Assessment
Describe the sequence for the musculoskeletal assessment.
Inspection — Palpation — Range of Motion — Muscle Testing
ROM for the Cervical Spine
Flexion — Extension — Right Lateral Bend — Left Lateral Bend — Right Rotation — Left Rotation
Muscle Testing Score of 0-1
0-No contraction
1-Slight contraction
Osteoporosis is most common among which population?
Post-menopausal caucasian women
Describe the 5 Ps
Pain — Paresthesia — Pallor — Pulselessness — Paralysis
ROM for the Shoulder
Flexion — Extension — Internal Rotation — External Rotation — Abduction — Adduction
Muscle Testing Score of 2-3
2-Full ROM with gravity eliminated (passive motion)
3-Full ROM with gravity
Patient Education & Osteoporosis
The importance of weight-bearing exercises and Vitamin C & D supplementation.
Inspection? What are you inspecting?
Size and contour of the joints, color, swelling, masses, or deformities.
ROM for the Elbow
Flexion — Extension — Pronation — Supination
Muscle Testing Score 4-5
4-Full ROM against gravity, some resistance
5-Full ROM against gravity, full resistance
What is included in the palpation assessment for the musculoskeletal system?
Palpation of each joint for temperature, muscles, bony articulations, and joint capsules.
Note any warmth or tenderness or palpable fluid.
ROM for the Hip
Flexion — Extension — External Rotation — Internal Rotation — Abduction — Adduction
Phalen Test
Acute flexion of the wrist for 60 seconds produces no symptoms in the normal hand. Produces numbness and burning in a patient with carpal tunnel syndrome.
ROM for the Knee
Flexion — Extension — Ambulation — Squatting (Duck Walk)
Tinel Test
Direct percussion of the location of the median nerve at the wrist produces no symptoms in the normal hand.
In carpal tunnel syndrome produces burning and tingling along its distribution, which is a positive Tinel sign.