Blueprint for Exam 3
Musculoskeletal assessment, Reflexes, Nerves
• A brief examination needs to be done to detect motor, sensory and coordination
abnormalities.
• Also note general appearance, symmetry and contour.
Signs and Symptoms of Musculoskeletal Trauma:
Look for the following:
• Color
• Deformity
• Joint clicking (Crepitus)
• Joint instability, stiffness, swelling
• Muscle strength, 0/5 to 5/5
• Pain on a scale from 0-10
• Paresthesia's- tingling, prickling
• Pulse strength
• Radiation of pain
• Range of motion
• Sensation, swelling, tenderness
• Deep tendon reflexes, sensory dermatomes
• Wounds/wound drainage
Motor strength Assessment:
• 0= No contraction or movement
• 1= Minimal movement
• 2= Active movement, but not against gravity
• 3= Active movement against gravity
• 4= Active movement against resistance
• 5= Active movement against full resistance
A dermatome is an area of skin that is mainly supplied by a single spinal nerve.
Impingement of the 5th cervical spinal nerve (C5), pain in the shoulder and upper arm
Impingement at L4–L5 weak or absent ability to dorsiflex the foot, sensory loss in lower leg and
foot and decreased patella reflex.
, Impingement at L5–S1 weak or absent ability to plantarflex the foot, sensory loss in lower leg
and foot and decreased Achilles reflex.
Shoulder dislocation
• Most common dislocation joint in body.
• Patients that have had previous dislocations are more likely to re-dislocate.
Knee Assessment Tests
Anterior Cruciate Ligament:
• Anterior drawer test: patient supine, injured knee angled to 90°. The clinician then sits
on the foot.
Lachman’s Test: patient supine, injured knee flexed at 30°. The clinician then stabilizes the
distal femur with one hand.
Musculoskeletal assessment, Reflexes, Nerves
• A brief examination needs to be done to detect motor, sensory and coordination
abnormalities.
• Also note general appearance, symmetry and contour.
Signs and Symptoms of Musculoskeletal Trauma:
Look for the following:
• Color
• Deformity
• Joint clicking (Crepitus)
• Joint instability, stiffness, swelling
• Muscle strength, 0/5 to 5/5
• Pain on a scale from 0-10
• Paresthesia's- tingling, prickling
• Pulse strength
• Radiation of pain
• Range of motion
• Sensation, swelling, tenderness
• Deep tendon reflexes, sensory dermatomes
• Wounds/wound drainage
Motor strength Assessment:
• 0= No contraction or movement
• 1= Minimal movement
• 2= Active movement, but not against gravity
• 3= Active movement against gravity
• 4= Active movement against resistance
• 5= Active movement against full resistance
A dermatome is an area of skin that is mainly supplied by a single spinal nerve.
Impingement of the 5th cervical spinal nerve (C5), pain in the shoulder and upper arm
Impingement at L4–L5 weak or absent ability to dorsiflex the foot, sensory loss in lower leg and
foot and decreased patella reflex.
, Impingement at L5–S1 weak or absent ability to plantarflex the foot, sensory loss in lower leg
and foot and decreased Achilles reflex.
Shoulder dislocation
• Most common dislocation joint in body.
• Patients that have had previous dislocations are more likely to re-dislocate.
Knee Assessment Tests
Anterior Cruciate Ligament:
• Anterior drawer test: patient supine, injured knee angled to 90°. The clinician then sits
on the foot.
Lachman’s Test: patient supine, injured knee flexed at 30°. The clinician then stabilizes the
distal femur with one hand.
