Week 4 (Patient Assessment) Flashcards
ICF Model: Impairments
Pain, ROM, swelling, motor control, balance
ICF Model: Activity limitations
Assess stand, walk and various activities
ICF Model: Participation
What you can and can’t participate in life
What to observe in a static observation?
- Postural abnormality or asymmetry
- Bony abnormalities
- Muscle atrophy/hypertrophy
- Swelling
What to observe in a dynamic observation?
- Observe movement causing greatest functional disturbance
- Can patient perform movement?
- Are compensation strategies utilised?
- Pain behaviours (where and when)?
- What happens when we correct things?
- Can use video analysis
What is active movement testing?
- Assess range and quality of movement, isolated to a specific joint
- Patient does the movement and we measure the pain response
Limits of movement (P1, P2, R1, R2) definitions
P1: onset of increase of pain
P2: limit of pain tolerance
R1: onset of resistance
R2: maximum resistance
What are some examples of stressful or easing procedures?
- Overpressures
- Combined movements
- Repeated movements
- Sustained postures
What is passive movement testing?
- Patient is completely relaxed, same movements as active but assessor moves it
- Assess end-feel and symptom response
If the patient is irritable, what exams would you do?
Only do exams that provide essential info, avoid exacerbating assessments/large ROM
If the patient is not irritable, what exams would you do?
May need extensive examination, high load and different angles to provoke symptoms
What is the purpose of active movement testing?
- Identify limitations to movements
- Evaluate symptoms reproduction
- Identify most affected movement (re-assess)
What is the purpose of passive movement testing?
- Assess range and quality of movement when carried out by the therapist
- Assess end-feel and symptom response
- Compare to active movements
- Identify most affected movement
