Static Palpation Flashcards
what is the purpose of static palpation?
facilitate the analysis of soft or bony tissue structures within the body
static palpation is best ultilized…
after instrumentation
static palpation is a method of…
using one’s hands to feel and assess several PARAMETERS that govern the mobility and health of tissues located near or on the body’s surface
parameters involved in static palpation
osseous landmarks, topographic anatomy, sudoriferous changes, muscle tonicity/turgidity (edema), tissue prominency, palpatory tenderness
true or false: static palpation satisfies ALL components of the VSC
true
which elements of the PART system are involved with static palpation?
P (pain and tenderness), A (asymmetry), and T (tissue/tone changes)
sudoriferous changes: what would indicate ACUTE VSC
oily, greasy, slippery, sweaty, clammy, tacky texture
sudoriferous changes: what would indicate CHRONIC VSC
dry, scaly, flaky, rough skin texture
eccrine glands secrete
blood plasma metabolite called sweat for thermal regulation (secretory fxn)
sudoriferous changes are changes in…
localized skin moisture
what type of pressure is applied when assessing sudoriferous changes?
“tickling” the skin
what type of pressure is applied when assessing turgidity changes?
“eyeball” pressure
what type of pressure is applied when assessing surface tonicity?
“fingerprinting”
how would you define turgidity changes?
intrinsic pressure or resistance offered by a cell or tissue
what is associated with turgidity changes?
edema (accumulation of interstitial fluid under skin usually resultant to altered homeostasis, injury or inflammation)
inflammation associated with turgidity changes is known as?
“palpable sponginess”
how would you define surface tonicity?
changes in muscle tone perceived as contracture, spasm, tightness, fullness, or being rope-like
how would you define tissue prominency
palpable (bony) prominence in paravertebral gutter or spinous process
tissue prominency is due to?
osseous misalignment and facet prominence (z-joints)
how would you define palpatory tenderness?
pressure is firmly applied in an I-S and P-A direction on the spinous processes (brought into question by instrumentation findings). Then, bilateral L-M pressure is applied to the same spinous processes
areas involved with palpatory tenderness?
zygapophyseal joints, TRANSVERSE PROCESSES, costal articulations, mamillary processes, SPINOUS PROCESSES
pain upon any of these directional pressures (involved in palpatory tenderness) is indicative of …..
sclerotogenous pain that can be arising from articular or periosteal tissues
how would you define deep tonicity changes?
utilize thumb tip/thumb pad to firmly “strum” the paraspinal muscles in all regions of the spine
how would you define deep tonicity changes?
utilize thumb tip/thumb pad to firmly “strum” the paraspinal muscles in all regions of the spine
what is the primary consideration in deep tonicity changes?
tonicity change
what is the secondary consideration in deep tonicity changes?
pain
tonicity changes and pain are both indicators of ….
component part of VSC
findings while evaluating deep tonicity changes?
ropiness, tight, contracted, spasm, rigid, firm, or stiff
pain found during deep tonicity changes is termed?
myotogenous pain
