STT and Regional Musculoskeletal Screening

Three basic questions
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Terms in this set (19)
Three basic questions
What are the tissue possibilities
How do we test the various tissues
What do the findings suggest
1st step: contractile tissues
Muscle, tendon, fascia
1st step: inert tissues
Joint, cartilage, bursa, disc
Capsule, ligament
Nervous tissue
Muscle, tendon, fascia stressors/tests
Contraction, tension
Joint, cartilage, bursa, disc stressors/tests
Compression
Capsule, ligament stressors/tests
Tension
Nervous tissues stressors/tests
Tension, assessment of conduction
How can we test muscle, tendon, fascia in an exam
AROM, MMT, prom
How can we test joint, cartilage, disc in an exam
Prom, weight bearing, overpressures
How can we test capsule, ligament in an exam
Ligament stress testing, prom
Strong and painlessNo contractile lesionStrong and painfulMild contract lesion Mild tendinopathy, grade 1 muscle strainWeak and painlessNeurological lesion (radiculpathy, spinal cord injury) Complete contractile lesion (tendon tear, grade 3 muscle strain)Weak and painfulModerate to severe contractile lesion (moderate-severe tendinopathy, grade 2 muscle strain)NMSK regional screen general componentsNeuro screen Observation Active movements in cardinal plane Active movements in combined planes Resistive testing Special tests *cardinal and combined planes can include overpressures as allowedProgress vigor of muscle, tendon, fascia examResistance from an elongated positionProgress vigor of a joint, cartilage, bursa, disc examCombine active movements Compressive overpressure Combined compressive over pressureProgress vigor of a capsule, ligament examCombined active movements Tensile overpressure Combine tensile overpressuresProgress vigor of a nervous tissue examNo progression of vigor per se, but consider multiple concurrent findings