Principles & concepts of assessment part iii

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  • 1. Principles & Concepts of Assessment in Physiotherapy Part: III Dr. D. N. Bid The Sarvajanik College of Physiotherapy, Rampura, Surat – 395003.
  • 2. Scanning Examination 2
  • 3. 3
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  • 5. • Throughout the assessment, the examiner looks for two sets of data: • (1) what the patient feels (subjective) and • (2) responses that can be measured or are found by the examiner (objective). 5
  • 6. • The scanning examination is a "quick look" or scan of a part of the body involving the spine and extremities. • It is used to rule out symptoms, which may be referred from one part of the body to another. • It is divided into two scans• the upper limb scan and • the lower limb scan. 6
  • 7. • In the upper part of the body, the upper limb scanning examination begins with the cervical spine and includes the temporomandibular joints, the entire scapular area, the shoulder region, and the upper limbs to the fingers. • In the lower part of the body, the examination begins at the lumbar spine and continues to the toes. • The "scan" should add no more than 5 or 10 minutes to the assessment. 7
  • 8. • The idea of the scanning examination was developed by James Cyriax, • who also, more than any other author, originated the concepts of "contractile" and "inert" tissue, "end feel," and "capsular patterns" and • contributed greatly to development of a comprehensive and systematic physical examination of the moving parts of the body. 8
  • 9. 9
  • 10. Examination of Specific Joints •Active Movements •Passive Movements 10
  • 11. 11
  • 12. • End Feel • There are three classic normal end feels. • Bone-to-Bone. • Soft-Tissue Approximation. • Tissue Stretch. 12
  • 13. 13
  • 14. • Capsular Patterns • If the capsule of the joint is affected, the pattern of proportional limitation is the feature that indicates the presence of a capsular pattern in the joint. 14
  • 15. • Non-capsular Patterns • a limitation that exists but does not correspond to the classic capsular pattern for that joint. 15
  • 16. • Inert Tissue 16
  • 17. • Resisted Isometric Movements 17
  • 18. 18
  • 19. •Contractile Tissue 19
  • 20. 20
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  • 24. 24
  • 25. • Other Findings During Movement Testing 25
  • 26. End of episode- III 26