Empty Can Test

2. During inspection of the patient’s affected shoulder, name at least three key clinical aspects that you need to observe on both shoulders that would suggest any pathology or abnormality on the shoulders. From the three clinical aspects that you observed, explain what each of the findings would indicate concerning the pathology of the shoulder. For example if the shoulder is

Some assessment tests that can be done to determine areas of occupational dysfunction important to the person are the Canadian Occupational Performance (COPM) interview, the Robinson Bashall Functional Assessment, the Stanford Health Assessment Questionnaire, the Assessment of Motor and Process Skills (AMPS), manual muscle tests, the goniometer, and the dynamometer and pinch meter (Hammond, pp 257). The Robinson Bashall Functional Assessment, as well as the Stanford Health Assessment Questionnaire, is a functional assessment that allows the therapist to get a better understanding of the practical capabilities of patients that are suffering from RA. The Assessment of Motor and Process Skills allows an accurate estimate of ability to do IADLs based on performance of three tasks.

SEIDAL, H, M., BALL, J, W., DAINS, J, E., BENEDICT, G, W. (2006) Mosby’s Guide to Physical Examination. 6th edn. Philadelphia: Elsevier.

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

2010). The patient history diagnosis is the first approach, sensation, reflexes and strength are examined, this is because sciatica is mainly diagnosed by its particular pain symptoms (Pullman-Mooar, 2013). The physical examination is dependent on neurological testing (Koes et al. 2007). If the pain is continual for more than six weeks after the patient history is taken, a physical examination will be completed (Pullman-Mooar, 2013). Imaging is used to distinguish if nerve root compression is visible initiated by a herniated disc (Jarvik et al. 2002). The Lasegue’s sign or most commonly known as the straight-leg-raising test is frequently used (Valat et al. 2010). A test conducted by Deville et al. 2000 demonstrates that the straight-leg-raising test has a sensitivity of 91% and a specificity of 26.4%, whereas the crossed straight-leg test has a sensitivity of 29% and a specificity of 88%. No tests have been conducted that have resulted in both a high sensitivity and a high specificity. Other diagnostic tests include the computed tomography (CT) scan and magnetic resonance imaging (MRI), which are used to diagnose physical defects that cause sciatica (Pullman-Mooar, 2013). As well as, electromyography, evoked potential testing, nerve conduction velocity testing and myelography. Yet, since the popularity of the MRI is increasing, myelography use is decreasing. Problems in

The shoulder region has the greatest range of motion and the least stability (Degerlendirmesi, 2014). As I have mentioned in my initial post, due to the complex anatomy of the shoulder and biomechanics of the joints and soft tissues, it is crucial that proper imaging methods should be utilized (Degerlendirmesi, 2014). One purpose of imaging is to check for the presence of a fracture or dislocation in acute cases. (Degerlendirmesi, 2014). Obtaining the patient’s history and performing a physical examination in correlation with imaging findings is vital in avoiding errant treatment of lesions in the shoulder that are asymptomatic or neglecting other pathological

During the evaluation and examination process, the physical therapist interviews patient, gather history and physical information as well as administer different testing and measurements as selectively indicated to materialized a clinical hypotheses of the functional movement impairment of a patient or client. Of note, are multiple test and measurements that are being used in clinical practice setting like hospitals, skilled nursing facilities, or outpatient clinics. In essence, the idea of administering tests and measures is to analyze the probable cause of any functional movement problems, which will identify any skilled needs for physical therapy services. The screening is a presumptive identification of unrecognized disease or defect by

It was noted the muscle testing was consistent with a supraspinatus dysfunction. He had decreased reaching, lifting, carrying, pushing, pulling, and overhead stacking.

The patient was positive on the left side UE and LE however her response was negative on the right side. She presented flexor tone in right elbow, and extension tone in the right knee. PROM and PNF patterns were performed to help decrease tone. RB was dependent for all bed mobility and required maximum assistance of two therapist at the bed side. She was unable to hold her trunk midline, pushing to the right and falling backwards. She was max assist for sitting, with one therapist in front correcting the right pushing, and another behind her for support. We started her weight bearing through her left UE with assistance, RB was unable to support herself when the therapist did not support her right shoulder, RB returned to pushing towards the right. This sequence was continued five days a week for two weeks. By week three RB was still max assist times two therapists but, showing spontaneous movements during bed mobility. She still required assistance with sitting with weight bearing, through left LE but, she could now hold her trunk for a few seconds, before pushing to the right. To help her find her mid-line this time we had her weight bear with her elbow by leaning on her left side. In this position we first assisted her right UE over her head, working on the flexion tone and stretching of her right side obliques. Next we used

Olecranon bursa swelling and thickness is noted without pain or effusion. There is tenderness over the ulnar aspect of the wrist. Strength is 4+/5 to the supraspinatus, internal/external rotators and deltoid. Elbow strength testing is positive for pain with resisted wrist extension and pain with resisted long finger extension. Wrist strength flexion/extension is weakness is noted at 4+/5.

Knowing the anatomy in the regions of injury is vital when solving for the route cause of the pain. When looking at the shoulder, it is important to understand the locations and names of the various muscles and ligament that allow for specific movement for this appendage. For instance, on the superior side of the shoulder joint, the deltoid muscle works with the supraspinatus to abduct the arm at the shoulder. On the anterior side of the shoulder, the coracobrachialis, serratus anterior, pectoralis major, and pectoralis minor muscles work together to flex and abduct the scapula and humerus anteriorly toward the sternum. This knowledge of anatomy becomes advantageous when used to isolate specific areas through palpation exercises in order to further identify and diagnose the presented

The prospective patients were to have a minimum volume difference of 10% between the affected and unaffected arms. They were then randomly assigned to two different groups, the control group and the

The goals of this intervention were to decrease patient pain and disability as well as to increase range of motion. Affectiveness of treament was measured with multiple scales to account for both subjective and objective information. The patient was asked to subjectively rate his perceived pain and function. The examiner measured objective ROM, functional movement and special testings. The following are measures that were included:

Recently, Ehler et al in Czech Republic have reported mean normative value of ulnar nerve MNCSs for FDI and ADM above and below elbow among 227 healthy volunteers according to the recommendation of American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM).The results of their study showed that ulnar nerve MNCV recorded from FDI and ADM at forearm were 60.4(5.2) and 59.7(4.7)m/s, respectively .Reported ulnar nerve MNCV from FDI and ADM across the elbow were 57.1(5.9) and 56.5(5.7),respectively. Mean differences of MNCV at forearm –across the elbow recorded from FDI and ADM were 3.3(6.6) and 3.2(6.4),

A highly reliable measurement of ROM would yield consistent measurement results when successive measurements are taken on the same subject under the same conditions. When the goniometric or inclinometry measurement is valid, an examiner can confidently use the results of a highly reliable measurement to determine the mobility and flexibility of a joint or even diagnose a change in dysfunction due to the minimal measurement error. Only by obtaining a reliable and consistent measurement of elbow range of motion can the presence of joint ROM limitation be diagnosed, patients’ improvements toward rehabilitation be evaluated, and the usefulness of therapeutic interventions be assessed. Based on the subject’s performance in range of motion assessments, appropriate range of motion exercises could then be assigned to patients who have a limited elbow extension range. It is important for joint flexibility to be improved or maintained because motions such as elbow extension is essential for transfers, propped sitting, reaching for objects and