Manual of musculoskeletal system

Manual of Clinical Assessment For Musculoskeletal System

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All Thanks to ALLAH all mighty

Manual of Clinical Assessment For

Musculoskeletal System (1st Edition)

Forwarded By

Dr. Raheela Kanwal Assistant Professor RCRS, RIU

BSPT, PP- DPT

Authors:

Muhammad Ehab Azim

DPT* (Pak), RCRS, RIU

Aamir Rauf Memon DPT* (Pak), RCRS, RIU

Malik Muhammad Ali Awan DPT* (Pak), RCRS, RIU

Mohammad Sharif Ullah DPT* (Pak), RCRS, RIU

Junaid Abbas DPT* (Pak), RCRS, RIU

Waleed Rafiq DPT* (Pak), RCRS, RIU

* Dpt under Competition


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Dedication

Dedicated to Dr. Raheela Kanwal.

John F. Kennedy once said

“Efforts and courage are not enough without purpose and direction”.

We thank Dr. Raheela Kanwal for encouraging us

to write this manual and giving us the right direction.


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Forward to the first edition

The authors are to be congratulated on being able to compile a manual

pertaining to the Musculoskeletal Examination & Assessment and

taking an initiative so as to work specifically on an important physical

therapy Specialty. The field is almost as old as Pakistan itself but the

standard of the whole field has grown almost out of recognition for last

10 years. Latterly this coming together has been largely due to their

untiring efforts & based on "prove it or lose it" approach.

This book indeed, is a masterpiece, since it will be of great help for

learning Clinical Skills in Musculoskeletal Physical therapy. Speaking

specifically, it is a good step to uplift the profession as a whole & help

the physical therapy students find relevant data with ease.

In our profession knowledge, skills and opportunities have increased

substantially. It is wonderful to see these six authors, making such an

excellent job of putting together their contribution & introducing a

clinical-based manual to the field for the first time in Pakistan. The

coming generation needs to continue this trend; it won't all happen

quickly but this start is excellent. The text is appropriate for the

undergraduate, postgraduate and the practicing therapist who are

working specifically in the Musculoskeletal Physical Therapy.

Dr. Raheela Kanwal Assistant Professor RCRS, RIU

BSPT, PP- DPT


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Preface

This book is an initiative & resultant of the apprehension & right direction

provided by our respected teacher Dr.Raheela Kanwal. As it is well said that "A

Dream is that which does not let you sleep", this book is like a dream come true.

It addresses specifically to Musculoskeletal Assessment & Examination & is

first publication for physical therapists written by physiotherapy students.

This book contains very precise & well organized material with well-defined

points to collect during patient examination. Assessment segments are divided

regionally, starting from spine down to the extremities. Shoulder, Hip & Knee

are of special concern; so, dealt in more detail.

We hope that readers will find this updated text a useful resource for their

everyday clinical practice & it will be of a great help to undergraduates & post-

graduates.

Authors


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Contents

CERVICAL SPINE ASSESSMENT 7

THORACIC SPINE ASSESSMENT 18

LUMBER SPINE ASSESSMENT 26

SACROILLIAC JOINT ASSESSMENT 35

SHOULDER JOINT ASSESSMENT 50

ELBOW JOINT ASSESSMENT 67

WRIST JOINT ASSESSMENT 77

HIP JOINT ASSESSMENT 91

KNEE JOINT ASSESSMENT 105

ANKLE JOINT ASSESSMENT 127

Note: -

The Diagrams at the end of each chapter have been taken from the book "Clinical Tests For

The Musculoskeletal System, 2nd ed" by Klaus Buckup.


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Cervical Spine

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Cervical Spine)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________

Age: _________ Gender: Male/Female

Marital status: Single □ M □ Sep □ D □ W □ Language:________________________

Occupation:_________________________________________________________________

Address: ___________________________________________________________________

Mode of Admission: _________________________________________________________

Consultations: _______________________________________________________________

Time of Admission:

Presenting Complaint:_________________________________________________________

______________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________

Intensity of Pain: Mild □ Moderate □ Severe □

Aggravating factors: ____________________________________________________

Relieving factors: ______________________________________________________

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Past Medical/Surgical History:

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Medications/Treatment History:

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Family History:

___________________________________________________________________________

__________________________________________________________________________

Socioeconomic History/ Social/health habits: -

___________________________________________________________________________

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___________________________________________________________________________

Present and pre-morbid functional status/activity: -

___________________________________________________________________________

___________________________________________________________________________

Living environment: -

___________________________________________________________________________

___________________________________________________________________________

General Health Status:

Level of Awareness:________________________________________________

Facial Expressions:_________________________________________________

Body Type:_______________________________________________________

BP( ) Pulse( ) Temperature( ) RR( )

Anemia (Yes/No) Jaundice (Yes/No) Clubbing (Yes/No)

Cyanosis (Yes/No) Koilonychia (Yes/No) Generalized Edema (Yes/No)

Lymph Nodes:

Mastoid Yes/No ________________________________

Mandibular Yes/No ________________________________

Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -

General Health Condition (GHC): -____________________________________________

___________________________________________________________________________

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Cardiovascular System (CVS): -

___________________________________________________________________________

Pulmonary System (PS):

___________________________________________________________________________

Gastrointestinal System (GIS): -

___________________________________________________________________________

Urinary System (US): -

___________________________________________________________________________

Genital Reproductive System (GRS): -

___________________________________________________________________________

Integumentary System: -

___________________________________________________________________________

Endocrine system: -

___________________________________________________________________________

Neurological System: -

Headaches: - Yes/No Dizziness: - Yes/No

Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________

Posture: - _____________________________ Balance & Coordination: - _______________

