Palpation and Motion Flashcards

1
Q

Examination Sequence

A
  1. Observation
  2. Temperature
  3. Skin topography and texture
  4. Fascia
  5. Muscle
  6. Tendon
  7. Ligament
  8. Erythema friction rub
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2
Q

Prior to observation, what do we look for?

A
  1. Trauma
  2. Infection
  3. Anomalies
  4. Gross asymmetries
  5. Anatomic variations
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3
Q

Valgus

A

Elbow stuck to body

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4
Q

Varus

A

Elbow to the side of body (strong!!!!)

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5
Q

Acute temp?

A

Warm

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6
Q

What do we use in skin topography?

A

Palmar surface of tips of fingers and drag

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7
Q

Do we explain what we are doing?

A

YES

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8
Q

Acute skin?

A

Moist and red

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9
Q

Fascia mainly what?

A

Connective tissue with collagen

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10
Q

What does fascia do?

A

Attaches, stabilizes, endoses, and separates muscles and other internal organs

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11
Q

Layers of fascia

A

Superficial
Deep
Visceral/parietal
Function and anatomic location

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12
Q

What should fascia do to the nails?

A

Redden them

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13
Q

Acute fascia?

A

ROM normal but sluggish, boggy edema (congestion)

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14
Q

Muscle should do what to the nails?

A

Blanch them

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15
Q

Acute muscle

A

Local increase in tone, contraction, spasm, ropiness

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16
Q

Does acute have minimal somatosomatic relfect effects?

A

YES

17
Q

Tendon. What do we assess?

A

Connective tissue connecting muscle to bone. Asses thickness, elasticity

18
Q

Ligament? Palpable? How do we assess health?

A

Connective tissue attaching bone to bone. No; ROM

19
Q

Erythema Friction Rub. Normal response? Dysfunction?

A

Stroke the skin; blanch - redden - normal; any deviation

20
Q

What could an abnormal erythema finding indicate?

A

Spinal level and laterality of dysfunction

21
Q

Active ROM

A

Performed by patient without assistance

Less ROM than passvie

Many causes for loss of ROM

Pt often stops BEFORE pain

22
Q

Passive ROM

A

Performed by physician

Greater ROM

Loss of passive ROM more commonly associated with somatic dysfunction

Pt stops AT painful area

23
Q

Eye Dominance

A

Close your left eye, if the object doesn’t move, you are R eye dominant

24
Q

Dominant Hand

A

Thumb on top

25
Q

Layer Palpation

A

Non-dominant arm on table

First supine

Palpate on palmar surface

Turn prone

Lightly palpate skin, fascia, muscle, bone