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Showing posts from June, 2018

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. ...