Palpation and Motion Flashcards
Examination Sequence
- Observation
- Temperature
- Skin topography and texture
- Fascia
- Muscle
- Tendon
- Ligament
- Erythema friction rub
Prior to observation, what do we look for?
- Trauma
- Infection
- Anomalies
- Gross asymmetries
- Anatomic variations
Valgus
Elbow stuck to body
Varus
Elbow to the side of body (strong!!!!)
Acute temp?
Warm
What do we use in skin topography?
Palmar surface of tips of fingers and drag
Do we explain what we are doing?
YES
Acute skin?
Moist and red
Fascia mainly what?
Connective tissue with collagen
What does fascia do?
Attaches, stabilizes, endoses, and separates muscles and other internal organs
Layers of fascia
Superficial
Deep
Visceral/parietal
Function and anatomic location
What should fascia do to the nails?
Redden them
Acute fascia?
ROM normal but sluggish, boggy edema (congestion)
Muscle should do what to the nails?
Blanch them
Acute muscle
Local increase in tone, contraction, spasm, ropiness
Does acute have minimal somatosomatic relfect effects?
YES
Tendon. What do we assess?
Connective tissue connecting muscle to bone. Asses thickness, elasticity
Ligament? Palpable? How do we assess health?
Connective tissue attaching bone to bone. No; ROM
Erythema Friction Rub. Normal response? Dysfunction?
Stroke the skin; blanch - redden - normal; any deviation
What could an abnormal erythema finding indicate?
Spinal level and laterality of dysfunction
Active ROM
Performed by patient without assistance
Less ROM than passvie
Many causes for loss of ROM
Pt often stops BEFORE pain
Passive ROM
Performed by physician
Greater ROM
Loss of passive ROM more commonly associated with somatic dysfunction
Pt stops AT painful area
Eye Dominance
Close your left eye, if the object doesn’t move, you are R eye dominant
Dominant Hand
Thumb on top
Layer Palpation
Non-dominant arm on table
First supine
Palpate on palmar surface
Turn prone
Lightly palpate skin, fascia, muscle, bone
