Kinesiology 2236A/B Lecture 11: Soft Tissue Assessment 101

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Soap notes: subjective, objective, analysis/ assessment, plan/ program. Subjective: single most important aspect of the evaluation. Objective: signs (cid:894)so(cid:373)ethi(cid:374)g that (cid:455)ou (cid:272)a(cid:374) see as the (cid:862)healer(cid:863)(cid:895, swelling, bruising, bleeding, arom, prom, strength, sensation, reflexes, special tests, pain on palpation reaction to palpation is a sign. Theory of selective tissue tension: dr. james cyriax developed a method for locating and identifying a lesion by applying tension selectively to each of the structures that might produce pain, tissue classified as either inert or contractile. Increases in tension when the tissue is both contracted or stretched: active motion in direction and passive motion in the opposite. If it is strong, the nerves are still being fired so nerve is good, pain comes from muscle. Isometric contraction held for at least 5 sec: looking for fatigable weakness, aka paresis vs. no strength for peripheral nerve. Special tests: (cid:862) pe(cid:272)ial tests(cid:863) help i(cid:374) the differe(cid:374)tial diag(cid:374)osis of the patie(cid:374)t"s i(cid:374)jur(cid:455)

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