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Basic Principles > OSPE POSTURE EVALUATION > Flashcards

OSPE POSTURE EVALUATION Flashcards

1
Q

Anterior vnew observation

A

General physique
→ Muscular
→ overweight
→ Skinny

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2
Q

Posture (Anterior)

A

Any obvious deformations you can see or visible difference between the 2 sides of the body or abnormal posture

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3
Q

Height of ears and eyes(Anterior)

A

→ Same height
→ one side higher, maybe due to tiltof the neck to one side (side flexion of the neck)

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4
Q

Trapezius Muscle (Anterior)

A

→ Both at the same height
→ One muscle is more bulky or prominent,maybe due to muscle spasm or type of Sport or active by that the patient does
→ the patient is right handed so the right trapezius may also be bigger

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5
Q

Clavicles (Anterior)

A

Palpate
→ both the same height
→ Any palpable deformatles
→ Any differences between the 2 sides
→ one more prominent than the other maybe due to previous injury, activities or type of sport

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6
Q

Shoulders (Anterior)

A

→ same height
→ One higher,If one trapezius muscle is higher,It will pull the shoulder higher as well.May be due to carrying a bag over one shoulder for long times, handedness or Sport

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7
Q

Position and shape of upper arm, elbow and forearms ( Anterior)

A

→ look for any muscle atrophy/ wasting Of of MUSCLE or obvious differences in muscle bulk between the two arms

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8
Q

Angle of Talje (Anterior)

A

Angle between the forearm and the body, distal to the elbow
→ is the angle the same on both Sides

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9
Q

shape of chest and anterior rib cage (Anterior)

A

is there any visible flaring of the ribs (ribs standing out) or flail ribs (Indented ribs)

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10
Q

Anterior superior illac spine (ASIS)(Anterior)

A

Palpate
is the height the same on both sides Or is there a tilt/ rotation to one side

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11
Q

Position and shape of upper legs ( Anterior)

A

look for muscle atrophy/ muscle wasting and differences between muscle bulk of the two upper legs

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12
Q

Rotation position of Femurs ( Anterior)

A

is there any internal or external rotation of the femur/s

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13
Q

Height of the patella (Anterior)

A

Palpate
→ is the patella on the same height,may differ due to pelvic tilt Or muscle spasm in the upper leg

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14
Q

Height of medial malleoli (Anterior)

A

Palpate
→ if the mallieoli on the same height or not,may differ one to a leg length discrepancy or pelvic tilt

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15
Q

Shape and position of feet and toes

A

is It in pronation (flattened foot bridge) or supination (heightened foot bridge) or in inversion (turnned in) or eversion (turned out)

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16
Q

Lateral view observation

A

Plumb line
hang with a point just anterior to the late rall mallieoli
The relationship of the body as a whole to the plumb lime should be ob served from both left and right slaves in order to detect faults

17
Q

Head Position (lateral)

A

→ is It foward or tilted upwards or downwords
→ poking chin (chin p used out foward)

18
Q

Shoulders (lateral)

A

→ is the position normal
→ in protraction or retraction
→ Elevated or depressed

19
Q

Anteroposterior curves of the spine (lateral)

A

is it the normal S curve or is the curve exaggerated or flattened

20
Q

Position of the pelvis (lateral)

A

is the pelvis tilted anterior or posterior or in a normal position

21
Q

Alignment of the knees ( lateral)

A

is It good,hyperextended or hyperflexed

22
Q

Lateral Ulew good alignment

A

Plumb line
just anterior to lateral mallieoli,anterior to the midline of the knee.
Posterior to the knee,posterior to the hip throught the greater trochanter ,anterior to the sacroiliac joint through the ear

23
Q

Ankle (lateral)

A

in a neutral position between dorsiflexion and plantarflexion

24
Q

Knee (lateral)

A

in hell extension (no flexion/ hyperextension)

25
Q

Hip (lateral)

A

Neutral (no pelvic tilt)
imaginary lines connecting the symphysis pubis and ASIS- must be vertical and those connecting the AsIs and PSIS - must be horizontal for the pelvis to be in neutral position

26
Q

Shape of Trapezius muscle (Posterior)

A

is the height the same on both sides
is the one muscle more bulky,may be due to muscle spasm or sports or other types of activities as well as handedness

27
Q

shape and position of the scapulae (posterior)

A

Do they flare (Stand out)
is the height the same on both side or
is it flat against the back
Flaring may be due to muscle weakness,difference in height may be due to difference in the height of the trapezius muscle

28
Q

Angle of Talje (Posterior)

A

the angle bet&1ween the forearm and the body,distal to the elbow.
is the angle the stcame on both sides

29
Q

Lateral division of the spine (posterior)

A

mark the spinous processes of the vertebra with a marking pencil or
Palpate
This is to look for a possible scoliosis. you cas ask patient to flex his spine fowand a bit,for spinous process to be easier to palpate

30
Q

Posterior illac Spine (PSIS) (posterior)

A

Palpate
is there a difference in height on the two sides
OR is there a lateral pelvic tilt that may be due to shortened muscles on one side of the lower back or lengthened muscles on one side of the back muscles,or on the other hand shortred or lengthened hamstring muscle on one side that can pull the pelvis either upwards or downwards

31
Q

Posterior rim of the ileum (posterior)

A

Palpate the entire rim
> Is the height the same on both sides or is there a lateral pelvis tilt with the rim higher on one side than the other

32
Q

Lateral pelvis tilt ( Posterior)

A

Palpate
is the pelvis tilted upwards on one side and downwards on the other side

33
Q

Gluteal folds

A

Ask patient to place their hands below their gluteal folds (bum) and determine If both gluteal folds are on the same height.there may be a difference if there is a lateral pelvic tilt

34
Q

Popliteal folds

A

Palpate
is there a difference in the height of the 2 popliteal folds.It may be due to musclespasm in the upper legs or a lateral pelvic tilt or a leg length discrepancy

35
Q

Shape of upper legs and calves (posterior)

A

look for muscle atrophy or muscle wasting and a difference in muscle bulk between the two legs

36
Q

Lines of Achilles tendons ( posterior)

A

is the lime straight or more Inwards or outwards. It may be if there Is rotation of the thighs or If the feet is in inversion or eversion

37
Q

Position of feet (posterior)

A

is the feet in inversion Or eversion (turnned out/in) or facing foward

38
Q

Weight distribution between feet (posterior)

A

18 the weight taken equally on both feet or more on one side
This can be determined the best If you ask the patient to step in powder and then step onto a carpet to make a visible footprint

Basic Principles (5 decks)

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