Podcast
Questions and Answers
What is the primary purpose of gathering information necessary to devise a safe treatment plan?
What is the primary purpose of gathering information necessary to devise a safe treatment plan?
- To identify possible red flags and underlying pathology (correct)
- To establish goals of treatment
- To communicate with other healthcare professionals
- To monitor the progress of treatment
What is the primary purpose of establishing goals of treatment?
What is the primary purpose of establishing goals of treatment?
- To monitor the progress of treatment
- To identify impairments
- To identify underlying pathology
- To facilitate treatment with direction and intent (correct)
What is the primary purpose of using 'SOAP' notes?
What is the primary purpose of using 'SOAP' notes?
- To identify possible red flags
- To communicate with other healthcare professionals
- To monitor the progress of treatment
- To facilitate problem-solving (correct)
Why is it necessary to identify impairments during the assessment process?
Why is it necessary to identify impairments during the assessment process?
What is the primary purpose of using objective data in the 'SOAP' notes?
What is the primary purpose of using objective data in the 'SOAP' notes?
Why is it necessary to use a standardized method of recording assessments?
Why is it necessary to use a standardized method of recording assessments?
Why is it necessary to maintain accurate and comprehensive assessment records?
Why is it necessary to maintain accurate and comprehensive assessment records?
What is the primary purpose of the 'Assessment' component in the 'SOAP' notes?
What is the primary purpose of the 'Assessment' component in the 'SOAP' notes?
What should be included in a treatment plan?
What should be included in a treatment plan?
What is the primary purpose of taking a case history?
What is the primary purpose of taking a case history?
Why should the unaffected side be tested first?
Why should the unaffected side be tested first?
Why should painful tests be performed last?
Why should painful tests be performed last?
What should the therapist do if the patient experiences pain during a test?
What should the therapist do if the patient experiences pain during a test?
What is the purpose of lesion site palpation?
What is the purpose of lesion site palpation?
What should the therapist observe during the assessment process?
What should the therapist observe during the assessment process?
What is the sequence of an assessment protocol?
What is the sequence of an assessment protocol?
What is the primary purpose of using overpressure in a clinical assessment?
What is the primary purpose of using overpressure in a clinical assessment?
What is the term for a joint being susceptible to ligamentous sprain, tendonitis, early arthritis, dislocations, and subluxations?
What is the term for a joint being susceptible to ligamentous sprain, tendonitis, early arthritis, dislocations, and subluxations?
What type of end feel is characterized by a 'mushy feel'?
What type of end feel is characterized by a 'mushy feel'?
What is the term for the quality of motion or sensation that a clinician feels in the joint during overpressure at the end of passive range of motion?
What is the term for the quality of motion or sensation that a clinician feels in the joint during overpressure at the end of passive range of motion?
What is the purpose of asking the patient about their pain during a clinical assessment?
What is the purpose of asking the patient about their pain during a clinical assessment?
What type of condition is suggested by hypomobility?
What type of condition is suggested by hypomobility?
What is the term for when bone touches another bone during a movement?
What is the term for when bone touches another bone during a movement?
Who is credited with defining six end feels?
Who is credited with defining six end feels?
What is the primary goal of palpation in clinical assessment?
What is the primary goal of palpation in clinical assessment?
What is the focus of the therapist's attention during palpation?
What is the focus of the therapist's attention during palpation?
What is the primary consideration when selecting the contact surface of the hand?
What is the primary consideration when selecting the contact surface of the hand?
What is the purpose of using both hands simultaneously during palpation?
What is the purpose of using both hands simultaneously during palpation?
What is the characteristic of scanning or stroking palpation?
What is the characteristic of scanning or stroking palpation?
What is the purpose of static palpation?
What is the purpose of static palpation?
What is the result of regular practice of palpation?
What is the result of regular practice of palpation?
What is the consideration when applying force during palpation?
What is the consideration when applying force during palpation?
What can be assessed in the superficial fascia?
What can be assessed in the superficial fascia?
What is a characteristic of the deep layer of fascia?
What is a characteristic of the deep layer of fascia?
How can muscle tension be assessed?
How can muscle tension be assessed?
What is the anatomical barrier?
What is the anatomical barrier?
What is the result of elevated resting tone?
What is the result of elevated resting tone?
What is the characteristic of the periosteum?
What is the characteristic of the periosteum?
What occurs when there is soft tissue dysfunction?
What occurs when there is soft tissue dysfunction?
What is the range of motion with the least amount of resistance?
What is the range of motion with the least amount of resistance?
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Study Notes
Clinical Assessment and Treatment Planning
- Gathering information necessary to devise a safe and effective treatment plan involves:
- Identifying possible red flags (serious underlying pathology) and previous injuries that may contraindicate certain techniques
- Noting medications and underlying health conditions that may impact treatment
- The goal of a treatment plan is to:
- Identify patient goals and establish goals of treatment
- Facilitate treatment with direction and intent
- Ensure that treatment addresses the cause of the complaint to yield effective results
SOAP Notes
- SOAP is an acronym for Subjective data, Objective data, Assessment, and Plan
- SOAP notes are a common assessment recording method used by healthcare professionals to:
- Organize assessment data
- Easily understand and refer to in the future
- A treatment plan in SOAP notes includes:
- Treatment goals or aims
- Techniques used to achieve those goals
- Structures on which techniques are applied and duration/frequency of treatment
- Number and frequency of future treatments and when to re-examine
Assessment Protocol
- The assessment sequence typically follows:
- Case history
- Observation
- Palpation
- Rule outs
- Functional tests (ROM tests AF, PR, AR)
- Special tests
- Muscle tests
- Neurological tests
- Joint play examination
- Lesion site palpation
- General guidelines for clinical assessment include:
- Testing bilaterally and comparing results
- Testing the unaffected side first to establish a baseline
- Performing painful tests last to avoid skewing results
- Noting and stopping if the patient experiences pain during a test
Palpation
- Palpation involves feeling and interpreting the characteristics of tissues
- Objects of palpation include specific structures or areas of focus
- Contact surfaces for palpation include hands, fingers, thumbs, and palms
- Force of palpation varies according to the task and includes rate, pressure, direction, and duration
- Types of palpation include:
- Scanning/stroking over a large area (quick and collecting information)
- Static palpation (no movement, used for palpating movement phenomena)
Tissue Mobility and Restrictive Barriers
- Normal soft tissue range of motion includes:
- Physiological barrier (range of motion available in normal circumstances)
- Elastic barrier (range of motion at the end of passive range)
- Anatomical barrier (final resistance to normal range, beyond which further motion causes injury)
- Restrictive barriers occur when there is soft tissue dysfunction (skin, fascia, muscle)
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