By Ann P. Moore, Nicola J. Petty
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Additional resources for Neuromusculoskeletal Examination and Assessment: A Handbook for Therapists (2nd Edition)
The aims of joint movement examination Oull 1 994) are to: • Reproduce aU or part of the patien�s symptoms - the movements that produce symptoms are then analysed to determine which structures are being stressed and these are then implicated a s a source of the symptoms • Determine the pattern, quality, range, resistance and pain response for each movement • Identify factors that have predisposed to or arisen from the d i sorder • Obtain signs on which to a ssess effectiveness of treatment (reassessment 'asterisks' or 'markers').
Any precau tions and/or contraindications to elements of the physical examination need to be identified at this stage, such as recent trauma, fracture, etc. From the information obtained during the subjective examination, the clinician decides which tests need to be included in the physical 23 examination to confirm or refute the above hypotheses. In addition, the clinician must use the information to prioritize the examination procedures, which may be spread over two or more treatment sessions.
Knee joints and neutral ankle joints. This posture is thought to be due to elongated and weak hip flexors, external obliques, upper back extensors and neck flexors, short and strong hamstrings and upper fibres of the internal oblique abdominal muscles, and strong, but not short, lumbar paraspinal muscles. 8, which is characterized, for right-handed individuals, as a low right shoulder, adducted scapulae with the right scapula depressed, a thoracolumbar curve convex to the left, lateral pelvic tilt (high on the right), right hip joint adducted with slight medial rotation, and the left hip joint abducted with some pronation of the right foot.