Perhaps no assessment procedure is more important to the manual therapist and integral to musculoskeletal (myofascioskeletal) assessment than palpation.
General orthopedic assessment testing includes three assessment techniques, two types of range of motion (ROM) assessment and manual resistance assessment.
If a physical examination assessment test creates signs/symptoms of the condition, it is positive and the therapist knows that tissue is unhealthy.
The health history should be done before the physical assessment exam because it helps reveal the regions that need to be assessed during the physical exam.
Before treatment can be given, it is necessary to have a clear understanding of the mechanism behind the musculoskeletal pathologic condition.
Table 1 shows average healthy ranges of axial motion of the cervical spine (head and neck), from the atlanto-occipital joint through the C7-T1 joint.
For a pathologic disc of the lumbar spine, the principle assessment test is straight leg raise (SLR). This can be performed actively or passively.
The most common signs and symptoms of spasmed muscles of the posterior neck are pain, a feeling of tightness, and restricted motion.
The assessment/diagnosis for low back muscle spasming begins with the verbal history and ROM and orthopedic assessment, and is confirmed with palpation.
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