Week 4: Musculoskeletal Assessment Flashcards
1
Q
Assessment of risk factors?
A
- Demographic Data
- Past Medical History
- Family History
- Nutrition and Medications
- Psychological History
- Occupation, Lifestyle, and Behaviours
- Functional Assessment
2
Q
Special circumstances
A
- pregnancy
- scoliosis
- polio
- basilar skull fracture
3
Q
Lifespan considerations of newborns, infants, and children
A
- Newborns, Infants, and Children
- Legs
- ‘Bowlegged’ (genu varus) until ~ 18 months
- Transition to ‘knock-knee’ (genu valgus)
- Legs usually straighten by 6-7 years
- Teens - hips - slipped capital femoral
epiphysis (SCFE) - Growth plates, long bones, risk for
infection
- Fontanels
- Anterior closed by 18-24 months
- Posterior closed by 2 months
- Back
- C-shaped curve in infancy
- Spinal curvature with growth & weight-b
bearing - Check for scoliosis (especially ages 10-16)
- Legs
- Older Adults
- Prevent Falls
- Cultural Considerations
4
Q
what are the 4 inspection traits you look for in objective data collection? (PGBC)
A
- ⇒ Posture
- Static and Dynamic
- ⇒ Gait
- Locomotion/Movement
- ⇒ Balance
- Cerebellum, Neuro component
- ⇒ Coordination
- Organization of movement, Neuro component
5
Q
Objective data on joints, muscles, and extremities INSPECTION
A
- Size of joint/muscle/bone
- Symmetry
- Contour
- Colour
- Edema/Deformity
- Facial expression with use
- Curvature of spine
6
Q
Objective data on joints, muscles, and extremities PALPATION
A
- Muscle tone
- Temperature variations
- Tremor/Fasciculation
- Edema
- Crepitus
- Bony Articulations
- Tenderness
7
Q
Objective Data: Physical assessment
A
- Range of Motion (ROM)
- Do not move to point of pain
- Move all joints
Active vs passive
- Prevention of joint stiffness, muscle shortening, Contractures
- If client is hospitalized, LTC, when is a good time to do this?
8
Q
ROM of joints
A
- Flexion / Extension
- Abduction / Adduction
- Pronation / Supination
- Circumduction
- Inversion / Eversion
- Protraction / Retraction
- Elevation / Depression
