04-01-2008, 06:36 AM
if we start moving the arm and the sp c/o pain do we have to stop and go for reflexe and sensation and pulses check or do we have to try to move it in another position??
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04-01-2008, 06:36 AM
04-01-2008, 06:46 AM
i think the best will be show the concern first then talk about importance of doing the tests and all
and proceed
plz correct me if i am wrong
and proceed
plz correct me if i am wrong
04-01-2008, 07:26 AM
first ask the patient to do active ROM, if the ROM
then move on to
MOTOR
REFLEX
SENSORY
PULSES
then move on to
MOTOR
REFLEX
SENSORY
PULSES
04-01-2008, 07:28 AM
i need to correct the above
if the ROM
if the ROM
04-01-2008, 07:30 AM
whats happening?? words don't get published after ROM......
IWILL TRY ONCE AGAIN
if the ROM is less than normal for that joint then progress to do passive ROM
IWILL TRY ONCE AGAIN
if the ROM is less than normal for that joint then progress to do passive ROM
04-01-2008, 08:26 AM
do not forget to explore the NOT PAINFUL one first to do a comparative analysiss of the join
Make the pt move the joint in a mirror sequence: Yo tell the patient to mimic whhat u are doping and to tell u if he has pain....then you do flexion, extension, suppination, pronation, abducion, aduction.
Then you ask permision to move pasively and explain that u are going to do nice and soft
Complete with sensory, relfexes, pulses
If arm or leg is painful YOU HAVE TO touch Neri and Vallix points in spine
Make the pt move the joint in a mirror sequence: Yo tell the patient to mimic whhat u are doping and to tell u if he has pain....then you do flexion, extension, suppination, pronation, abducion, aduction.
Then you ask permision to move pasively and explain that u are going to do nice and soft
Complete with sensory, relfexes, pulses
If arm or leg is painful YOU HAVE TO touch Neri and Vallix points in spine
04-01-2008, 08:35 AM
what is neri and vallix points in spine???
04-01-2008, 08:37 AM
elbamaritza
thanks for the great explanation!!
what is Neri and Vallix points in spine? why touch them?
thanks for the great explanation!!
what is Neri and Vallix points in spine? why touch them?
04-01-2008, 09:28 AM
Vertebral painful point
1. Pressure spinous ap.
2. pressure the interspinous spaces
3. pressure over transverse ap.
You touch with your tumb making light pressure over the medial aspect of the spina and go sliding down, the you do the same maneuver laterally
In case of arm involvment do it in cervical region
In case of leg involvemtn do it in lumbo-sacral region
1. Pressure spinous ap.
2. pressure the interspinous spaces
3. pressure over transverse ap.
You touch with your tumb making light pressure over the medial aspect of the spina and go sliding down, the you do the same maneuver laterally
In case of arm involvment do it in cervical region
In case of leg involvemtn do it in lumbo-sacral region
04-01-2008, 11:28 AM
let me summarize if I understand we ask the sp to do active ROM if it s painful sould we do the passive ROM or not ???or we do not ??
thanks
thanks
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USMLE Forum - Largest USMLE Community > USMLE Forum > OET & Step 2 CS > range of motion in painful joint ?? - emapepe