EvidenceBased Examination of the Knee and Thigh Practice Session & Skills Checkoffs 1 EvidenceBased Examination of the Knee and Thigh Presented by Eric Hegedus, PT, DPT, MHSC, OCS, CSCS Practice Sessions/Skill Checkoffs Chapter Four: Triage and Screening (40 minutes CEU time) Skilled Process Review in Chapter Photo Description Check Off Perform a full Lower Quarter Screen Slide 7 Dermatomes, Myotomes, Reflexes, UMN test (Babinski or clonus). Discuss interpretation of findings: What do findings of hypo or hyperreflexia mean? What do findings of decreased sensation and decreased strength in the same dermatome/myotome mean? How about in changes in different combinations of dermatomes, myotomes, reflexes? How would a brachial plexus injury present? May need to use PubMed to discover these answers Performance the Beighton Index and review the Brighton Criteria Slide 8 Hands to floor plus bilateral testing of thumb to forearm, elbow extensibility, knee extensibility, and little finger MCP extensibility. Discuss the major and minor Brighton criteria and requirements for diagnosis The 2 accepted fracture rules at the knee Slides 9 10 What are the requirements for both Pittsburgh and Ottawa and what is the diagnostic usefulness of each