Static Palpation

Question 1

Purpose

Answer 1

Objective findings to document VSC, precursor to motion palpation

Question 2

What is it?

Answer 2

Using instrumentation to narrow focus

Question 3

Components

Answer 3

1. skin
2. edema
3. superficial muscle tonicity
4. deep muscle tonicity
5. tissue prominence
6. palpable tenderness

Question 4

How to feel the skin

Answer 4

Lightly use the back of your hands

Question 5

How to feel edema

Answer 5

Palpate lightly with the fingertips

Question 6

How to feel superficial muscle tonicity

Answer 6

Broad fingertip pressure paraspinally

Question 7

How to feel deep muscle tonicity

Answer 7

Broad fingertips with strumming, cross-fiber motion

Question 8

What do you ask the patient to say if they have palpable tenderness?

Answer 8

Rate their pain on a scale 1-10

Question 9

What are the 6 contact points for pain?

Answer 9

SP of interest, TVPs of interest, SP of vertebra above/below, TVPs of vertebra above/below

Question 10

VSC of kinesiopathology

Answer 10

Tissue prominence

Question 11

VSC of neuropathology

Answer 11

Palpable tenderness

Question 12

VSC of myopathology

Answer 12

Superficial and deep muscle tonicity

Question 13

VSC of histopathology

Answer 13

Edema and skin

Question 14

Which PART?

Answer 14

PAT