11. Musculoskeletal
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Obtain health history:
Physical assessment:
Abnormal findings:
Joints:
•
Pain
•
Stiffness
•
Swelling, heat, redness
•
Limitation of movement
Muscles:
•
Pain (cramps)
•
Weakness
Bones:
•
Pain
•
Deformity
•
Trauma (fractures, sprains,
dislocations)
Functional assessment
Self-care behaviours (exercise,
nutrition, medications)
•
Size and shape of joints, limbs and
body regions
•
Range of motion
•
Posture and gait
•
ROM in TMJ and neck
•
Face and neck
•
Crepitus in neck
•
Spine posteriorly
•
Scoliosis
•
Range of spinal movement
•
Shoulders and elbows (rotation,
flexion and extension)
•
Wrists, hands and finger joints
(ROM, rotation, flexion and
extension)
•
Carpal tunnel syndrome
•
Hip (flexion, extension, abduction,
adduction and hip rotation)
•
Knees (fluid in knee joint, flexion
and extension)
•
Ankles (dorsiflexion, plantar
flexion, inversion and eversion)
•
Toes (flexion and extension)
•
Muscles (muscle tone, ROM;
shoulder, arm, wrist, hand and leg
strength)
•
Musculoskeletal injuries (pain,
paresthesia, paralysis, pallor and
pulse)
•
Crepitus
•
Footdrop
•
Heberden’s nodes
•
Bouchard’s nodes
•
Muscle atrophy
•
Muscle spasms