Podcast
Questions and Answers
Which of the following best describes the construct of irritability in the context of physiotherapy examination?
Which of the following best describes the construct of irritability in the context of physiotherapy examination?
- The sharpness and intensity of pain experienced by the patient.
- The objective measures of pain threshold during physical tests.
- The amount of pain experienced relative to the activity that provokes it, and how long the pain lasts. (correct)
- The patient's emotional response to pain during examination.
During the initial interview, a patient reports that they have to cease activity due to intense pain although the pain may settle quickly after stopping. This most likely aligns with which construct?
During the initial interview, a patient reports that they have to cease activity due to intense pain although the pain may settle quickly after stopping. This most likely aligns with which construct?
- Pathobiological mechanisms
- Irritability
- Severity (correct)
- Nature factors
Which of the following is the MOST relevant reason for a physiotherapist to determine precautions and contraindications before interventions?
Which of the following is the MOST relevant reason for a physiotherapist to determine precautions and contraindications before interventions?
- To adhere to standardized physiotherapy practices.
- To establish a rapport with the patient by discussing their concerns.
- To prepare the patient mentally for the examination process.
- To fulfill their role as direct-contact practitioners. (correct)
During an initial assessment, which aspect of the patient's condition is MOST informed by the 'Welcoming and Information Phase'?
During an initial assessment, which aspect of the patient's condition is MOST informed by the 'Welcoming and Information Phase'?
What is the primary purpose of using open and half-open questions during subjective examination?
What is the primary purpose of using open and half-open questions during subjective examination?
A patient presents with vague and inconsistent symptoms. What type of factors might the physiotherapist consider as being involved?
A patient presents with vague and inconsistent symptoms. What type of factors might the physiotherapist consider as being involved?
During questioning, a patient is unable to isolate one precise spot of pain, and can only indicate a large vague area. What could this indicate?
During questioning, a patient is unable to isolate one precise spot of pain, and can only indicate a large vague area. What could this indicate?
What is the MOST important element to consider when determining precautions during a subjective examination?
What is the MOST important element to consider when determining precautions during a subjective examination?
What is the MOST appropriate action when a patient has a longstanding history and many complaints?
What is the MOST appropriate action when a patient has a longstanding history and many complaints?
A patient describes that their pain is constant, as every time I lift my arm, it hurts. What does this likely indicate?
A patient describes that their pain is constant, as every time I lift my arm, it hurts. What does this likely indicate?
Why is it helpful to determine if each of the patient's complaints could be localized to a specific structure?
Why is it helpful to determine if each of the patient's complaints could be localized to a specific structure?
A patient reports pain that is worse at night and is severe enough to make them get out of bed. What could this indicate?
A patient reports pain that is worse at night and is severe enough to make them get out of bed. What could this indicate?
Why is it important for the physiotherapist to be aware of 'new use', 'misuse', and 'overuse' categories in the patient's history?
Why is it important for the physiotherapist to be aware of 'new use', 'misuse', and 'overuse' categories in the patient's history?
A patient says 'physiotherapy did not help'. What considerations should be made regarding its relevance?
A patient says 'physiotherapy did not help'. What considerations should be made regarding its relevance?
All of the answers below describe a 'significant word' that may be marked with an asterisk, EXCEPT:
All of the answers below describe a 'significant word' that may be marked with an asterisk, EXCEPT:
If the physiotherapist does not find a structural diagnosis what would be the next course of action?
If the physiotherapist does not find a structural diagnosis what would be the next course of action?
An initial test is found to be very painful, and has a high risk of exacerbating a patient's condition. What would be the follow-up action?
An initial test is found to be very painful, and has a high risk of exacerbating a patient's condition. What would be the follow-up action?
With all the tests below being important to do under all examination procedures, which is MOST beneficial in relation to the patient?
With all the tests below being important to do under all examination procedures, which is MOST beneficial in relation to the patient?
With a patient able to bring themselves to the site of their pain, and that joint now needs examination, what examination is MOST effective?
With a patient able to bring themselves to the site of their pain, and that joint now needs examination, what examination is MOST effective?
In the setting of finding a "comparable sign", what combination can it be?
In the setting of finding a "comparable sign", what combination can it be?
When can test procedures which reproduce the patient's symptoms be MOST significant?
When can test procedures which reproduce the patient's symptoms be MOST significant?
Why are differentiation tests useful, for which the patient can be tested, for?
Why are differentiation tests useful, for which the patient can be tested, for?
What question is most likely to be asked as the physiotherapist is preparing to complete tests, having performed them the session before, and which goals does the patient consider?
What question is most likely to be asked as the physiotherapist is preparing to complete tests, having performed them the session before, and which goals does the patient consider?
With passive movement testing, why perform the physiological movements before the assessment?
With passive movement testing, why perform the physiological movements before the assessment?
If a comparable sign is not able to be found, what should the examiner focus next on?
If a comparable sign is not able to be found, what should the examiner focus next on?
What actions are useful to evaluate for the determination of the sources of that joint, following passive movement testing?
What actions are useful to evaluate for the determination of the sources of that joint, following passive movement testing?
If all treatment procedures are not improving the patients range of movement and decreasing pain long term what may need follow up?
If all treatment procedures are not improving the patients range of movement and decreasing pain long term what may need follow up?
To what does "The art of passive movement" relate?
To what does "The art of passive movement" relate?
Why are so many test measures and the variety with different patients, is the first step to the start to being, what?
Why are so many test measures and the variety with different patients, is the first step to the start to being, what?
Before starting the physical exam what must the therapist verify, and why?
Before starting the physical exam what must the therapist verify, and why?
What is the best use of the asterisks?
What is the best use of the asterisks?
