Musculoskeletal Orthopaedic Assessment: Difference between revisions
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Complex clinical reasoning decisions in real time and becoming competent in patient assessment takes practice, refinement and reflection. Patient assessment is an essential skill for every student and practicing physiotherapist. | Complex clinical reasoning decisions in real time and becoming competent in patient assessment takes practice, refinement and reflection. Patient assessment is an essential skill for every student and practicing physiotherapist. | ||
A complete musculoskeletal examination of the patients gives an over view of patients body structure and function. Musculoskeletal/orthopaedic patient assessment is a process of appropriate subjective assessment with the understanding of particular joints , with use of specific tests at those particular joints and also appropriate subjective and objective markers along with understanding the need for continuous reassessment. <ref>Stuart Porter, Lynne Gaskell at al. Tidy’s Physiotherapy, Chapter 2 “Musculoskeletal Assessment". 2003 Edition 13</ref><ref name=":0">HATHAWAY L. [https://journals.lww.com/nursingmadeincrediblyeasy/Citation/2004/05000/Pump_up_your_musculoskeletal_assessment.10.aspx Pump up your musculoskeletal assessment]. Nursing made incredibly easy. 2004 May 1;2(3):46-50.</ref> | A complete musculoskeletal examination of the patients gives an over view of patients body structure and function. Musculoskeletal/orthopaedic patient assessment is a process of appropriate subjective assessment with the understanding of particular joints , with use of specific tests at those particular joints and also appropriate subjective and objective markers along with understanding the need for continuous reassessment. <ref name=":1">Stuart Porter, Lynne Gaskell at al. Tidy’s Physiotherapy, Chapter 2 “Musculoskeletal Assessment". 2003 Edition 13</ref><ref name=":0">HATHAWAY L. [https://journals.lww.com/nursingmadeincrediblyeasy/Citation/2004/05000/Pump_up_your_musculoskeletal_assessment.10.aspx Pump up your musculoskeletal assessment]. Nursing made incredibly easy. 2004 May 1;2(3):46-50.</ref> | ||
Human body is bi-laterally symmetrical. Hence during a musculoskeletal assessment each body part is compared not only to an ideal normal but also to symmetrical other side of the body in a sequential manner in order to determine abnormalities in alignment of bone/joint/muscle to other. <ref name=":0" /><ref>Thompson J, Walton A. [https://rheum.ca/wp-content/uploads/2017/11/The_Musculoskeletal_Screening_Examination_Booklet.pdf The Musculoskeletal Screening Examination booklet]. University of Western Ontario. Available from: <nowiki>https://rheum.ca/wp-content/uploads/2017/11/The_Musculoskeletal_Screening_Examination_Booklet.pdf</nowiki></ref> | Human body is bi-laterally symmetrical. Hence during a musculoskeletal assessment each body part is compared not only to an ideal normal but also to symmetrical other side of the body in a sequential manner in order to determine abnormalities in alignment of bone/joint/muscle to other. <ref name=":0" /><ref name=":2">Thompson J, Walton A. [https://rheum.ca/wp-content/uploads/2017/11/The_Musculoskeletal_Screening_Examination_Booklet.pdf The Musculoskeletal Screening Examination booklet]. University of Western Ontario. Available from: <nowiki>https://rheum.ca/wp-content/uploads/2017/11/The_Musculoskeletal_Screening_Examination_Booklet.pdf</nowiki></ref> | ||
== | == Basic principles == | ||
== | * Upon qualifying, physiotherapist are legally responsible for performing accurate assessment and management skills. | ||
* Physiotherapist are suppose to access the patient on first contact for their initial assessment to determine patients problem and establish line of treatment for the patient.<ref name=":1" /> | |||
* Reassessment of patient is mandatory in- between treatment sessions to be aware and alert of any improvement or deterioration in patient condition. <ref name=":1" /> | |||
* Always re-access your patient using subjective and objective markers following each treatment to judge the efficacy of each intervention to determine in short term and long term effects.<ref name=":1" /><ref name=":2" /> | |||
== | == Patient preparation == | ||
== Sequence of examination == | |||
*bulleted list | *bulleted list | ||
*x | *x | ||
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#numbered list | #numbered list | ||
#x | #x | ||
== Checklist for Musculoskeletal assessment == | |||
*bulleted list | |||
*x | |||
or | |||
#numbered list | |||
#x | |||
== Aims of subjective assessment == | |||
*bulleted list | |||
*x | |||
== Aims of objective assessment == | |||
*bulleted list | |||
*x | |||
== Subjective assessment == | |||
== Objective assessment == | |||
== Spinal assessment == | |||
==== Lumbar spine ==== | |||
==== Cervical spine ==== | |||
== Peripheral joint assessment == | |||
==== Shoulder joint ==== | |||
==== Hip joint ==== | |||
==== Knee joint ==== | |||
==== Ankle and foot ==== | |||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 05:28, 18 January 2022
This article is currently under review and may not be up to date. Please come back soon to see the finished work! (18/01/2022)
Original Editor - Niha Mulla
Top Contributors - Niha Mulla, Oyemi Sillo, Naomi O'Reilly and Kim Jackson
Introduction[edit | edit source]
Complex clinical reasoning decisions in real time and becoming competent in patient assessment takes practice, refinement and reflection. Patient assessment is an essential skill for every student and practicing physiotherapist.
A complete musculoskeletal examination of the patients gives an over view of patients body structure and function. Musculoskeletal/orthopaedic patient assessment is a process of appropriate subjective assessment with the understanding of particular joints , with use of specific tests at those particular joints and also appropriate subjective and objective markers along with understanding the need for continuous reassessment. [1][2]
Human body is bi-laterally symmetrical. Hence during a musculoskeletal assessment each body part is compared not only to an ideal normal but also to symmetrical other side of the body in a sequential manner in order to determine abnormalities in alignment of bone/joint/muscle to other. [2][3]
Basic principles[edit | edit source]
- Upon qualifying, physiotherapist are legally responsible for performing accurate assessment and management skills.
- Physiotherapist are suppose to access the patient on first contact for their initial assessment to determine patients problem and establish line of treatment for the patient.[1]
- Reassessment of patient is mandatory in- between treatment sessions to be aware and alert of any improvement or deterioration in patient condition. [1]
- Always re-access your patient using subjective and objective markers following each treatment to judge the efficacy of each intervention to determine in short term and long term effects.[1][3]
Patient preparation[edit | edit source]
Sequence of examination[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
Checklist for Musculoskeletal assessment[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
Aims of subjective assessment[edit | edit source]
- bulleted list
- x
Aims of objective assessment[edit | edit source]
- bulleted list
- x
Subjective assessment[edit | edit source]
Objective assessment[edit | edit source]
Spinal assessment[edit | edit source]
Lumbar spine[edit | edit source]
Cervical spine[edit | edit source]
Peripheral joint assessment[edit | edit source]
Shoulder joint[edit | edit source]
Hip joint[edit | edit source]
Knee joint[edit | edit source]
Ankle and foot[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Stuart Porter, Lynne Gaskell at al. Tidy’s Physiotherapy, Chapter 2 “Musculoskeletal Assessment". 2003 Edition 13
- ↑ 2.0 2.1 HATHAWAY L. Pump up your musculoskeletal assessment. Nursing made incredibly easy. 2004 May 1;2(3):46-50.
- ↑ 3.0 3.1 Thompson J, Walton A. The Musculoskeletal Screening Examination booklet. University of Western Ontario. Available from: https://rheum.ca/wp-content/uploads/2017/11/The_Musculoskeletal_Screening_Examination_Booklet.pdf
