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Clinical Orthopaedic Assessment: Diagnostic Evaluation of the Shoulder, Hip, Knee and Ankle

活動日期:2019-08-08

活動說明

Mark Comerford

Clinical Orthopaedic Assessment:

Diagnostic Evaluation of the Shoulder,Hip, Knee and Ankle


Generic outline: applied to the clinical assessment of the shoulder, hip, knee ankle

Functional Movement Evaluation

·      Range of Movement evaluation - all cardinal movements

o  P1 ® P2

o  R1 ® R2

§ introduce barrier concept

§ hypomobility (restrictions)

­         connective tissue structures

­         myofascial structures

§ hypermobility

­         lax end feel

­         ? - instability

 

·      Observe functional movements for Relative Flexibility vs Relative Stiffness

o  end range proportions

o  sequence of initiation

 

·      Generic Functional Movement Skills

o  Small Knee Bend (SKB) subgrouping

o  Vertical Spine Squat vs Resting Squat vs Athletic Squat

o  Vertical Spine Long Lunge +front knee swing (lateral rotation)

o  Hand Behind Back (HBB) +scapula lift + elbow swing (medial rotation)

o  Hand Behind Head (HBH) + elbow swing (lateral rotation)


Patho-Anatomy Diagnosis

1.   Diagnostic Palpation

·      Palpation Anatomy Review

·      Diagnostic Palpation of pain sensitive structures

o  Ligaments

o  Tendons

o  Myofascial tissue (myofascial trigger point differentiation)

o  Fascias (load-bearing / energy storage fascias)

o  Joint Features (e.g. labrums, bursae)


2.   Specific Manual OrthopaedicTests

·      Ligament Tests

o  pain provocation tests

o  instability tests

 

·      Myofascial Tests

o  pain provocation tests(contractile provocation vs stretch provocation)

o  extensibility tests

o  contractile loading tests

§ isometric loading

§ eccentric loading

(Consider: muscle tear / haematoma vs tendinopathy vs tendon impingement vs retinaculum)

o  load-bearing / energy storage fascia tests

§ extensibility tests

§ pain provocation tests

§ Interface friction(compression) tests

 

·      Capsule Tests

o  extensibility (restriction)tests

o  ‘quadrant’ tests

o  capsule ligament differentiation

o  pain provocation (stretch sensitivity) tests

 

·      Meniscal Tests

o  McMurray’s test

o  Thessaly test

o  Steinman test

o  Apley’s grind

o  Medial - lateral grind

 

·      Bursa Tests

o  pain provocation tests

o  Interface friction (compression)tests

 

·      Miscellaneous Tests (pain provocation)

o  fat pad inflammation

o  patellofemoral apprehension test


活動日期:108年8月8日(四)上午9:00-下午5:30

活動地點:國立陽明大學研究大樓601室

費用:3000元(這門課沒有證書、沒有學分、沒有收據,請參加前仔細考慮)
匯款資訊:

銀行:台新銀行(812)石牌分行(0861)

戶名:喜恩德顧問有限公司

帳號:2086-01-0000245-7



活動地點資訊

地點:112台灣台北市北投區立農街二段155號 (研究大樓601室)
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