Fits: - Yes/No ________________ Visual Exam: ___________________________

Auditory Exam: __________ Memory: __________

Gait: - ________________________________

Reflexes: -

C5 – biceps ________________ C5 – C6 – brachioradialis ___________________

C7 – triceps_________________

Manual muscle testing: -

ELBOW: - Flexion (C5,C6)______ Extension (C7) _______

SHOULDER: - Flexion (C5) ______ Extension (C6, C7, C8) _______ Abduction (C5) _________

WRIST: - Flexion (C6 – 7) ______ Extension (C6 – 7) _______

FINGER: - Flexion (C7 – C8) ______ Extension (C7 – C8) _______ Abduction (T1) _________


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Sensory examination: -C3 – Occiput ________ C4 – Supraclavicular space _______

C5 – Anterior shoulder _______ C6 – Lateral shoulder ________

C7 – Posterior arm _______ C8 – Phalanges 4 – 5 ________

T1 – Medial arm and axilla _____________

Musculoskeletal System: -

OBSERVATION:

Cervical Pain: - Yes/No Location: - _________________

Shoulder Symmetry: - ________________________________________________________

Cervical posture: _____________________________________________________________

Clavical Allignment: _________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

AROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Cervical Rotation: ___________________________________________________________________________

PROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________


Isometric: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________


Alanto-Occipital Joint ROM: ___________________________________________________

Atlanto- Axial Joint ROM: _____________________________________________________

Joint Play palpation:

AO Joint: __________________________________________________________________

AA Joint: __________________________________________________________________

Lower cervical Facet Joints: ___________________________________________________

Tenderness: _________________________________________________________________


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Stiffness: ___________________________________________________________________

MMT: - Flexion: ________________ Extension: _________________ Lateral Flexion: _________________

Isolated Muscle Testing: ______________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Congenital Cervical deformity: _________________________________________________

Special Tests: -

Nerve root impingement tests: -

Spurling test: +ve/-ve Intervertebral Foramina Compression Test: +ve/-ve

Foraminal distraction test: +ve/-ve Brachial Plexus Tension Test: +ve/-ve

Shoulder Abduction (Bakody) Test: +ve/-ve Jackson Compression Test: +ve/-ve

Flexion Compression Test: +ve/-ve Extension Compression Test: +ve/-ve

___________________________________________________________________________

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Neurovascular Test: - Adson's Test +ve/-ve Costoclavicular Maneuver +ve/-ve

Overhead test +ve/-ve

Other Tests: - Swallowing test: +ve/-ve Valsalva maneuver +ve/-ve

Vertebral artery test +ve/-ve Percussion Test +ve/-ve

O’Donoghue Test +ve/-ve

__________________________________________________________________________________

__________________________________________________________________________________

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Labs:

Blood CP Yes/No____________ S. Electrolyte Yes/No_________

Urine RE Yes/No____________ S. Calcium Yes/No_________

RFTs Yes/No____________ S. Urea Yes/No_________

LFTs Yes/No____________ S. Creatinine Yes/No_________

TFTs Yes/No____________ S. Amilase Yes/No_________

BSR Yes/No____________ S. Cholesterol Yes/No_________

BSF Yes/No____________ BT.CT Yes/No_________

Cardiac Enzyme Yes/No____________ Prothrombin time Yes/No_________

Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________


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Imaging:

X-Ray Cervical Spine (AP/Lateral View) Yes/No

X-ray AO/AA Joint (AP view with open mouth) Yes/No

X-Ray Cervical Spine (Functional Views) Yes/No

Reports:______________________________________________________________

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Clinical Reasoning:-

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Clinical Judgment (Diagnosis): -

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Management:-

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Body Chart

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Thoracic Spine

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Thoracic Spine)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:

Presenting Complaint:_________________________________________________________

__________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -

General Health Condition (GHC): -

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Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - _____________________________________________________________________

Sensory examination: C7 – Posterior arm _______ C8 – Phalanges 4 – 5 ________

T1 – Medial arm and axilla _____________ T2 -- ______________ T3 -- _________________

T4 -- _________________ T5 -- _________________ T6 -- ________________ T7 -- ________________

T8 -- _________________ T9 -- _________________ T10 -- _________________

T11 -- _______________ T12 -- _________________ L1 -- _________________


OBSERVATION

Thoracic spine Pain: - Yes/No Level: - _____________________________________


Posture (Cervical/Thoracic): ___________________________________________________

Chest Shape: ________________________________________________________________


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Scapular position/ Level: ______________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

AROM: -

Flexion: __________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

PROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

Isometrics: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

Soft Tissue Inspection:

Skin: ______________________________________________________________________

Anterior Chest muscles: _______________________________________________________

Para spinal Muscles:__________________________________________________________

Abdominal muscles: __________________________________________________________

Tenderness: ________________________________________________________________

Stiffness: __________________________________________________________________

Joint Play: - _______________________________________________________________

MMT: - Flexion: ___________ Extension: ____________ Lateral Flexion: ______________

Special Tests: -

Special Cervical spine tests related to thoracic spine: -

___________________________________________________________________________

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Special Thoracic Spine Test: -

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Neurovascular Test: - Adson's Test +ve/-ve Costoclavicular Maneuver +ve/-ve

Overhead test +ve/-ve

Other Tests: - Percussion Test +ve/-ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Thoracic Spine (AP/Lateral View) Yes/No

X-Ray cervical Spine (AP/Lateral View) Yes/No

X-Ray thoracic Spine (Functional Views) Yes/No

Other imaging Tech: ____________________________________________________

Reports:______________________________________________________________

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Management:-

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Body Chart

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Lumber Spine

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Lumber Spine)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:

Presenting Complaint: _____________________________________________________

_____________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


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Endocrine system: -

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Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - (Normal) _______________ (On Heel) ______________ (On toes) _______________

