& Answers 2024/2025
examination - ANSWERS-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 - ANSWERS-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 - ANSWERS-identifies possible health problems that require consultation
with, or referral to, another health care provider
scanning examination - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-refers to the making of a value judgment based on the collected data and
information
capsular pattern of restriction - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-feels like stretching a leather belt (i.e., knee extension)
-firm
muscle stretch - ANSWERS-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 - ANSWERS-feels like stretching a leather belt (i.e., wrist radial deviation)
-firm
springy (rubbery) - ANSWERS-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 - ANSWERS-
joint mobility - ANSWERS-normal
-excessive (double jointed (doesn't exist) just hyperextensive or whatever - which ads instability)
-reduced
strength tests - ANSWERS-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)
deep tendon reflex - ANSWERS-utilize m spindles to determine the state of both the efferent and
afferent PNS and the ability of the CNS to inhibit reflexes
pathological reflexes - ANSWERS-suggestive of CNS (UMN) impairment, and requires an appropriate
referral
sensory integration - ANSWERS-intactness of cortical sensory processing including:
--proprioception