

Q: What does the following MMT finding imply? Weak or painful contraction (3)

A
  1. Rupture
  2. Palsy
  3. Neuropathy
42
Q

Q: What does the following MMT finding imply? Strong and painful

A

Minor muscle lesion

43
Q

Q: What does the following MMT finding imply? Weakness (other source)

A

Preform a reassessment

44
Q

Q: What is the purpose of a special testing during the OE?

A

To confirm your hypothesis

45
Q

Q: What are some examples of functional tests?

A

Hop test, doulbe legged squat test, maximum jump height, etc

46
Q

Q: What are some examples of balance tests?

A

Single leg stance, start test, TUG

47
Q

Content: 6 intervention categories to consider for your treatment plan

A
  1. Education
  2. Modalities
  3. TherEx
  4. Manual therapy
  5. Assistive device
  6. Home Exercise Program
48
Q

Diagram: Progress and reasses - Clinical problem solving

A
49
Q

Q: Clinical problem sovling involves ______________ _______________.

A

Continued, assessment

PTRS 745 Exam 1 (9 decks)

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