Reflexes: -

L4– Knee Jerk ________________ S1 – S2 – Ankle Jerk___________________

Babinski’s reflexes ______________

Myotomes/Manual muscle testing: -

HIP: - Flexion (L1, L2)______ Extension (L5, S1) _______

KNEE: - Flexion (L5, S1) ______ Extension (L3, L4) _______

ANKLE: - Dorsi Flexion (L4) ______ Planter Flexion (S1, S2) _______

TOES: - 1ST

Toe Extension (L5) _________


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Sensory examination: T12 - midpoint of the inguinal ligament __________________

L1 - ___________ L2 – (anterior medial thigh) ___________ L3 – (medial femoral epicondyle) ____________

L4 – (medial malleolus) __________ L5 – (dorsum of the foot) _____________

S1 – (lateral aspect of the calcaneus) ___________ S2 – (popliteal fossa) _________________

S3 – (infra gluteal fold) ________________ S4 and S5 – (perianal area) _______________________


OBSERVATION

Lumbar spine Pain: - Yes/No Level: - ______________________________________

Radiation: __________________________________________________________________

Posture: ____________________________________________________________________

Pelvic Position: _____________________________________________________________

Chest Expansion: ____________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

AROM: -

Flexion: __________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

PROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

Isometrics: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: __________________________________________________________________________________

Repetitive Movements:__________________________________________________________________

Combined Movements: __________________________________________________________________

__________________________________________________________________________________________

http://en.wikipedia.org/wiki/Lumbar_spinal_nerve_1


http://en.wikipedia.org/wiki/Medial_epicondyle_of_the_femur


http://en.wikipedia.org/wiki/Medial_malleolus


http://en.wikipedia.org/wiki/Foot_dorsum

http://en.wikipedia.org/wiki/Sacral_spinal_nerve_1

http://en.wikipedia.org/wiki/Calcaneus


http://en.wikipedia.org/wiki/Popliteal_fossa


http://en.wikipedia.org/w/index.php?title=Infragluteal_fold&action=edit&redlink=1



http://en.wikipedia.org/wiki/Perianal


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Atrophy: ___________________________________________________________________



Lower Limb Muscles: ________________________________________________________

___________________________________________________________________________

Tenderness: ________________________________________________________________

Stiffness: __________________________________________________________________

True Leg length (Right): ______________ True Leg length (Left): _____________________

Thigh circumference: _________________________________________________________

Leg circumference: ___________________________________________________________

Joint Play: __________________________________________________________________

MMT: - Flexion: _________________ Extension: _______________ Lateral Flexion: __________________

Lower Limb Muscles: _______________________________________________________________________

__________________________________________________________________________________________

Special Tests: -

Special Sacroilliac Tests: - Passive sacroiliac provocation and mobility tests +ve/ -ve

Supported Forward Bend Test (Belt Test) +ve/ -ve

Special lumbar Spine Test: - Thomsen Sign (Prone Knee Flexion Test) +ve/ -ve

Spinous Process Tap Test +ve/ -ve Lhermitte’s Sign +ve/-ve

Psoas Sign +ve/ -ve Lasègue Drop (Rebound) Test +ve/ -ve

Lumbar Spine Springing Test +ve/-ve Hyperextension Test +ve/-ve

One-Leg Standing (Stork Standing), Lumbar Extension Test +ve/ -ve Lasègue Test +ve/ -ve

Heel Drop Test +ve/ -ve

___________________________________________________________________________

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

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Imaging:

X-Ray lumbar Spine (AP/Lateral View) Yes/No

X-Ray pelvis (AP/Lateral View/ Other) Yes/No


Reports:______________________________________________________________

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Management:-

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Body Chart

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Sacroilliac

Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Sacroilliac Joint)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:

Presenting Complaint: ________________________________________________________

___________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


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Endocrine system: -

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Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - (Normal) _____________________________________________________________

(On Heel) __________________________________________________________________

(On toes) ___________________________________________________________________

Reflexes: -







TOES: - 1ST



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OBSERVATION:

Lower back Pain: - Yes/No Level: - ______________________________________

Radiation: __________________________________________________________________

Posture: ____________________________________________________________________

Pelvic Position: _____________________________________________________________

Anatomical Landmarks: _______________________________________________________

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Palpation:__________________________________________________________________

___________________________________________________________________________

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AROM (Pelvis): -

Anterior Tilt: ______________________________________________________________________________

Posterior Tilt: ______________________________________________________________________________

Pelvic Rotation: ____________________________________________________________________________

PROM (Pelvis): -

Anterior Tilt: ______________________________________________________________________________

Posterior Tilt: ______________________________________________________________________________

Pelvic Rotation: ____________________________________________________________________________

AROM (Lumber): -

Flexion: ___________________________________________________________________________________

Extension: ________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: _________________________________________________________________________________

PROM (Lumber): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: _________________________________________________________________________________


















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AROM (Hip): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________

Internal Rotation: ___________________________________________________________________________

External Rotation: ___________________________________________________________________________

PROM (Hip): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________



Isometrics (Lumber): -

Flexion: ___________________________________________________________________________________

Extension: ________________________________________________________________________________

Lateral Flexion: ____________________________________________________________________________

Rotation: _________________________________________________________________________________

Repetitive Movements: ___________________________________________________________________

Combined Movements: ___________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

_________________________________________________________________________________________


Atrophy: ___________________________________________________________________



Gluteal Muscles: _____________________________________________________________

Lower Limb Muscles: ________________________________________________________

___________________________________________________________________________

Tenderness: ________________________________________________________________

Stiffness: ___________________________________________________________________

True Leg length (Right): ______________ True Leg length (Left): _____________________

Thigh circumference: _________________________________________________________

Leg circumference: ___________________________________________________________


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MMT: - lumbosacral muscles: Flexion: ___________ Extension: __________ Lateral Flexion: ____________

Lower Limb Muscles: _______________________________________________________________________

__________________________________________________________________________________________

_________________________________________________________________________________________

Special Tests: -

Special Sacroilliac Tests: - Passive sacroiliac provocation and mobility tests +ve/ -ve

