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J.AYYAPPAN, M.P.T (ORTHO)
ORTHOPAEDIC physical ASSESSMENT Date:
Subjective assessment Place:
Name: Age: Gender: Occupation: Address: IP/OP no
Chief Complaint:
History taking
Present History:
• Allowed to narrate history
• Date of onset of symptoms
• Mechanism of injury
• Mode of onset
• Condition – Improved, Stationary, Deteriorated
• Muscular weakness
• Current treatment
J.AYYAPPAN, M.P.T (ORTHO)
Past History:
Relevant previous medical problem to present condition
Examples
• Trauma
• Joint injuries
• Neurological problem
• Any history of Tuberculosis
• Bronchial Asthma
• Blood Pressure
• Diabetes
• Cardiac Problems
• Enquiry made for any accidental injury
Family History :
Hereditary
Consanguinity
Personal History :
• Cigarettes – Number/day ,How long (Pack years)
• Alcoholic – Amount/day ,Duration
Socio-economic History:
Social status-some of the disease common in slum area
Affordability :
Economic status of the patients
Drug History :
Present medication patient is on
J.AYYAPPAN, M.P.T (ORTHO)
Pain Assessment:
Nature of the pain: 1. Burning-patient used to say burning. Ex -nerve involvement (sympathetic)
2. Electric shock- it is same like electric shock. Ex-compression on nerve
3. Pin prick-pain will be feel like prickling with needle. Ex- nerve compression
4. Needle insertion-it is familiar with everyone .Ex- nerve problem
Course: 1. Radiating pain- pain will be there in the course of the nerve- Radiculopathy
2. Localized- local pain-local injury
Types of pain:- 1. Dull ache-slow pain, Ex-ligament and muscle injury,
Cumulative trauma disorder, Some chronic condition
À Sweater Finger Test Ruptured Flexor Digitorum Profundus À Bunnel-Litter Test - Tight Intrinsics À Phalen’s Test - Carpal Tunnel Syndrome À Reverse Phalen’s Test - Carpal Tunnel Syndrome À Froment’s Sign Paralysis of Adductor Pollicis Longus
Pelvis: À Approximation Test Possible SI Lesion or Sprain Posterior SI
Ligaments À Gapping Test - Sprain Anterior SI Ligaments À Sacroiliac Rocking Test (SI Strain) - Sacrotuberous Ligaments À SLR (Lascgucs Test) - SI Problems À Gaenslen’s Test - I/P SI Lesion or Hip Pathology or
Lumbar Pathology À Prone Knee Bend Test - For D/F Diagnosis À Yeoman’s Test
Hip: À Patrick’s Test (FABER or Figure Four Test)
- Hip Joint? Iliopsoas Spasm
À Stinchfield Test - Hip Joint Pathology À Thomas Test - Hip Flexion Contracture À Rectus Femoris Contracture Test - For Rectus Femoris À Ober’s Test - TFL Contracture À Piriformis Test - Piriformis Syndrome
J.AYYAPPAN, M.P.T (ORTHO)
Knee: À Valgus Stress Test - Medial Collateral Ligament À Varus Stress Test - Lateral Collateral Ligament À Lachman Test - Anterior Cruciate Ligament À Anterior Drawer Sign - Anterior Cruciate Ligament À Posterior Drawer Sign - Posterior Cruciate Ligament À McMurray Test - Meniscal Tear À Apley’s Test - Meniscal or Ligamentous? À Bounce Home Test - Meniscal Injury À Mediopatellar Plica Test - Mediopatellar Plica À Fluctuation Test - Swelling À Patellar Tap Test - Swelling À Clarke’s Sign - Patellofemoral Dysfunction À McConnell Test - Chondromalacia Patella À Q-Angle or Patellofemoral Angle - Patellofemoral Dysfunction À Fairbank’s Apprehension Test - Dislocation of Patella
Ankle: À Anterior Drawer Test Anterior Talofibular Ligament Injury À Talar Tilt - Calcaneofibular Ligament À Thompson’s Test - Achilles Tendon Rupture
Cervical Spine: À Foraminal Compression (Sparling’s Test)
- Cervical Radiculitis
À ULTT’s D/F Diagnosis À Shoulder Depression Test & Abduction
Test Compression of nerve roots or Brachial
Plexus Lesion À Jackson’s Compression Test Pressure on nerve root À Valsalva Tests Herniated disc / Tumour / Osteophyte À Vertebral Artery Test
(Cervical Quadrant Test) Compression of Vertebral Artery
Thoracic Spine: À Slump Test Impingement of Dura & Spinal Cord / Nerve Roots
J.AYYAPPAN, M.P.T (ORTHO)
Lumbar Spine: À Slump Test - For Neuromeningeal Tract À SLR (Basic), 2, 3, 4, Crossed SLR - Sciatic, Tibial, Sural, Common Peroneal,
Disc Prolapse À Valsalva Maneuver - Increased Intrathecal Pressure À Schober’s Test Measure Flexion of Lumbar Spine À Stoop Test Neurogenic Intermittent Claudication