The Musculoskeletal System Cerritos College肌肉骨骼系统喜瑞学院The.pptVIP

Muskuloskeletal Assessment Health History Physical Assessment Inspection Palpation Range of Motion Muscular Strength Physical Assessment- Cont. Cervical spine Shoulders Elbows Wrists/hands Hips Knees Ankles/feet Spine Functional assessment Inspection/Palpation Note size and symmetry color, swelling, masses deformities of joints, limbs and body regions Palpate for temperature, pain, tenderness, Spine ROM’s Have the pt perform active ROM If unable to, use passive ROM Assessing Muscles Strength against gravity, full resistance note as 0/5-5/5 “5/5” = normal Rheumatoid arthritis Chronic, systemic, inflammatory disease that attacks the joints, and surrounding tissues, hand, knees, hips, and feet Deformitiesof RA Osteoarthritis A chronic degeneration of joint cartilage caused by aging or trauma Osteoarthritis Osteoporosis A decrease in bone mass, porous, brittle, and prone to fracture Contractures Assessment Guide: Activity Rest Objective Data Activity Level and Tolerance: ambulates with walker independently/ with minimal assistance; bedrest; up in wheelchair Assessment Guide: Activity Rest Muscles and joints Description: fair muscle tone, no atrophy; atrophy to RLE. No stiffness or contractures; R wrist contracted Movement: limited ROM to RUE; FROM all extremities Strength: strong UE, LE; weak RUE RLE Coordination: able to perform most ADLs; can comb hair and reach for water glass Assessment Guide: Activity Rest Posture/Gait Slumped, kyphosis, erect; gait unsteady, shuffling, ataxia Assessment Guide: Activity Rest Circulation, Sensation, and Movement Describe: CSM intact; no sensation to R big toe and second toe; numbness and tingling to LEs; Decreased ROM to LUE due to contractures Assessment Guide: Activity Rest Rest/Sleep Patterns Sleeps most of the day Takes midday naps Assessment Guide: Activity Rest  Interventions in use: Assistive device, equipment Cast, trapeze, foot cradle, Special beds Air bed, eggcrat