Supported Forward Bend Test (Belt Test) +ve/ -ve Ligaments Test +ve/ -ve

Springing Test +ve/ -ve Patrick Test (Fabere Sign) +ve/ -ve

3-phase Hyperextension Test +ve/ -ve Spine Test +ve/ -ve

Standing Flexion Test +ve/ -ve Derbolowsky Sign (Leg-Length) +ve/ -ve

Mennell Sign +ve/ -ve Lagerre Sign +ve/ -ve

SI Stress Test +ve/ -ve Abduction Stress Test +ve/ -ve

Special Tests for Nerve Root Compression Syndroms:-

Lasegue Sign (SLR Test) +ve/ -ve Bonnet Sign (Piriformis Sign) +ve/ -ve

Lasegue Differential Test +ve/ -ve Bragard Test +ve/ -ve

Thomsen Sign +ve/ -ve Tip Toe & Heel Walking Test +ve/ -ve

Brudzinski Sign +ve/ -ve Hoover Test +ve/ -ve

Reverse Lasegue/Femoral Nerve Lasegue Test +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray lumbar Spine (AP/Lateral View) Yes/No

X-Ray pelvis (AP/Lateral View/ Other) Yes/No


Reports:______________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


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Management:-

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Body Chart

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Shoulder Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Shoulder Joint)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:


___________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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___________________________________________________________________________

___________________________________________________________________________




Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


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___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________

Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - ________________________________

Reflexes: -


C7 – triceps_________________







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OBSERVATION: -

Shoulder Pain: - Yes/No Posture (Shoulder): _________________________________

(Cervical): __________________________________________________________________

(Arm): _____________________________________________________________________


Scapular Winging: ___________________________________________________________

Palpation: _________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Anatomical Landmarks Position: ________________________________________________

Step Deformity: _____________________________________________________________

Swelling: __________________________________________________________________

Joint Effusion: ______________________________________________________________

AROM: -

Flexion: ___________________________________________________________________________________

Extension: ________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________



Horizontal Flexion: __________________________________________________________________________

Horizontal Extension: ________________________________________________________________________

Shoulder Elevation: _________________________________________________________________________

Shoulder Depression: ________________________________________________________________________

Shoulder Protrusion: _________________________________________________________________________

Shoulder Retraction: _________________________________________________________________________

Circumduction: _____________________________________________________________________________

PROM: -

Flexion: ___________________________________________________________________________________

Extension: ________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________



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Circumduction: _____________________________________________________________________________

Isometrics: -

Flexion: ___________________________________________________________________________________

Extension: ________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________









Circumduction: _____________________________________________________________________________

Combine Movements: - _______________________________________________________

Other Joints Movements: ______________________________________________________


Skin: ______________________________________________________________________

Skin Temp: ________________________________________________________________

Shoulder Muscles: ___________________________________________________________

Muscles Arm: _______________________________________________________________

Arm Circumference: __________________________________________________________

Forearm Muscles:____________________________________________________________

Forearm Circumference: _______________________________________________________

Tenderness: _________________________________________________________________

Stiffness: ___________________________________________________________________

End Feel: ___________________________________________________________________


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Joint Play: -

Shoulder Joint Play: __________________________________________________________

AC Joint Play: ______________________________________________________________

Sternoclavicular Joint Play: ____________________________________________________

MMT: - Flexion: ____ Extension: ____ Abduction: _____ Adduction: _____ Internal Rotation: _______

External Rotation: _____ Horizontal Flexion: ______ Horizontal Extension: _______

Shoulder Elevation: ______ Shoulder Depression: ______ Shoulder Protrusion: _______

Shoulder Retraction: ______ Circumduction: ___________

Special Tests: -

Orientation Tests: Quick Test of Combined Motion +ve/ -ve Codman Sign +ve/-ve

Palm Sign Test and Finger Sign Test +ve/ -ve

Bursitis Tests: Bursitis Sign +ve/-ve Dawbarn Test +ve/-ve

Rotator Cuff (Impingement Symptoms):

Zero-Degree Abduction Test +ve/ -ve Jobe Supraspinatus Test +ve/ -ve

Subscapularis Test +ve/ -ve Gerber Lift-Off Test +ve/ -ve

Belly Press–Abdominal Compression Test +ve/ -ve Napoleon Sign +ve/ -ve

Infraspinatus Test +ve/ -ve Teres Test +ve/ -ve

Abduction External Rotation Test +ve/ -ve Drop Arm Test +ve/ -ve

Walch Hornblower Sign +ve/ -ve Apley’s Scratch Test +ve/ -ve

Painful Arc +ve/ -ve Neer Impingement Sign +ve/ -ve

Hawkins and Kennedy Impingement Test +ve/ -ve

Acromioclavicular Joint:

Painful Arc +ve/ -ve Crossed Body Adduction Stress Test +ve/ -ve

Forced Adduction Test on Hanging Arm +ve/ -ve

Clavicle Mobility Test +ve/ -ve Dugas Test +ve/ -ve

Long Head of the Biceps Tendon

Abbott–Saunders Test Palm-Up Test +ve/ -ve

Snap Test +ve/ -ve Yergason Test +ve/ -ve

Hueter Sign +ve/ -ve Transverse Humeral Ligament Test +ve/ -ve

Thompson and Kopell Horizontal Flexion Test +ve/ -ve

Ludington Test +ve/ -ve Lippman Test +ve/ -ve

SLAP Lesions

O’Brien Active Compression Test +ve/ -ve

Biceps Load Test 1 +ve/ -ve Biceps Load Test 2 +ve/ -ve


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Shoulder Instability:

