movement system

steps of analyzing a patient’s movement system

1. gather data

2. develop a plan

3. body systems screening

gathering data

chart review of health condition, body structure and function. activities, participation, personal and environmental factors

develop a plan

what do you need to bring with

what do you want to minimally accomplish in session

what do you need to test to confirm or refute hypotheses

first things to do when entering a patient room

introduce self, verify correct patient

body systems screening

CV and pulmonary, integumentary, musculoskeletal, nervous, cognition, communication

CV and pulmonary screening

BP, HR, RR, SpO2

at supine, seated, and standing

before during and after movement

integumentary screening

wounds

make sure clean, dry, intact

look at pressure points at bony prominences in supine

musculoskeletal screening

resisted isometrics of anti gravity muscle groups

shoulder flexion, elbow flexion, wrist extension, hip flexion, knee extension, dorsiflexion

nervous system screening

Sitting: maintain posture, reaching, response to push

Standing: maintain posture, reaching, walking

light touch, proprioception and their effects on gait and balance

cognition screening

person, place, time, situation

able to follow 1 step commands

communication screening

spoken, written, or non verbal

eye contact, coherent, logical