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    Assessing The Musculoskeletal System

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    tmdoreen
    1. The document outlines the process for assessing the musculoskeletal system through inspection, palpation, and range of motion testing of muscles, bones, and joints. 2. Key steps include inspecting for atrophy, contractures, fasciculations, and comparing muscle size and strength between sides; palpating muscles for tone, movement, and tenderness; assessing bone tenderness and structure; and inspecting and moving joints to evaluate range of motion, swelling, and crepitus. 3. Abnormal findings that would be documented include muscle weakness or size differences, contractures, tremors, changes in tone, bone tenderness or deformities, and limited or painful range of motion in joints.

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    Attribution Non-Commercial (BY-NC)
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    Assessing The Musculoskeletal System

    Uploaded by

    tmdoreen
    692 views4 pages
    1. The document outlines the process for assessing the musculoskeletal system through inspection, palpation, and range of motion testing of muscles, bones, and joints. 2. Key steps include inspecting for atrophy, contractures, fasciculations, and comparing muscle size and strength between sides; palpating muscles for tone, movement, and tenderness; assessing bone tenderness and structure; and inspecting and moving joints to evaluate range of motion, swelling, and crepitus. 3. Abnormal findings that would be documented include muscle weakness or size differences, contractures, tremors, changes in tone, bone tenderness or deformities, and limited or painful range of motion in joints.

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    Assessing the Musculoskeletal System

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    1. The document outlines the process for assessing the musculoskeletal system through inspection, palpation, and range of motion testing of muscles, bones, and joints. 2. Key steps include inspecting for atrophy, contractures, fasciculations, and comparing muscle size and strength between sides; palpating muscles for tone, movement, and tenderness; assessing bone tenderness and structure; and inspecting and moving joints to evaluate range of motion, swelling, and crepitus. 3. Abnormal findings that would be documented include muscle weakness or size differences, contractures, tremors, changes in tone, bone tenderness or deformities, and limited or painful range of motion in joints.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    692 views4 pages

    Assessing The Musculoskeletal System

    Uploaded by

    tmdoreen
    1. The document outlines the process for assessing the musculoskeletal system through inspection, palpation, and range of motion testing of muscles, bones, and joints. 2. Key steps include inspecting for atrophy, contractures, fasciculations, and comparing muscle size and strength between sides; palpating muscles for tone, movement, and tenderness; assessing bone tenderness and structure; and inspecting and moving joints to evaluate range of motion, swelling, and crepitus. 3. Abnormal findings that would be documented include muscle weakness or size differences, contractures, tremors, changes in tone, bone tenderness or deformities, and limited or painful range of motion in joints.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The document outlines the steps for assessing the musculoskeletal system, including inspecting and palpating muscles, bones, and joints to evaluate for any abnormalities.

    The document describes assessing the muscles, bones, and joints to check for any abnormalities in size, tone, strength, structure, range of motion, tenderness, swelling, etc.

    Normal muscle findings include equal size on both sides of the body, no contractures or fasciculations, and normally firm tone at rest with smooth coordinated movement.

    ASSESSING THE MUSCULOSKELETAL SYSTEM

    Implementation
    Performance 3. Provide for client privacy
    1. Explain to the client what you 4. Inquire if the client has any
    are going to do, why it is history of the following:
    necessary, and how he or she presence of muscle pain: onset,
    can cooperate. Discuss how the location, character, associated
    results will be used in planning phenomena, and aggravating
    further care and treatments. and alleviating factors; any
    2. Wash hands and observe limitations to movement or
    appropriate infection control inability to perform activities of
    procedures. daily living; previous sports
    injuries; any loss of function
    without pain.

    Assessment Normal Findings Deviations from Normal


    MUSCLES
    5. Inspect the Equal size on both sides Atrophy (a decrease in
    muscle for size. of the body size) or hypertrophy (an
    Compare the increase in size)
    muscles on one
    side of the body
    (arm, thigh, calf)
    to the same
    muscle on the
    other side. For
    any
    discrepancies,
    measure the
    muscle with tape
    6. Inspect the No contractures Malposition of body part
    muscle and (footdrop)
    tendons for
    contractures
    (shortening)
    7. Inspect the No fasciculation or Presence of
    muscles for tremors fasciculation and tremor
    fasciculations and
    tremors. Inspect
    any tremors of
    the hands and
    arms by having
    the client hold
    arms out in fornt
    of the body
    8. Palpate muscles Normally firm Atonic (lacking tone)
    at rest to
    determine muscle
    tonicity (the
    normal condition
    of tension, or
    tone, of a muscle
    at rest).
    9. Palpate muscles Smooth coordinated Flaccidity (weakness or
    while the client is movements laxness) or spasticity
    active and (sudden involuntary
    passive for muscle contraction)
    flaccidity,
    spasticity, and
    smoothness of
    movement
    10.Test muscle Equal strength on each 25% or less of normal
    strength. body side strength
    Compare the
    right side with the
    left side
    BONES
    11.Inspect the No deformities Bones misaligned
    skeleton for
    normal structure
    and deformities.
    12.Palpate the bones No tenderness or Presence of tenderness
    to locate any swelling or swelling (may
    areas of edema indicate fracture,
    or tenderness neoplasms, or
    osteoporosis)
    JOINTS
    13.Inspect the joint No swelling One or more swollen
    for swelling. No tenderness, swelling, joints
    Palpate each joint crepitation, or nodules Presence of tenderness,
    for tenderness, swelling, crepitation, or
    smoothness of nodules
    movement,
    swelling,
    crepitation, and
    presence of
    nodules.
    14.Assess joint range Varies to some degree Limited range of motion
    movement in accordance with the in one or more joints
    person’s genetic
    makeup and degree of
    physical activity
    15.Document
    findings in the
    client record
    using forms or
    checklists
    supplemented by
    narrative notes
    when
    appropriate.

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