Compression Test +ve/ -ve Anterior Apprehension Test +ve/ -ve

Throwing Test +ve/ -ve Leffert Test +ve/ -ve

Anterior and Posterior Load and Shift Test +ve/ -ve

Gerber–Ganz Anterior Drawer Test +ve/ -ve Fukuda Test +ve/ -ve

Posterior Apprehension Test +ve/ -ve Sulcus Sign +ve/ -ve

Gerber–Ganz Posterior Drawer Test +ve/ -ve Rowe Test +ve/ -ve

Posterior Apprehension Test with the Patient Standing +ve/ -ve

Neurological Test: Nerve Mobility Test: Median Nerve +ve/-ve Radial Nerve: +ve/ -ve

Ulnar Nerve +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Shoulder (AP/Lateral View) Yes/No

X-Ray Shoulder (Other Views) Yes/No


Reports:______________________________________________________________

___________________________________________________________________________


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Management:-

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Body Chart

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Elbow Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Elbow Joint)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: _______________________________________________________________

Time of Admission:


___________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


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Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - ________________________________

Reflexes: -


C7 – triceps_________________







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OBSERVATION: -

Elbow Pain: - Yes/No posture (Elbow): ________________________________________

Shoulder Symmetry: - _______________________________________________________

Carrying Angle: _____________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________


Posterior Swelling (Bursal Swelling) : ____________________________________________

Joint Effusion: ______________________________________________________________

AROM (Elbow): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Pronation: _________________________________________________________________________________

Supination: ________________________________________________________________________________

PROM (Elbow): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Pronation: _________________________________________________________________________________

Supination: ________________________________________________________________________________

Isometrics: (Elbow):

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Pronation: _________________________________________________________________________________

Supination: ________________________________________________________________________________

Combine Movements (Elbow): - _______________________________________________

AROM (Wrist): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________

Radial Deviation: ___________________________________________________________________________


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PROM (Wrist): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________


Isometrics (Wrist):

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________


Combine Movements (Wrist): - ________________________________________________


Skin: _____________________________________________________________________

Skin Temp: _________________________________________________________________

Muscles Arm: _______________________________________________________________

Arm Circumference: __________________________________________________________

Forearm Muscles: ____________________________________________________________

Forearm Circumference: ______________________________________________________

Tenderness: _________________________________________________________________

Stiffness: __________________________________________________________________

Elbow End Feel: _____________________________________________________________

Elbow Joint Play: ___________________________________________________________

MMT (Elbow): - Flexion: _______ Extension: _______ Pronation: ________ Supination: ______________

MMT (Wrist): - Flexion: ________ Extension: _______ Ulnar Deviation: _______ Radial Deviation: ____

Special Tests: -

Orientation Test: - Hyperflexion Test: +ve/ -ve Supination Stress Test: +ve/-ve

Ligamentus Stability Test: Valgus Stress Test: +ve/ -ve Varus Stress Test: +ve/-ve

Posterolateral Rotary Instability Elbow Test: +ve/ -ve

Lateral epicondylitis Test: Chair Test: +ve/ -ve Bowden Test: +ve/ -ve

Thomson Test +ve/ -ve Mill Test: +ve/ -ve

Motion Stress Test +ve/ -ve Cozen Test: +ve/ -ve

Medical Epicondylitis Test: Reverse Cozen Test: +ve/ -ve Golfer’s Elbow Sign +ve/ -ve

Forearm Extension Test: +ve/ -ve


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Neurological Test: Nerve Mobility Test: Median Nerve +ve/-ve Radial Nerve: +ve/ -ve

Ulnar Nerve +ve/ -ve

Tinel Test: +ve/-ve Elbow Flexion Test: +ve/-ve

Supinator Compression Test: +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Elbow (AP/Lateral View) Yes/No


Reports:______________________________________________________________

___________________________________________________________________________

_________________________________________________________________________


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Management:-

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Body Chart

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Wrist Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Wrist & Hand Joints)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:


___________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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___________________________________________________________________________

___________________________________________________________________________




Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________

Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - ________________________________

Reflexes: -


C7 – triceps_________________







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OBSERVATION:

Wrist Pain: - Yes/No Hand Pain: - yes/ No

Posture (Hand): _____________________________________________________________

Posture Arm: - ______________________________________________________________

Hand Temp: ________________________________________________________________

Hand Deformity: ____________________________________________________________

Fingers Deformity: __________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


Joint effusion/Swelling (Wrist): _________________________________________________

Joint Effusion (Other Joints): ___________________________________________________

AROM (Wrist): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________


Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________

PROM (Wrist): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________


Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________

Isometrics (Wrist): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

Ulnar Deviation: ____________________________________________________________________________


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Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________

AROM (MCP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________

PROM (MCP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________

Isometrics (MCP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________

AROM (IP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

PROM (IP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Isometrics (IP JOINTs): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Combine Movements (Wrist/Hand): - __________________________________________

AROM (Other U/L Joints): - ___________________________________________________________

PROM (Other U/L Joints): - ____________________________________________________________

Resistive Movements (Other U/L Joints): _______________________________________


Skin: ______________________________________________________________________

Skin Temp: ________________________________________________________________

Muscles Hand: ______________________________________________________________

Arm/Shoulder Muscles: _______________________________________________________

Forearm Muscles: ____________________________________________________________


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Forearm Circumference: _______________________________________________________

Edema: ____________________________________________________________________

Location (Edema): ___________________________________________________________

Tenderness: _________________________________________________________________

Stiffness: ___________________________________________________________________

Nails: _____________________________________________________________________

Grip Strength: _______________________________________________________________

Pulses: _____________________________________________________________________

Wrist/Hand Joints End Feel: ____________________________________________________

Wrist/Hand Joint Play: ______________________________________________________

MMT (Wrist): - Flexion: ________ Extension: ________ Ulnar Deviation: ____________

Radial Deviation: ___________ Supination: ______________ Pronation: _________________

MMT (Fingers): - Flexion: _______ Extension: _______ Finger Abduction: _____ Finger Adduction: ____