When do you want to screen possible involvement Of other area (joints)?
When do you want to screen possible involvement Of other area (joints)?
What is the component analysis with passive movements?
What is the component analysis with passive movements?
Which of the the best way for the physiotherapist to do so to all times takes all ranges of time is better is the patients be better and what?
Which of the the best way for the physiotherapist to do so to all times takes all ranges of time is better is the patients be better and what?
Who to take care who the patient may find in their problems to start?
Who to take care who the patient may find in their problems to start?
A patient reports experiencing a 'burning' sensation in their lower leg that is inconsistent and widespread. Which of the following underlying mechanisms should the physiotherapist consider MOST likely?
A patient reports experiencing a 'burning' sensation in their lower leg that is inconsistent and widespread. Which of the following underlying mechanisms should the physiotherapist consider MOST likely?
In which scenario would a 'Treatment plan – determination of short- and long-term treatment objectives, and selection of meaning-ful interventions in a collaborative process with the patient.' be MOST appropriate?
In which scenario would a 'Treatment plan – determination of short- and long-term treatment objectives, and selection of meaning-ful interventions in a collaborative process with the patient.' be MOST appropriate?
A physiotherapist is determining whether or not to proceed with a particularly provocative movement-based assessment. Which pair of constructs BEST informs this decision?
A physiotherapist is determining whether or not to proceed with a particularly provocative movement-based assessment. Which pair of constructs BEST informs this decision?
When a patient describes their pain as a deep ache, it is MOST important to gather more information about
When a patient describes their pain as a deep ache, it is MOST important to gather more information about
A patient reports an injury occurred 3 months ago. They state, some days are good, but others I can barely move, it is difficult to predict'. What should be considered due to the duration and behaviour of symptoms?
A patient reports an injury occurred 3 months ago. They state, some days are good, but others I can barely move, it is difficult to predict'. What should be considered due to the duration and behaviour of symptoms?
Flashcards
Irritability
Irritability
A construct which determines precautions to examination and treatment procedures. A little activity causing severe pain, discomfort, paraesthesia or numbness, which takes relatively long to subside.
Nature Factors
Nature Factors
Various factors in the 'nature' of the disorder may determine precautions to examination and treatment procedures with active and passive movements.
Physical Examination
Physical Examination
Related to the specific manipulative physiotherapist's analysis of movement disorders and includes active and passive movement testing, muscle testing, soft tissue examination and other tests.
Severity
Severity
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Subjective Examination
Subjective Examination
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Diagnosis (Physiotherapy)
Diagnosis (Physiotherapy)
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Treatment plan
Treatment plan
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Behaviour of Symptoms
Behaviour of Symptoms
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'Kind' of disorder
'Kind' of disorder
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Course over 7 days
Course over 7 days
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Special Questions
Special Questions
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Previous History
Previous History
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Present history
Present history
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Is it constant?
Is it constant?
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Verbal and non-verbal communication
Verbal and non-verbal communication
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Theoretical knowledge
Theoretical knowledge
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Other Morning Symptoms
Other Morning Symptoms
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Determine the Pre-disposing Factor
Determine the Pre-disposing Factor
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Making Hypotheses before Action
Making Hypotheses before Action
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Consider the "Point of Discomfort"
Consider the "Point of Discomfort"
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Finding the right tests
Finding the right tests
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Study Notes
- Chapter 6 looks at the principles of examination, including subjective and physical procedures.
- Includes planning, reflecting, and key words.
Glossary of Terms
- Irritability is a construct that determines precautions for examination and treatment procedures which a little activity causes severe pain, discomfort, paraesthesia, or numbness for a relatively long time as defined by Maitland et al in 2001.
- Various factors determine irritability like reported pain sensation, activity provoking symptoms and reaction to it.
- Nature factors are various aspects of a disorder that determine precautions to examination/treatment procedures with active and passive movements.
- Physical examination includes active/passive movement testing, muscle, and soft tissue examinations to reproduce the patient's symptoms and determine movement impairments.
- Severity is a construct determining precautions to examination and treatment procedures which provoke pain and cease immediately.
- Subjective examination relates to a patient's disorder account and its past history by including information on the disorder, site of symptoms, behavior, disability level, special questions, and history.
Introduction
- Starting the physiotherapy process requires examination procedures.
- Successful treatment needs reassessment of results.
- Examination procedures generally aim at diagnosis from a movement perspective.
- Determination of precautions and contraindications to physiotherapy interventions is more relevant as physiotherapists become direct-contact practitioners.
- Treatment includes short and long-term objectives and intervention selection through collaboration with the patient.
- Assessment and treatment are guided by clinical reasoning.
- Physiotherapists generate hypotheses, test them, and use pattern recognition in decision-making.
- Manipulation involves sources of symptoms, pathobiological mechanisms, precautions, contributing factors, level of disability, individual illness experience/behavioral factors, management, and prognosis
- Fulfilling successful examination procedures requires a knowledge base, interviewing skills, clinical skills, and clinical reasoning skills, all accessible and well-organized.
Welcoming and Information Phase
- The welcoming and info phase are essential for patients and therapists.
- Therapists should be informed about the scope and procedures of the physiotherapy process.
- It can develop a therapeutic relationship and determines the barriers of the patient.
- Includes introduction/joining, therapist explanation of movement examination, expectation clarification, setting explanation (therapist, room, sessions, etc.) and first session sequence of procedure.
Subjective Examination
- The subjective examination relays the patient's account of the disorder and past experiences.
- The therapist sees and records the problem in the patient's words.
- Therapists should ask open and half-open questions, rather than a list/questionnaire.
- Communication skills are essential, consider individual differences between the patients.
- It consists of five sections such as kind, site, behavior and level of disability, history and special questions.
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