Category Archives: Principles of Assessment and Evaluation

Examination of the Knee

Examination of the Knee

Inspection Inspection is only possible with adequate exposure. Begin by placing the patient in shorts or tying the gown up above the knee. The patient’s gait should be observed first. Pay attention to the positioning of the knee on both the medial/lateral plane (valgus vs. varus) and the anterior/posterior plane (extension lag vs. knee recurvatum). […]

Examination of the Lumbar Spine

Examination of the Lumbar Spine

Inspection The examination of the low back, like the other areas of the body, should begin as the patient enters the office and examination room. Watch how the patient moves while walking and how he or she moves changing positions. The patient’s posture should be noted. The patient should be in a gown that opens […]

Examination of the Shoulder

Inspection Inspection of the shoulder requires that the shoulder be exposed and the patient appropriately draped. The shoulder "joint" actually consists of four different joints: sternoclavicular, acromioclavicular, glenohumeral, and scapulothoracic. Three of the joints are true joints, while the scapulothoracic joint is not a true articulating joint lined with cartilage. It is important to visualize […]

Examination Of the Cervical Spine

Inspection Inspection of the neck begins upon meeting the patient. Look to see if the patient moves the shoulders when he or she turns the neck, a sign of decreased range of motion, or if he or she winces with certain motions. Take note of the patient's relaxed posture as changes to improve poor posture […]

Functional History

The rehabilitation evaluation of chronic disease often shows lost function. Through the functional history, the physician characterizes the disabilities that have resulted from disease and identifies remaining capabilities. The functional history is considered part of the history of the present illness by some physicians and a separate segment of the patient interview by others. The […]

Patient History

Tiếng Việt >> Ordinarily, the patient history is obtained in an interview of the patient by the physician. If communication disorders and cognitive deficits are encountered during the rehabilitation evaluation, additional collaborative information must be obtained from significant others accompanying the patient. The spouse and family members are valuable resources. The physician also may find […]

Overview of Clinical Evaluation

Tiếng Việt >> As with other branches of medicine, the cornerstone of rehabilitation medicine is a meticulous and germane patient evaluation. Therapeutic intervention must be based on proper patient assessment. The disability cannot be isolated from preexisting and concurrent medical problems. Although the rehabilitation evaluation encompasses all elements of the general medical history and physical […]

Diffuse Idiopathic Skeletal Hyperostosis

Diffuse idiopathic skeletal hyperostosis (DISH) is not really an arthropathy because it spares synovium, articular cartilage, and articular osseous surfaces. It is a fairly common ossification process involving ligamentous and tendinous attachments to bones and occurs in 12% of the elderly (55). It most commonly affects the thoracic spine but also may involve the pelvis, […]

Calcium Pyrophosphate Dehydrate Deposition Disease

It is also known as pseudogout and has the classic triad of pain, cartilage calcification, and joint destruction. Chondrocalcinosis at the knee, wrist, or symphysis pubis is virtually diagnostic of calcium pyrophosphate dehydrate deposition disease (CPPD) (Fig. 6-42). FIGURE 6-42. Chondrocalcinosis. Frontal radiograph of the right knee. Calcifications (arrows) are present within the medial and […]

Gout Imaging

Gout is a metabolic disorder that most commonly involves the feet, especially the first metatarsophalangeal joint, as well as the ankles, knees, hands, and elbows in asymmetric fashion. It is produced by a deposition of monosodium urate crystals in tissues with a poor blood supply, such as cartilage, tendon sheaths, and bursae. The radiographic features […]