Special Tests: -

Functional Tests: -

Flexor Digitorum Profundus +ve/ -ve Flexor Digitorum Superficialis +ve/ -ve

Flexor Pollicis Longus and Extensor Pollicis Longus +ve/ -ve

Muckard Test +ve/ -ve Finkelstein Test +ve/ -ve

Linburg Test +ve/ -ve Bunnell–Littler Test +ve/ -ve

Wrist/Hand Joitn Stability:

Watson Test (Scaphoid Shift Test) +ve/ -ve Scapholunate Ballottement Test +ve/ -ve

Reagan Test (Lunotriquetral Ballottement Test) +ve/ -ve

Finger Extension or “Shuck” Test +ve/ -ve Supination Lift Test +ve/ -ve

Dorsal Capitate Displacement Apprehension Test +ve/ -ve

Stability Test for a Torn Ulnar Collateral Ligament in the Metacarpophalangeal Joint of the Thumb +ve/ -ve

Compression Neuropathies of the Nerves of the Arm: -

Pronator Teres Syndrome +ve/ -ve

Compression Neuropathy of the Ulnar Nerve in Guyon’s Canal +ve/ -ve

Carpal Tunnel Syndrome +ve/ -ve Cubital Tunnel Syndrome +ve/ -ve

Tests of Motor Function in the Hand: -

Testing the Pinch Grip +ve/ -ve Testing the Key Grip +ve/ -ve

Testing the Power Grip +ve/ -ve Testing the Chuck Grip +ve/ -ve

Testing Grip Strength +ve/ -ve

Radial Nerve Problems: -

Radial Nerve Palsy Screening Test +ve/ -ve Thumb Extension Test +ve/ -ve


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Median Nerve Problems: -

Tinel Sign +ve/ -ve Median Nerve Palsy Screening Test +ve/ -ve

Ochsner Test +ve/ -ve Carpal Tunnel Sign +ve/ -ve

Phalen Test +ve/ -ve Nail Sign +ve/ -ve

Bottle Test +ve/ -ve Reverse Phalen Test +ve/ -ve

Ulnar Nerve Problems: -

Froment Sign +ve/ -ve Ulnar Nerve Palsy Screening Test +ve/ -ve

Intrinsic Test +ve/ -ve

Other Tests: - O Test +ve/ -ve

Wrist Flexion Test +ve/ -ve Grind Test +ve/ -ve

Pronation Test +ve/ -ve Supination Test +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Wrist/Hand (AP/Lateral View) Yes/No


Reports:______________________________________________________________

___________________________________________________________________________


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Management:-

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Body Chart

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Hip Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Hip Joint)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:

Presenting Complaint: ______________________________________________________

_________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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___________________________________________________________________________

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Date: -

System Review: -


___________________________________________________________________________

___________________________________________________________________________

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___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________


___________________________________________________________________________

Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - _____________________________________________________________________

Reflexes: -







TOES: - 1ST



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OBSERVATION:

Hip Pain: - Yes/No Location: _____________________________________

Posture (Spine): _____________________________________________________________

Congenital Deformity: ________________________________________________________

Pelvic Symmetry: - ___________________________________________________________

Leg Length: ________________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


__________________________________________________________________________

Swelling: _________________________________________________________________

AROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________



PROM: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________

Adduction: ________________________________________________________________________________



Isometrics: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Abduction: ________________________________________________________________________________


















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Adduction: ________________________________________________________________________________



Combine Movements: - ______________________________________________________

Other Joints Movements: _____________________________________________________


Skin: ______________________________________________________________________

Skin Temp: _________________________________________________________________

Hip Muscles: ________________________________________________________________

Thigh Muscles: ______________________________________________________________

Tenderness: ________________________________________________________________

Stiffness: __________________________________________________________________

End Feel: __________________________________________________________________

Hip Joint Play: _____________________________________________________________

MMT: -Flexion: _________ Extension: __________ Abduction: ____________ Adduction: ______________

Internal Rotation: ______________ External Rotation: _________________

Special Tests: -

Function Tests:

Muscle Traction Test +ve/ -ve Fingertip Test: +ve/ -ve

Test for Rectus Femori: +ve/ -ve Contracture Hip Extension Test +ve/ -ve

Iliotibial Tract Test: +ve/ -ve Thomas Grip: +ve/ -ve

Noble Compression Test: +ve/ -ve Ober Test: +ve/ -ve

Piriformis Test: +ve/ -ve Trendelenburg Sign/Duchenne Sign +ve/ -v

Hip Disorder/Diseases:

Drehmann Sign: +ve/ -ve Anvil Test: +ve/ -ve

Leg Pain upon Axial Compression: +ve/ -ve

Anteversion Test: +ve/ -ve

Fabere Test (Patrick Test) for Legg–Calvé–Perthes Disease +ve/ -ve

Congenital Hips Disorders:

Telescope Sign: +ve/ -ve Barlow Test: +ve/ -ve

Ortolani Tests: +ve/ -ve Trochanter Irritation Sign: +ve/ -ve

Kalchschmidt Hip Dysplasia Tests +ve/ -ve

Leg Length Disperences:

Galeazzi Test: +ve/ -ve Leg Length Difference Test: +ve/ -ve

Spinal Problem Test: Hip and Lumbar Rigidity in Extension: +ve/ -ve


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Acetabular Problem Test:

Posterior Margin Test: +ve/ -ve Anterior Femoroacetabular: +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Hip Joint (AP/Lateral View) Yes/No

X-Ray Hip Joint (Other Views) Yes/No

X-Ray Pelvis (Ap/Lateral/Other Views) Yes/No


Reports:______________________________________________________________

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Management:-

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Body Chart

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Knee Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Knee Joint)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:

Presenting Complaint: ______________________________________________________

___________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


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___________________________________________________________________________


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Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - ________________________________

