1Clinical Examination in PT
Gather pertinent Info (Identify Health Condition)
Observe (Activities and Participation)
Develop Hypothesis
Complete a comprehensive examination (Body structure and Function)
Formulate and assessment (Environmental factors and personal factors)
establish plan/ goals/ intervention
reassess
2steps for movement assessment
what is the task performed and under what conditions?
is the movement strategy used typical?
is the movement strategy used optimal or suboptimal?
What will you test?
3health condition
pathoanatomical or metabolic or psychological condition that requires medical attention
4activity
movement or activity that an individual needs or wants to perform
5body structure and function
tests and measures performed by the health care provider that identify disorders within the individual that may be impacting them
6participation
ability of the individual to fulfill desired or necessary roles in life, both personal and social factors
7environmental factors
does the environment where the activity is being completed impat the activity either +/-
can it be modified - physical or social
8personal factors
at the individual level, race, gender, age, personal trais, self efficacy, fear, knowledge, and beliefs
9You are seeing an individual who wishes to return home after recent cardiac surgery with complications (Coronary Artery Bypass). They live alone in a 2nd floor apartment with no elevator. Organize info according to ICF
Health Condition - Cardiac disease post surgery
body structure and function - BP, Pulses, RR, RPE
activity - stairs
participation - access to community
Environmental factors - stairs to enter home
personal factors - lives alone
10L hand dominant 57 yo individual who fell at work injuring his L shoulder and is now unable to work. Full time job tasks include cleaning classroom/offices heavy lifting. Medications - Advil/Tylenol per need
Single parent of 2 children, 17 and 20 both in college. Has had small house painting business as second job with oldest son and worries that they will lose projects due to injury.
Goal - pain resolution, return to work
Organize according to ICF
health condition - shoulder injury
activity - lifting, reaching overhead, carrying heavy objects, mopping, vacuuming
participation - unable to work
personal factors - single parent, needs income from 2nd job
11Info needed for clinical reasoning in the presence of local disorderhealth ac
what joints are moving and what are the osteokinematic motions occuring?
what are the external moments at the area of interest during the movement?
what forces are acting upon the joint?
is the movement isolated or non-isolated (synergistic)?
what are the internal moments on the area of interest during the movement?
which muscles are generating the internal moments?
how are those muscles contracting? (concentric, eccentric, isometric)