Systemic Evaluation Formula

Question 1

I. History

Answer 1

-events leading up to the incident including mechanism, previous injury, subjective in nature
-first thing you ask
-open and close ended questions

-consider whole patient not just injury (ICF)
-Identify MOI
-underlying medical conditions
-impacts on athlete’s life

Question 2

II. Inspection/observation

Answer 2

-seen or observed
-subjective: history
objective: swelling, limping, discoloration, etc

Question 3

Palpation

Answer 3

-point tender
-bony
-soft tissue

Question 4

range of motion

Answer 4

-active
-passive
-goniometer
all resistive

Question 5

Manual Muscle Test (MMT)

Answer 5

-isometric break test (6-8 seconds)

Question 6

Ligamentous/Special Tests

Answer 6

special test: test named for specific pathology
ligamentous test: graded 1-4 on laxity, grade 3 is torn

Question 7

Neurological Testing

Answer 7

-dermatome
-myotome
-reflex

Question 8

Circulation

Answer 8

-cap refill
-pulse

Question 9

dermatome

Answer 9

-area of skin innervated by a nerve (C1-C8, T1-T12, and L1-L5, S1-S3
-is the pain sharp or dull
sensation
-all separate dermatomes

Question 10

myotome

Answer 10

group of muscles served by a nerve root C1/C2, C3, C4, C5, C6, C7, C8, T1. L1/L2, L3, L4, L5, S1, S2
-wiggle toes
-shoulder abduction
-C1/C2 & L1/L2 are 1 myotome each

Question 11

reflex

Answer 11

• action performed as a result of stimulus
  0-4
  -2 is normal
  -0-1 is hypo
  -3-4 are hyper