Reflexes: -







TOES: - 1ST



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Sensory examination:

T12 - midpoint of the inguinal ligament __________________ L1 - ___________

L2 – (anterior medial thigh) ___________ L3 – (medial femoral epicondyle) ____________



S3 – (infra gluteal fold) ________________ S4 and S5 – (perianal area) _________________


OBSERVATION: -

Knee Pain: - Yes/No Posture (Lower Back): __________________________________

Posture (Knee): ____________________________________________________________

Pelvis Symmetry: - __________________________________________________________

Leg length: _________________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


Popliteal Swelling: ___________________________________________________________

Joint Effusion: ______________________________________________________________

AROM (Knee [weight-bearing]): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

AROM (Knee [Non Weight-bearing]): -

Flexion:___________________________________________________________________________________

Extension: ________________________________________________________________________________

AROM (Knee):

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

PROM (Knee):

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Medial Tibial Rotation: ______________________________________________________________________

Lateral Tibial Rotation: ______________________________________________________________________

Isometrics: -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Combine Movements (Knee): - ________________________________________________


















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AROM (Associated Joints): - ___________________________________________________________

PROM (Associated Joints): - ____________________________________________________________


Skin: ______________________________________________________________________

Skin Temp: _________________________________________________________________

Knee Deformity: _____________________________________________________________

Knee Alignment: ____________________________________________________________

Patellar Alignment: __________________________________________________________

Muscles Thigh: ______________________________________________________________

Thigh Circumference: ________________________________________________________

Leg Muscles: _______________________________________________________________

Leg Circumference: __________________________________________________________

Tenderness: ________________________________________________________________

Stiffness: _________________________________________________________________

Knee End Feel: _____________________________________________________________

Patellar End Feel: ___________________________________________________________

Joint Play: -

Knee Joint Play: ____________________________________________________________

Patellofemoral Tracking: _____________________________________________________

MMT (Knee): - Flexion: _______________________ Extension: __________________________________

MMT (Associated Joints): - _____________________________________________________________

Special Tests: -

Knee Swelling: Brush (Stroke, Wipe) Test +ve/ -ve Dancing Patella Test +ve/ -ve

Patella

Patellar Chondropathy (Chondromalacia, Anterior Knee Pain) +ve/ -ve

Q-Angle Test +ve/ -ve Glide Test +ve/ -ve

Zohlen Sign +ve/ -ve Facet Tenderness Test +ve/ -ve

Crepitation Test +ve/ -ve Fairbank Apprehension Test +ve/ -ve

McConnell Test +ve/ -ve Subluxation Suppression Test +ve/ -ve

Tilt Test +ve/ -ve Mediopatellar Plica Test +ve/ -ve

Hughston Plica Test +ve/ -ve Dreyer Test +ve/ -ve

Meniscus: -

Apley Distraction and Compression Test (Grinding Test) +ve/ -ve

McMurray Test (Fouche Sign) +ve/ -ve Bragard Test +ve/ -ve

Payr Sign +ve/ -ve Payr Test +ve/ -ve

Steinmann I Sign +ve/ -ve Steinmann II Sign +ve/ -ve


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Boehler–Kroemer Test +ve/ -ve Merke Test +ve/ -ve

Cabot Test +ve/ -ve Finochietto Sign +ve/ -ve

Childress Sign +ve/ -ve Turner Sign +ve/ -ve

Anderson Medial and Lateral Compression Test +ve/ -ve

Paessler Rotational Compression Test +ve/ -ve

Tschaklin Sign +ve/ -ve Wilson Test +ve/ -ve

Knee Ligament Stability Tests:

Abduction Test (Valgus Stress Test) +ve/ -ve Adduction Test (Varus Stress Test) +ve/ -ve

Tests to Assess the Anterior Cruciate Ligament:

Lachman Test +ve/ -ve Prone Lachman Test +ve/ -ve

Stable Lachman Test +ve/ -ve No-Touch Lachman Test +ve/ -ve

Active Lachman Test +ve/ -ve Anterior Drawer Test in 90° Flexion +ve/ -ve

Jakob Maximum Drawer Test +ve/ -ve Pivot Shift Test +ve/ -ve

Jakob Graded Pivot Shift Test +ve/ -ve Modified Pivot Shift Test +ve/ -ve

Medial Shift Test +ve/ -ve Soft Pivot Shift Test +ve/ -ve

Martens Test +ve/ -ve Losee Test +ve/ -ve

Slocum Test +ve/ -ve Arnold Crossover Test +ve/ -ve

Noyes Test +ve/ -ve Jakob Giving Way Test +ve/ -ve

Lemaire Test +ve/ -ve Hughston Jerk Test +ve/ -ve

Tests to Assess the Posterior Cruciate Ligament:

Posterior Drawer Test in 90° Flexion (Posterior Lachman Test) +ve/ -ve

Reversed Jakob Pivot Shift Test +ve/ -ve Quadriceps Contraction Test +ve/ -ve

Posterior Drop Test +ve/ -ve Soft Posterolateral Drawer Test +ve/ -ve

Gravity Sign and Genu Recurvatum Test +ve/ -ve Godfrey Test +ve/ -ve

Hughston Test for Genu Recurvatum and External Rotation +ve/ -ve

Dynamic Posterior Shift Test +ve/ -ve Loomer Posterolateral Rotary Instability Test +ve/ -ve

Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________


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Imaging:

X-Ray Knee (AP/Lateral View) Yes/No

X-Ray Knee (other Views) Yes/No


Reports:______________________________________________________________

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Management:-

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Body Chart

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Ankle Joint

Assessment

Case: ______________

Diagnosis: _________________


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History Taking Form (Ankle & Foot Joints)

Demographic Data: -

Name: ____________________________ S/O, D/O, W/O:__________________________



Occupation:_________________________________________________________________

Address: ___________________________________________________________________


Consultations: ____________________________________________________________

Time of Admission:


