Non-patient Behaviours in Rehabilitation: Difference between revisions
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The clinician translates what psycho-social factors, patient behaviors, movement patterns, co-morbidities, abnormal forces and structural faults are contributing to the patients dysfunction. <br> | The clinician translates what psycho-social factors, patient behaviors, movement patterns, co-morbidities, abnormal forces and structural faults are contributing to the patients dysfunction. <br> | ||
The problem list is heavily focused on impairments. In the NAGI model, the NPIP is generally a list of impairments that are contributing to the patients patho-anatomic hypothesis, functional limitations and disabilities. During movement assesment, this often identified through deficits in QQS & EF (quantity, quality, symptoms and/or end feel). Often, there is a disruption in the osteokinematics or arthrokinematics of a particular joint movement. There is also often a posture deficit that you may observe and include in your NPIP list. | The problem list is heavily focused on impairments. In the NAGI model, the NPIP is generally a list of impairments that are contributing to the patients patho-anatomic hypothesis, functional limitations and disabilities. During movement assesment, this often identified through deficits in QQS & EF (quantity, quality, symptoms and/or end feel). Often, there is a disruption in the osteokinematics or arthrokinematics of a particular joint movement. There is also often a posture deficit that you may observe and include in your NPIP list. | ||
NPIP Examples: | |||
#Kinesiophobia (as measured on Kinesiophobia scales) | |||
#Impaired quadriceps strength/power (55% deficit as measured by hand-held dynamometer) | |||
#Hypomobile anterior capsule of glenohumeral joint (as assessed through PROM and accessory joint assessment) | |||
#Abnormal sitting posture (a kyphotic lumbar spine is observed during sitting and confirmed during subjective exam) | |||
#Nutritional insufficiency impairing appropriate tissue healing (patient mentions that they skip 2 meals per day and are trying to lose weight) | |||
#Scapular instability (as confirmed by observance of poor scapulo-humeral rhythym testing and confirmed with a positive scapular-assist test) | |||
#Impaired healing in foot (confirmed with insensate foot with semmes-weinstein monofilament testing and prolonged history of diabetes and foot ulcers) | |||
#Hypermobile L4-5 segment (confirmed with stress radiographs of lumbar spine to confirm spondylolisthesis, and/or segmental accessory joint assessment) | |||
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Revision as of 16:29, 10 September 2011
The clinician translates what psycho-social factors, patient behaviors, movement patterns, co-morbidities, abnormal forces and structural faults are contributing to the patients dysfunction.
The problem list is heavily focused on impairments. In the NAGI model, the NPIP is generally a list of impairments that are contributing to the patients patho-anatomic hypothesis, functional limitations and disabilities. During movement assesment, this often identified through deficits in QQS & EF (quantity, quality, symptoms and/or end feel). Often, there is a disruption in the osteokinematics or arthrokinematics of a particular joint movement. There is also often a posture deficit that you may observe and include in your NPIP list.
NPIP Examples:
- Kinesiophobia (as measured on Kinesiophobia scales)
- Impaired quadriceps strength/power (55% deficit as measured by hand-held dynamometer)
- Hypomobile anterior capsule of glenohumeral joint (as assessed through PROM and accessory joint assessment)
- Abnormal sitting posture (a kyphotic lumbar spine is observed during sitting and confirmed during subjective exam)
- Nutritional insufficiency impairing appropriate tissue healing (patient mentions that they skip 2 meals per day and are trying to lose weight)
- Scapular instability (as confirmed by observance of poor scapulo-humeral rhythym testing and confirmed with a positive scapular-assist test)
- Impaired healing in foot (confirmed with insensate foot with semmes-weinstein monofilament testing and prolonged history of diabetes and foot ulcers)
- Hypermobile L4-5 segment (confirmed with stress radiographs of lumbar spine to confirm spondylolisthesis, and/or segmental accessory joint assessment)
