Posts

peripheral joint examination and assessment

Peripheral examination and assessment means the joints in the limbs. The hip, knee, ankle, shoulder, elbow and wrist. During examination of the spine, it is important to start with subjective questioning. This is arguably the most important part of the examination. Questioning the patient about everything to understand what they have done that has caused the injury. It is essential that referred pain is questioned as that indicates a neural problem. Next comes objective which includes observation, superficial touch and palpation. Observation is used to determine if there is any muscular bulk or spasm involved. Scars, bruising or an abnormal skin texture or colour. Superficial touch is used to decide if there are any inflammatory processes going on. The heat from the skin distinguishes the inflammatory process is occurring. If there is heat, then it indicated an underlying problem. Palpation is used to determine if there is a difference in feel for the therapist on speci...

spinal examination and assessment

The spine is a complex part of the body, with the very important role of protection and support. Without the spine, we would literally be a pile of bones. There are 34 vertebrae in the spine, split into 5 sections. 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 5 sacral bones and 5 Coccygeal bones. There are ligaments attaching to the spine. Anterior longitudinal ligament, posterior longitudinal ligament, inter spinous ligaments, inter transverse ligaments, ligamentum flavum, and ligamentum nuchae. Several muscles attach directly to the spine, including, rhomboid major and minor, splenius capitus and cervices and trapezius. During examination of the spine, it is important to start with subjective questioning. This is arguably the most important part of the examination. Questioning the patient about everything to understand what they have done that has caused the injury. It is essential that referred pain is questioned as that indicates a neural problem. ...

week 12

LAST WEEK OF TAUGHT LECTURES!!! I am so ready to have summer off! i literally have done nothing again this week but revise for my 2 exams! on Wednesday it was Varsity! and of course an EDGE HILL WIN! Thursday was did revision ready for our manual therapy exam so it was good to get that last minute help with techniques. On Friday we just had a presentation from third year’s to make them ready for their dissertation poster presentation Pretty solid week, very excited to finish year two off now in just two weeks!

week 11

this week has been super fast! i have literally done nothing all week! on Tuesday, we had a lecture on employ-ability for when we graduate. We were advised to go to career fairs and build a network on linked in. On Thursday, we had a mock exam for our practical exam next week. it was actually really good to do as we now know exactly what we need to do for the exam! on Friday, we learnt stats again. it didn't take long for the head to become fried with numbers etc. i got to go back to my flat at 11, which i saw a fire engine, and as dad is a fireman back home, i went off to explore it. Lancashire fire and rescue service were demonstrating hot oil fires and what not to do. I managed to complete my last assignment of the year, which i submitted on Saturday! on Saturday, myself and Chris set off for park run in an attempt to complete a half marathon. We didn't expect 20 degree temperatures, and we definitely didn't take enough water, and didn't think of sun cream...

week 10

END OF TERM what a long week, I think its lasted so long because its finally end of term. I literally did nothing until Thursday, where I had manual therapy, where we looked at the scenarios for our exam. In the practical, we went through all the mobilisations from shoulder to ankle. This was pretty good, as i'd forgotten most. On Friday, we looked at ANOVA's which is mind blowing! all I want to do is get home and sleep for the whole of easter break!!

week 9

This week seems to have lasted so long! On Thursday, we looked at the pain gate theory and how manual therapy effects that. The pain gate theory is a balance between A Beta fibres and C fibres. A Delta fibres are the fibres which are  fast and reactive (e.g. the reaction when you burn your finger). A Beta fibres are the good pain, you can alert them by touch, (massage) Pressure (trigger points) vibration (manual therapy) and cold (ice). the A Beta fibres inhibit the dispersal of T Cells which closes the pain gate, so you don't experience pain. In the practical, we looked at Hip Mobilisations, which was a mind blown practical! On Friday we looked at more stats tests, this time the one way ANOVA. I have no idea about this so i will have to refer to my bible (the Andy Field stats book). This weekend, i have Shrewsbury 10k race, my first of the summer, which i am looking forward to!

week 8

what a week. I started the week with absolutely nothing to do, until Wednesday where i watched the women's basketball team beat Liverpool Uni. On Thursday (7th march), IT SNOWED. Uni got cancelled because of the snow, so i had no lectures Thursday. On Friday, we looked at T-Test stats and my head is blown. I have no idea about it! Cannot wait for Park Run on Saturday!