odule 1 part 4 Physical Assessment
Discuss assessment of a client's posture and gait. Pg 177
Pt should be able to stand erect with head up, face forward, arms hanging straight at
the sides, shoulders and hips parallel, and legs straight with both knees and feel side
by side and a few inches apart.
Things to note:
any contractures or deformities, whether able to stand on both feet
without assistance, swaying, or loss of balance. Any evidence of uneven distribution of
weigh, swaying, stumbling, favoring one foot, standing on heels, toes or edges of feet,
uneven depth of footprints, or toes pointing laterally or medially rather than straight
More to note:
foot contact (should be heel to toe)-
hip ROM, position of hip during swing through (eg. external rotation)
wide base of support
posture (leaning forward, to the side, or upright)
Discuss assessment of bones, muscles and joints.
- assess for strength, tone, size, and symmetry. Muscle strength is graded on a 0-5
scale. Impaired strength is called paresis; hemi paresis refers to weakness on one half of the
- assess for normalcy and form.
- assess for tenderness, swelling, ROM, crepitation and nodules.
Define terms associated with range of motion:
- bending of a joint; angle decreases
- straightening; angle increases
- draws a limb away from the median plane of the body
- brings the limb back to the median plane of the body