Mark Comerford
Clinical Orthopaedic Assessment:
Diagnostic Evaluation of the Shoulder,Hip, Knee and 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
近期熱門活動...
|