Flashcards in MS exam Deck (19)
Physical Exam steps?
Range of Motion (ROM)
Three parts of ROM?
--Active ROM (AROM)
--Passive ROM (PROM)
Inspection- Begin exam by observing gait and posture when the patient enters the exam room. What positions?
Rising from a sitting position
Looking for the acronym SEADS on inspections?
What aspects of posture are we looking at?
Anterior, posterior and lateral
In each aspect what are we looking at?
3. Tissues overlying muscles, cartilage, joints
4. Bone enlargement and length
5. Contour, circumference
6. Muscle size
Palpate bones, joints, and surrounding muscles for the following:
Resistance to pressure
Active ROM and passive ROM for each joint and related muscle group. What should we note?
Limited or spastic movement
-passive= move them yourself
PROM may exceed AROM by how many degrees?
AROM and PROM should be equal in what kind of joints?
What would dicrepancies in AROM and PROM indicate?
muscle weakness or disorder
compare bilateral muscles for?
What are the Muscle function levels and grades?
5/5 (none at all), 4/5 (gives a little), 3/5
For complete ROM
3/5 is against gravity
Temporomandibular Joint (TMJ)
What muscles are we looking at for strength in TMJ?
of temporalis and masseter muscles
ROM exercises for TMJ?
Open and close mouth
Laterally move the lower jaw to each side
Protrude and retract chin
Dont do passive range of motion for TMJ
Cervical Spine inspection?
1. Alignment with head and shoulders, posterior and anterior
2. Asymmetric skin folds
Cervical spine palpation?
1. Note muscle tone
2. symmetry, tenderness, spasms