Injury assessment evaluation
This presentation is the property of its rightful owner.
Sponsored Links
1 / 25

Injury Assessment & Evaluation PowerPoint PPT Presentation


  • 92 Views
  • Uploaded on
  • Presentation posted in: General

Injury Assessment & Evaluation. Today’s topics. Principles of range of motion testing, neurological testing, and special tests Functional testing. Range of Motion Assessment. Categories & progression 1. AROM 2. PROM 3. RROM. AROM. Voluntary movement through muscle contraction

Download Presentation

Injury Assessment & Evaluation

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Injury assessment evaluation

Injury Assessment & Evaluation


Today s topics

Today’s topics...

  • Principles of range of motion testing, neurological testing, and special tests

  • Functional testing


Range of motion assessment

Range of Motion Assessment

  • Categories & progression

    1. AROM

    2. PROM

    3. RROM


Injury assessment evaluation

AROM

  • Voluntary movement through muscle contraction

  • Establishes willingness and ability to move

  • Helps determine damage to contractile tissue


Injury assessment evaluation

AROM

  • Assess all movements of joint

  • Check for bilateral equality

  • Assess fluidity & extent of movement

  • Palpate joint throughout movement


Injury assessment evaluation

AROM

  • Causes of limited movement

    1. Pain*5. Joint contractures

    2. Swelling6. Nerve damage

    3. Muscle spasm7. Loose bodies

    4. Muscle tightness

    *Where in the motion does it hurt?

    “Painful arc”


Injury assessment evaluation

PROM

  • Movement of the part w/o assistance from the injured individual

  • Distinguishes injury to contractile tissues from non-contractile tissues

  • Position person lying down to relax muscles

  • Perform painful movements last

  • Note end feel


Injury assessment evaluation

RROM

  • Assess muscle strength after injury

  • Detect injury to nervous system

  • Examples of results & implications:

    1. Muscle weakness & pain--> strain

    2. Muscle weakness & pain -> nn damage

  • Static & dynamic testing (pressure vs resistance)

  • Grading system


Movement terminology

Movement terminology

Flexion/extension


Movement terminology1

Movement terminology

ABDuction/ADDuction


Movement terminology2

Movement terminology

  • Internal/external rotation

    • Aka medial/lateral


Movement terminology3

Movement terminology

Plantar flexion/dorsiflexion

Inversion/eversion

Radial/ulnar deviation


Movement terminology4

Movement terminology

Horizontal ABDuction/ADDuction

Lateral flexion

L/R rotation


Manual muscle testing

Manual muscle testing


Neurological testing

Neurological testing

  • Evaluate

    • Sensation

    • Motor function

    • Deep tendon reflexes

  • Identify

    • Nerve root impingement

    • Peripheral nerve damage

    • CNS trauma

    • Disease


Neurological testing1

Neurological testing

  • Indicated by

    • Numbness

    • Paresthesia

    • Muscular weakness

    • Pain of unexplained origin

    • Injury to cervical or lumbar spine


Neurological testing2

Neurological testing

  • Spinal nerve roots & segmental nerves

  • Roots supply area of skin & series of muscles

    1. Dermatome

    2. Myotome


Neurological testing3

Neurological testing

  • Assessment of dermatomes & myotomes

  • Reflex testing

    1. Changes -->degeneration OR injury in specific regions of nervous system

    2. DTR’s tend to be absent if specific nerve root damage


Joint stability tests

Joint stability tests

  • Assess integrity of ligamentous & capsular tissues

  • Tests apply tension to specific ligaments

  • ALWAYS include tests for major ligament damage & fxs in “On-field” evaluations


Laxity vs instability

Laxity vs instability

Laxity — clinical sign of the amount of “give” within a joint; identified by stress testing

Instability — joint’s inability to function under the stresses of function activity


Ligamentous stress tests

Ligamentous Stress tests


Special tests

Special tests

  • Specific procedures applied to a joint to determine presence of a particular pathological condition

  • Unique to each structure

  • Results are compared

    • Side to side

    • Cause provocation

    • Cause alleviation

  • Reported as positive (+) or negative (-)


Special tests1

Special tests


Functional testing

Functional Testing

  • Tests of motor coordination, proprioception, & sport specific skill

  • Tests are sport specific--> performed during sport participation


Injury assessment evaluation

Next...

  • Legal concerns


  • Login