subjective

BODY CHART

HPC

BEHAVIOUR

PMH

DH

SH

BODY CHART

what where [n] [s] abnormal sensation/movement relationship

HPC

when did it start any change getting better/worse

BEHAVIOUR

aggravating easing irritability 24 hour cycle anything you cant do standard day

PMH

previous probelms intervention sucess

general health

previous problems (screen if say no)

DH (screen if say no esp steroids)

current medication

previous medication

SPECIAL QUESTIONS

Rheumatoid arthritis

Cancer

Vertebrobasiliar insufficiency

Central Cord

SH

pain quality

bone - deep nagging aching

muscle - dull ache

nerve root - sharp shooting

nerve - sharp bright lightening like

sympathetic nerve - burning, pressure-like, stinging aching

vascular - throbbing diffuse

subjective examination

subjective

body chart - what/where/what is pain like [ n ] / vas score [ s ]/ abnormal sensation / relationship of symptoms

hpc - how when did start

change since then

behaviour - aggravating

easing

irritabilty

24 hour behaviour

functional activity / daily tasks

pmh - previous attacks - effect of treatment

general health

previous health problems (screen if say no?)

special questions - rheumatoid arthritis ?

weight loss - cancer

pins needles in both feet / saddle anaesthesia/ bilateral loss of power / legs giving way - (central chord problem)

dizziness drop attacks double vision difficulty swallowing - veterbrobasilar insufficiency

dh - current drugs / past drugs

special questions - steroids, ( screen if no? ) heart medication, inhalers

pnf

movements:

rhythmic initiation - warm up, getting things going, judging lever length, passive then active assisted

combination of isotonics - demand concentric muscle action - isometric in middle , eccentric on way down

reversal of agonists :

dynamic reversals - 1 pattern to opposite demand concentric of opposite

stabilising reversals - through small range not too much resistance

rhytmic stabilisation - rotator cuff - isometric "dont let me move you" keep them in one point

hold relax - dont let me move you - } make muscles relax

contract relax - move me - } increase rom

contraindication

acute pain

acute trauma / injury

cognitive impairment

joint stress eg ra ( in non flare up - judgement call)

elbow - movements & muscle

http://www.studystack.com/flashcard-234813

elbow flexion :- bicpes, brachialis, brachioradialis

elbow extension :- anconeus, triceps

pronation :- pronator teres, pronator quadratus

supination :- supinator, biceps

wrist flexion :- flexor carpi radialis, flexor carpi ulnaris, palmaris longus

wrist extension:- extensor carpi radialis longus, extensor carpi ulnaris, extensor carpi brevis

radial deviation :- extensor carpi radialis, flexor carpi radialis , extensor pollicis longus and brevis

ulnar deviation :- extensor carpi ulnaris, extensor carpi brevis

Journals

spinal cord injury rehabilitation in post-earthquake Haiti: the critical role for non governmental organisations Landry 2010 physiotherapy

criticism - narrative account based on personal experiences framed in context of statistical survey of injuries following haitian earthquake - largerly first person explanation based on personal impressions of working with only 19 haitians of 200 estimated

-what i learned - spinal cord lesions complete have different outcomes from partial spinal cord lesions ( all returned home in 4 months with ambulatory aids )

- follow up - In addition, there are several clinical syndromes associated with incomplete spinal cord injuries.

• The Central cord syndrome is associated with greater loss of upper limb function compared to lower limbs.
• The Brown-Séquard syndrome results from injury to one side with the spinal cord, causing weakness and loss of proprioception on the side of the injury and loss of pain and thermal sensation of the other side.
• The Anterior cord syndrome results from injury to the anterior part of the spinal cord, causing weakness and loss of pain and thermal sensations below the injury site but preservation of proprioception that is usually carried in the posterior part of the spinal cord.
• Tabes Dorsalis results from injury to the posterior part of the spinal cord, usually from infection diseases such as syphilis, causing loss of touch and proprioceptive sensation.
• Conus medullaris syndrome results from injury to the tip of the spinal cord, located at L1 vertebra.
• Cauda equina syndrome is, strictly speaking, not really spinal cord injury but injury to the spinal roots below the L1 vertebra.

neurological weakness - emergency

emergency evaluation of neurological weakness

interesrting web page

summary tables