examination - Answer--refers to the gathering of data and information concerning a topic
-consists of 3 components HST (history, systems review, and tests and measures)
history - examination - Answer--usually precedes the systems review and the tests and measures component (can occur concurrent...
OTD 324 Kinesiology Exam 1 Questions
and Answers
examination - Answer--refers to the gathering of data and information concerning a topic
-consists of 3 components HST (history, systems review, and tests and measures)
history - examination - Answer--usually precedes the systems review and the tests and
measures component (can occur concurrently)
-estimated that 80% of the necessary information to explain the presenting patient
problem can be provided by a thorough history
-history of current condition involves gatherings of both + and - findings, followed by the
dissemination of the info into a working hypothesis
systems review - examination - Answer--identifies possible health problems that require
consultation with, or referral to, another health care provider
scanning examination - Answer--help rule out the possibility of symptom referral from
other areas, and to ensure that all possible causes of the symptoms are examined
-no history to explain signs and/or symptoms or if they are unexplainable
tests and measures - examination - Answer--serves as adjunct to other examination
components; involves physical examination of the pt.
-the decision about which tests to use should be based on the best available research
-pain! (consider: onset, intensity, location, perception, quality, behavior, and nature)
-ROM: determine the exact directions and types of motions that elicit the symptoms;
AROM vs PROM)
AROM - Answer--quantity of available physiological motion
-presence of m substitution
-willingness of the pt. to move
-integrity of the contractile and inert tissues
-quality of motion
-symptom reproduction
-the pattern of motion restriction
evaluation - Answer--refers to the making of a value judgment based on the collected
data and information
capsular pattern of restriction - Answer--a limitation of pain and movement in a joint
specific ratio; which is usually present with arthritis, or following prolonged
immobilization
, non-capsular pattern of restriction - Answer--a limitation in a joint in any pattern other
than a capsular one. May indicate the presence of either a derangement, a restriction of
one part of the joint capsule, or an extra-articular lesion, that obstructs joint motion
PROM - Answer--integrity of the contractile and inert tissues, and the end-feel
-pain occurring at end-range of active and passive mvmts is suggestive of a capsular
contraction, or scar tissue that has not been adequately remodeled
inert tissue vs. contractile tissue damage - Answer--if A/PROM motions are
limited/painful in the SAME direction; lesion in inert tissue
-if A/PROM motions are limited/painful in the OPPOSITE direction; lesion in contractile
tissue
end-feel - Answer--quality of resistance felt by the clinician at end range
-the end-feel can indicate to the clinician the cause of the motion restriction
capsular stretch - Answer--feels like stretching a leather belt (i.e., knee extension)
-firm
muscle stretch - Answer--indicates that m tightness is limiting the ROM. Feels like
stretching a bicycle tire inner-tube (i.e., hip flexion while maintaining knee extension)
-firm
ligament stretch - Answer--feels like stretching a leather belt (i.e., wrist radial deviation)
-firm
springy (rubbery) - Answer--indicates that a loose body is limiting the ROM. Feels
"bouncy" like you are compressing a spring (i.e., torn meniscal (knee) tissue limiting
knee extension)
-firm
abnormal ROM - Answer--
joint mobility - Answer--normal
-excessive (double jointed (doesn't exist) just hyperextensive or whatever - which ads
instability)
-reduced
strength tests - Answer--findings for:
-a weal and painless contraction
-a strong and painful contraction
-a weak and painful contraction
-a strong and painful contraction
-measured by 0-5 scale (none, trace, poor, fair, good, normal)
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