355L Musculoskeletal_Study Guide-1-1

Are your muscle aches associated with fever chills

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Are your muscle aches associated with fever, chills, the “flu”? Any weakness in muscles? Location: where is the weakness? How long have you noticed the weakness? Do the muscles look smaller there? Bones- Any bone pain? Is the pain affected by movement? Any deformity of any bone or joint? Is there a deformity due to injury or trauma? Does the deformity affect ROM? Back pain? In which part of the back? Is the pain felt anywhere else, like shooting down the leg? Any numbness or tingling? Any limping? Functional assessment (ADL)- Do your joint (muscle, bone) problems create any limits on you usual activities of daily living (ADL’s)? Which ones? Bathing Toileting Dressing Grooming Eating Mobility Communicating o Past History Any accidents or trauma ever affected the bones or joints: fractures, joint strain, sprain, dislocation? Which ones? When did this occur? What was treatment was given? Any problems or limitations now as a result? o Family History History of arthritis or gout? Any musculoskeletal disorders? o Lifestyle/Habits Any occupational hazards that could affect the muscles and joints? Does your work involve heavy lifting? Or any repetitive motion or chronic stress to joints? Any efforts to alleviate these? Describe the type of exercise, frequency, the warm up program. Any pain during exercise? How do you treat it? Have you had a recent weight gain? Describe daily diet. Medication for musculoskeletal system? Like aspirin, anti-inflammatory, muscle relaxant, pain reliever? If person has a chronic disability or crippling illness- How has illness affected interaction with family and friends. How do you view yourself.
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Match the following items in Column A with the descriptions in Column B Column A Column B ___ E __. Abduction A. Bending a limb at a joint ___ G __. Adduction B. Moving of a foot downward _____. Circumduction C. Moving in a circular fashion ___ I __. Dorsiflexion D. Moving the sole of the foot outward at the ankle ___ D __. Eversion E. Moving a body part away from an axis __ _J __. Extension F. Moving the sole of the foot inward at the ankle ___ A __. Flexion G. Moving a body part toward the center ___ F __. Inversion H. Moving the arm in a circle around the shoulder ___ K __. Pronation I. Moving the foot upward ___ B __. Plantar flexion J. Straightening a limb or joint ___ H __. Rotation K. Turning the forearm so that the palm is down ___ L __. Supination L. Turning the forearm so that the palm is up How do you assess muscle tone? Tone is the normal degree of tension (contraction) in voluntarily relaxed muscles. It shows a mild resistance to passive stretch. To test muscle tone, move the extremities through a passive range of motion. Encourage person to relax “go loose like a rag doll”, then move each extremity smoothly through a full range of motion. Support the arm at the elbow and the leg at the knee. It is normal to note a mild, even resistance to movement. (Chapter 23). List one test of muscle strength for each area of the upper/lower extremities: To test for strength of the prime mover muscle groups for each joint, repeat the motions elicited for active ROM; ask the person to flex as opposing force is applied- muscle strength should be equal bilaterally and should fully resist opposing force.
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  • Fall '12
  • JenniferTalleff
  • joints, interphalangeal joints, joints- nonsynovial joints

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