Passive Assessments

Question 1

What is a passive assessment?

Answer 1

The client is not physically doing anything, mostly just looking at them

Question 2

What are the 3 types of passive assessments?

Answer 2

1. Cardiovascular assessment
2. Body comp. assessment
3. Passive postural assessment

Question 3

Cardiovascular assessment

Answer 3

Resting Heart Rate RHR
- 15 seconds in bed in the AM, then X4
*first beat counts as 0
- areas to take it: carotid artery, radial artery, brachial artery
- average HR is 60-100

Heart Rate Variability
- difference in time interval between heart beats, score 0-100, higher is better, means body is ready for stress

Resting Blood Pressure

Question 4

Body Comp. Assessments

Answer 4

• Bioelectric impedance measurements: electric shock
• Others: how clothes fit, measurements

Question 5

Passive Postural Assessment

What is used to assess posture

Answer 5

Five-Point Passive Postural Assessment:
Client should stand relaxes, barefoot, and use plumb line as visual reference
1. Ankles & Feet
2. Knees
3. Hips & Pelvis
4. Shoulders
5. Head & Neck

Question 6

Passive Postural Assessment

Ankles & Feet

Answer 6

Look to see if feet are
1. Pronated /\ (no arch)
2. Neutral I I
3. Supinated \/ (excessive arch)

Question 7

Passive Postural Assessment

Knees

Answer 7

1. Hyperextension (knees bent backwards)
2. Valgus (knees move inward toward midline) - tightness in quads
3. Varus (knees bent outward away from midline, bowlegged) - tight hamstrings

Question 8

Passive Postural Assessment

Hips & Pelvis

Answer 8

Hips: look for asymmetry and for an elevated side
Pelvis:
- Anterior pelvis tilt - butt out
- Posterior pelvis tilt - butt in

Question 9

Passive Postural Assessment

Shoulders

Answer 9

• Shoulder adduction (-3in between scapula and spine) and abduction (+3in between medial border of scapula and spine)
• Shoulder elevation and depression (look at posterior view to look at scapula or anterior view to look at collarbone)

Question 10

Passive Postural Assessment

Head & Neck

Answer 10

See if the chin lines up with the shoulders

Question 11

Before any other assessments, what should the client’s HR and BP be?

Answer 11

HR less than 100 BPM
BP lower than 140/100

Question 12

Which assessments should you do for your client?

Answer 12

Whatever is best for them and goes with their goals