step 4

Question 1

what happens at step 4 ?

Answer 1

palpation of the patients back

Question 2

running order when palpating the patients back?

Answer 2

Palpate the spinous processes starting at the cervical spine down to coccyx.

Palpate the sacroiliac joints

palpate the paraspinal muscles

percuss down the spine
percuss over the sacroiliac joints
percuss the paraspinal muscles

Question 3

How do we palpate the spinous process?

Answer 3

circular motion

Question 4

when palpating the spinal processs where do we begin palpating and where do we end and what are we feeling for?

Answer 4

start at the cervical spine and palpate down to the coccyx.

feel for heat, pain or tenderness

Question 5

how do we palpate the paraspinal muscles?

Answer 5

circular motion

Question 6

when palpating the paraspinal muscles where are we starting and where are we ending and what are we feeling for ?

Answer 6

cervical spine to the coccyx

feeling for heat, tenderness or pain

Question 7

when percussing the spine how are we doing it?

Answer 7

use a closed fist and gentle strikes use the soft lateral aspect of the hand.

Question 8

where are we percussing

Answer 8

spinous process
paraspinal muscles
sacroiliac joints

Question 9

when percussing the following areas

spinous process
paraspinal muscles
sacroiliac joints

what are we feeling for?

Answer 9

pain and tenderness