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E&AII Exam 1_ Introduction to the Process of Differential Diagnosis_ Selective Tissue Tension
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E&AII Exam 1_ Introduction to the Process of Differential Diagnosis_ Selective Tissue Tension
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E&AII Exam 1: Introduction to the Processof Differential Diagnosis: Selective Tissue
Tension Testing
besides palpating for pain, tenderness, and temperature bogginess, what else should
you palpate for - ANS-tissue crepitus
how do you perform a palpation exam - ANS-· Layer Palpation (consider tissue layers)
· Physiological Soft Tissue Mobility: AROMPROM
· Accessory Soft Tissue Mobility:
-Horizontal
-Compression (compressibility)
-Distraction
how do you perform a resisted isometric motion test - ANS-· gradually add isometric
resistance to motion with joint in neutral position taking care no joint motion occurs
Reveals pain or weakness in myotendinous (muscle - tendon) components
· May add muscle grade - but need to perform specific MMT for accurate assessment of
muscle performance
· Also Consider: S. I. N. principle
how does a PT perform an assessment to determine the phase of rehab based on a
clinical sign - ANS-· : PT performs passive motion and notes if the patient experiences
or reports pain before, during or after resistance to the passive motion/stretch is felt by
the therapist.
· Results: Are an indicator of "tissue reactivity"
if a patient experiences pain before tissue resistance is felt by the PT, what phase of
rehab is the pt in - ANS-highly reactive; protection phase
, if pain is experienced by the patient after tissue resistance added by the PT, what phase
of rehab is the pt in - ANS-less reactive; push and build phase
if pain is experienced by the patient during tissue resistance added by the PT, what
phase of rehab is the pt in - ANS-reactive; "controlled-mobility phase"
true or false: the further down the limb a lesion lies (more distal) the more precise
palpation findings tend to be - ANS-ture
what are exam indicators that there is a lesion in a non-contractile tissue - ANS-active
and passive movement most painful at the end of motion in same direction
resisted motion = painless
what are exam indicators that there is a lesion of a contractile tissue - ANS-active and
passive movements most painful in opposite directions
resisted motion = painful
what are possible findings of a resisted isometric motion test - ANS-strong and painless
strong and painful
weak and painful
weak and painless
what are the components of a movement exam - ANS-active motion (AROM)
PROM (w/o over pressure, with overpressure added, passive accessory mobility)
resisted isometric movements
what are the limitations of STTT - ANS-§ May not be able to reach the LEVEL OF THE
'LESION' - i.e. too deep
§ Palpation may not be accurate enough to determine diagnosis
§ Final confirmation may rest on anaesthetizing suspected tissue
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