Objective Assessment - Lecture notes 4 PDF

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Week 4

Sports Therapy 1

Sports Therapy

Objective Assessment Principals of Assessment:   

Compare sides Uninjured side first – to look at what normal looks like Looks at joints above and below

Observation Superficial touch 

Using back of the hand to detect change in tissue and temperature of area

Range of movement 

Can be assessed both actively (they do it) and passively (we do it).

Restricted movement 

Testing strength of muscle through movement

Muscle length and strength 

Look

Flexibility? Tight? Tender? Restricted?

Feel

Special tests

Test



Special tests which test structures



Lumps, bumps, tenderness, tension

Palpation

Observation provides information on:    

Pathology Possible factors that might contribute to pathology What physical testing needs to be carried out Possible treatment consideration

What do we observe?      

When we observe:

Gait Posture and alignment Muscle form Soft tissue Movement Static and dynamic movements

   

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In sitting In standing Getting dressed and undresses General movement

What do we look for?     

Swelling Deformity Muscle wasting Posture Colour in skin

Week 4

Sports Therapy 1

Sports Therapy

Gait types Antalgic – posture/gait that voids/lessens pain minimized the amount of weight applied to the painful limb of joint and amount of time the weight is supplied Trendelenburg – weakness of the hip adductor, muscles (gleut max, medius & minimus) Drop foot – unable to dorsiflex. Dragging foot. Scoliosis  

Structural – A condition you’re born with Pseudo – ‘false’

Postural types   

Kyphosis-lordosis posture Flat back posture Sway-back posture

Plumb line – a line going down the anterior/posterior view of the body. Separates left to right. Pelvic tilt

Normal

Posterior

Anterior

Knee Valgus and Vastus Valgus 

Bowed Knees

Vastus 

Knocked knees

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Week 4

Sports Therapy 1

Internal and external tibial torsion  

Tibial twist in (internal tibial torsion) food adducts Tibia twists out (external tibial torsion) foot abducts

Varus 

Bone below joint deviates medially

e.g. knees = bow legged Vastus 

Bone below joint deviates laterally

e.g. knee = knock knees hyper extension of the knee = genu recrevatum Foot arches 1. Pes cavus = high arch 2. Pes planus = flatfoot 1. Supinator = feet evert outwards 2. Pronator = feet evert inwards Superficial touch Using the back of your hand. FEEL for change in temperature and texture. Palpation Using hand to palpate body points, soft tissue to find abnormalities.

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Sports Therapy...