__________________________________________________________________________

HOPC:

Location of Pain:_______________________________________________________

Type of pain: _________________________________________________________

On set of Pain: ________________________________________________________

24 hour sequence: _____________________________________________________




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Family History:

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Body Type:_______________________________________________________




Lymph Nodes:

Mastoid Yes/No ________________________________


Cervical Yes/No ________________________________

Thyroid:

Objective Data: -

System Review: -


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Endocrine system: -

___________________________________________________________________________



Endurance: - _________________________ Power: - ____________________________

Tone: - _____________________________ Strength: - ____________________________




Gait: - _____________________________________________________________________

On Toes: ___________________________________________________________________

On Heel: ___________________________________________________________________

Reflexes: -







TOES: - 1ST



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Sensory examination:

T12 - midpoint of the inguinal ligament __________________ L1 - ___________

L2 – (anterior medial thigh) ___________ L3 – (medial femoral epicondyle) ____________



S3 – (infra gluteal fold) ________________ S4 and S5 – (perianal area) _________________


OBSERVATION: -

Ankle Pain: - Yes/No Foot Pain: - yes/ No

Posture (Foot): ______________________________________________________________

Posture Leg: - _______________________________________________________________

Foot Temp: _________________________________________________________________

Foot Deformity: _____________________________________________________________

Toes Deformity: _____________________________________________________________

Palpation: _________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________


Joint effusion/Swelling (Ankle): ________________________________________________

Joint Effusion (Other Joints): ___________________________________________________

AROM (Ankle): -

Dorsi Flexion: _____________________________________________________________________________

Planter Flexion: ____________________________________________________________________________

Inversion: _________________________________________________________________________________

Eversion: __________________________________________________________________________________

Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________

PROM (Ankle): -

Dorsi Flexion: _____________________________________________________________________________

Planter Flexion: ____________________________________________________________________________

Inversion: _________________________________________________________________________________

Eversion: __________________________________________________________________________________

Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________


















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Isometrics (Ankle): -

Dorsi Flexion: _____________________________________________________________________________

Planter Flexion: ____________________________________________________________________________

Inversion: _________________________________________________________________________________

Eversion: __________________________________________________________________________________

Supination: ________________________________________________________________________________

Pronation: _________________________________________________________________________________

AROM (MTP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

PROM (MTP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

Isometrics (MTP Joints): -

Flexion: ___________________________________________________________________________________

Extension: _________________________________________________________________________________

AROM (IP Joints): -

Flexion: __________________________________________________________________________________

Extension: ________________________________________________________________________________

PROM (IP Joints): -

Flexion: __________________________________________________________________________________

Extension: _________________________________________________________________________________

Isometrics (IP Joints): -

Flexion: __________________________________________________________________________________

Extension: _________________________________________________________________________________

Combine Movements (Ankle/Foot): - ___________________________________________

AROM (Other L/L Joints): - ____________________________________________________________

PROM (Other L/L Joints): - ____________________________________________________________


Skin: ______________________________________________________________________

Skin Temp: _________________________________________________________________

Skin Hypertrophy: ___________________________________________________________

Toe Nails: __________________________________________________________________

Muscles Foot: _______________________________________________________________

Leg Muscles: _______________________________________________________________

Thigh Muscles:______________________________________________________________

Foot Arches: _______________________________________________________________


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Edema: _____________________________ Location: ______________________________

Tenderness: ________________________________________________________________

Stiffness: __________________________________________________________________

Leg Lengths: _______________________________________________________________

Pulses: ____________________________________________________________________

Ankle/Foot Joints End Feel: ____________________________________________________

Ankle/Foot Joint Play: ______________________________________________________

MMT (Ankle): - Dorsi Flexion: ____ Planter Flexion: ____ Inversion: _____ Eversion: _____

Supination: ________ Pronation: __________

MMT (Toes): - Flexion: ____ Extension: ____

Special Tests: -

Functional Tests: -

Grifka Test +ve/-ve Strunsky Test +ve/-ve

Toe Displacement Test +ve/-ve Crepitation Test +ve/-ve

Metatarsal Tap Test +ve/-ve

Thompson Compression Test (Calf Compression Test) +ve/-ve

Hoffa Sign +ve/-ve Achilles Tendon Tap Test +ve/-ve

Coleman Block Test +ve/-ve Foot Flexibility Test +ve/-ve

Forefoot Adduction Correction Test +ve/-ve

Collateral and Syndesmosis Ligaments +ve/-ve

Talar Tilt Test 1 (Inversion Stress Test or Varus Stress Test) +ve/-ve

Talar Tilt Test 2 (Eversion Stress Test or Valgus Stress Test) +ve/-ve

Anterior Drawer Test +ve/-ve Squeeze Test +ve/-ve

External Rotation Stress Test (Kleiger Test) +ve/-ve

Dorsiflexion Test +ve/-ve Heel Thump Test +ve/-ve

Posterior Ankle Impingement Test—Hyperplantar Flexion Test +ve/-ve

Anterior Ankle Impingement Test—Hyperdorsiflexion Test +ve/-ve

Gaenslen Maneuver +ve/-ve Mulder Click Test (Morton Test) +ve/-ve

Digital Nerve Stretch Test +ve/-ve Heel Compression Test +ve/-ve

Tinel Sign +ve/-ve Tourniquet Sign +ve/-ve


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Labs:









Serology Yes/No__________________________________________

Others:_________________________________________________________________

______________________________________________________________________

Imaging:

X-Ray Ankle/Foot (AP/Lateral View) Yes/No


Reports:______________________________________________________________

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Management:-

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Body Chart

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Manual of musculoskeletal system

Health & Medicine

malefemale

auditory exam

thigh circumference

passive sacroiliac

infra gluteal

facial expressions

general health

musculoskeletal