examination of Musculoskeletal system

60 %
40 %
Information about examination of Musculoskeletal system
Health & Medicine

Published on March 11, 2014

Author: ciplashine

Source: slideshare.net

Description

this power point includes the details of examination of musculoskeletal system (inspection, palpation, range of motion, muscle tone & strength)

Examination of Musculoskeletal System

 Assess this system while bathing or positioning  Focus on range of joint motion, muscle strength, tone, joint & muscle condition  Muscular disorders may result from neurological disease  Simultaneous muscular & neurological examination

 Visualize : Bone anatomy, muscle placement & joint structure  Assess the degree of mobility  Provide proper position while examination

Nursing History  Determine involvement in competitive sports  H/o alcohol or caffeine use, cigarette smoking, constant dieting  Menopause before age 45, estrogen deficiency  Family H/o osteoporosis  Chronic diseases

Cont…  History of problems in bone, muscle or joint function  Nature and extent of pain  Normal activity pattern  Height loss in women over age 50

Inspection  Observe client’s gait  Note: how client walks, sits & rises from a sitting position  Note foot dragging, limping, shuffling & position of legs in relation to trunk  Observe client in standing position  Note common postural abnormalities

Cont…  Check for kyphosis, lordosis & scoliosis  Assess for signs of osteoporosis  Extremities: overall size, gross deformity, bony enlargement, alignment & symmetry

Palpation  Gentle palpation : bones, joints, surrounding muscles  Note heat, tenderness, edema or resistance to pressure  During palpation: no discomfort to client  Muscles should be firm

Terminology  Flexion  Extension  Hyperextension  Pronation  Supination  Abduction  Adduction  Internal rotation  External rotation  Eversion  Inversion  Dorsiflexion  Plantar flexion

Range of motion  Includes both active & passive ROM  Put each major joint through active and passive full ROM  Demonstrate and instruct the client

Cont…  Goniometer : measures precise degree of motion in a particular joint

Muscle tone and strength  Check for hypertonicity & hypotonicity  In case of pain: support the extremity  Slight resistance can be there  Compare symmetrical muscle pairs

Maneuvers to assess muscle strength  Neck (sternocleidomastoid muscle) Place hand firmly against client’s upper jaw & ask the client to turn the head laterally against resistance

Cont..  Shoulder (trapezius) Place hand over midline of client’s shoulder exerting firm pressure. Have the client to raise shoulder against resistance

Cont…  Elbow ◦ Biceps : pull down on forearm as client attempts to flex arm ◦ Triceps : as you flex client’s arm, apply pressure against forearm. Ask client to straighten the arm

Cont..  Hip ◦ Quadriceps : when client is sitting, apply downward pressure to thigh.Ask client to raise leg up from table ◦ Gastrocnemius : client sits, while examiner holds shin of flexed leg.Ask client to straighten leg against resistance

Muscle strength Muscle function level Grade % Normal Lovett scale No evidence of contractility 0 0 0(zero) Slight contractility, no movement 1 10 T(trace) Full range of motion, gravity eliminated 2 25 P(poor) Full range of motion with gravity 3 50 F(fair) Full range of motion against gravity, some resistance 4 75 G(good) Full range of motion against gravity, full resistance 5 100 N(normal)

Add a comment

Related presentations

Related pages

The Musculoskeletal Examination - Clinical Methods - NCBI ...

Table 164.1 lists abnormalities that may be discovered in the musculoskeletal system. If abnormalities are detected in the musculoskeletal examination ...
Read more

Examination Skills of the Musculoskeletal System

Examination Skills of the Musculoskeletal System Self-study Program Author: Robert Sallis, MD, FAAFP, FACSM Department of Family Medicine Kaiser Permanente ...
Read more

Examination of Musculoskeletal System - YouTube

Musculoskeletal System Examination, GALS, gait arms legs spine examination, Rheumatology - Duration: 9:40. Akram Yousuf 22,415 views.
Read more

Clinical Tests for the Musculoskeletal System ...

Clinical Tests for the Musculoskeletal System: Examinations - Signs - Phenomena Clinical Sciences Thieme: Amazon.de: Klaus Buckup: Fremdsprachige Bücher
Read more

Paediatrics : Clinical Examinations - Examination of the ...

This video "Clinical Examinations in Paediatrics: Examination of the Musculoskeletal System" is part of a multimedia-based module by Prof. J ...
Read more

Clinical assessment of the musculoskeletal system: a guide ...

The musculoskeletal examination: REMS – general principles. Regional examination of the musculoskeletal system (REMS) refers to a detailed examination ...
Read more

Regional Examination of the Musculoskeletal System (REMS ...

Regional examination of the musculoskeletal system: introduction video . A video introduction to the main principles of regional examination of the ...
Read more

Examination of the musculoskeletal system | UK Civil ...

Examination of the musculoskeletal system. To perform the tasks involved in inspecting, flying and evacuating an aircraft safely and effectively a pilot ...
Read more

MUSCULOSKELETAL - California

musculoskeletal system is necessary. Revised October 2015 ©VIII-5 Commission on POST B. EVALUATION OF COMMON CLINICAL CONDITIONS: ... examination ...
Read more