Main description:

Orthopedic Clinical Examination With Web Resource provides readers with fundamental knowledge for developing proficiency at performing systematic orthopedic evaluations. Michael P. Reiman, who is internationally respected for his teaching, clinical practice, and research focused on orthopedic assessment and treatment methods, presents an evidence-based guide on the examination process for various parts of the body.

The text takes a structured approach, moving from broad to focused, that guides clinicians in examining each client and condition. The text presents specific components of the examination in the same sequence, ensuring repetition and improved consistency in learning. Screenings are used early in the examination sequence not only to determine the appropriateness of performing an orthopedic examination but also to rule out other potential pain generators and thereby narrow the focus of the examination.

Orthopedic Clinical Examination emphasizes evidence-based practice and therefore focuses on tests that are clinically relevant, providing students and clinicians with the most appropriate testing options rather than listing tests with no regard for their clinical value. Both treatment-based and pathological-based diagnostic styles are covered in detail so that readers will gain a thorough understanding of both approaches and be able to implement them separately or in tandem. In addition to musculoskeletal testing, the text provides information on including subjective history, observation, diagnostic imaging, systems and neurological screening, and performance-based measures in each examination.

The text is organized into five parts and is structured such that readers will first acquire requisite knowledge about anatomy and the examination process before advancing to acquiring specific examination skills. Part I presents information about the musculoskeletal and nervous systems as well as tissue behavior and healing. Part II introduces the principles of the examination sequence. Parts III and IV present the region-specific examination sequence for evaluating clients, including specifics on analyzing the head, spine, and extremities. Each chapter in these two parts covers the anatomy of the region, various types of injuries that occur, specific tests and measures that can be used, and cross-references to specific case studies for further review. Part V highlights additional considerations that may be necessary for special populations during the examination process.

Orthopedic Clinical Examination includes learning tools that enhance comprehension and engagement:

* Full-color photographs and illustrations demonstrate anatomy, patient conditions, and clinician positioning to serve as a visual reference and ensure proper testing techniques.

* A library of 50 videos, found in the web resource, provides students with visual demonstrations of assessments and treatments.

* Color-coding graphics throughout chapters help readers quickly discern whether evidence supporting the reported finding is ideal, good, or less than good.

* Overviews of common orthopedic conditions for each body region are in the 12 applied chapters.

* Twenty-four case studies guide users in the proper questions to ask and steps to take in conducting examinations.

* Linkss to abstracts of articles provide additional clinical learning scenarios.

With Orthopedic Clinical Examination, current and future clinicians will gain the knowledge and confidence they need in performing examinations to provide optimal patient care.

Contents:

Part I. Review of Anatomy Systems

Chapter 1. Musculoskeletal System

Gilbert M. Willett, PT, PhD, OCS, CSCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Bones

Joints

Skeletal Muscle and Connective Tissues

Conclusion

Chapter 2. Nervous System and Pain

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT

Structural Divisions of the Nervous System

Neuromuscular Control

Neurophysiology of Pain

Conclusion

Chapter 3. Tissue Injury and Healing

Mark F. Reinking, PT, PhD, SCS, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Tissue Healing

Muscle Injury

Tendon Injury

Ligament Injury

Bone Injury

Articular Cartilage Injury

Peripheral Nerve Injury

Conclusion

Part II. Concepts and Principles of Examination

Chapter 4. Evidence-Based Practice and Client Examination

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Evidence-Based Practice and Diagnostic Accuracy

Study Quality

Broad to Narrow or Funnel Examination Focus

Integration of Funnel Examination Approach

The Examination Continuum

Basic Principles of the Examination Process

Conclusion

Chapter 5. Client Interview and Observation

Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Effective Communication in the Client Interview and History

Common Barriers to Effective Communication

Qualities of an Effective Interview

Standard Client Interview

Client Interviews Relative to Musculoskeletal Pain

Outcome Measurements

Observation

Clinical Reasoning

Conclusion

Chapter 6. Triage and Differential Diagnosis

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Triage Screening for Red and Yellow Flags

Diagnostic Imaging

Vital Signs

Differential Diagnosis and Medical Screening Examination

Treatment Based Classification

Conclusion

Chapter 7. Orthopedic Screening and Nervous System Examination

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Adriaan Louw, PT, PhD, CSMT

Musculoskeletal Screening

Examination of the Physical Health of the Nervous System

Peripheral Nerve Examination

Conclusion

Chapter 8. Range of Motion Assessment

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Range of Motion and Flexibility

Goniometry

Qualitative Assessment of Motion

Conclusion

Chapter 9. Muscle Performance and Neuromuscular Control

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Components of Muscle Performance

Factors Affecting Muscle Performance

Clinical Measures of Muscle Performance

Conclusion

Chapter 10. Special Tests

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Examination Procedure

Diagnostic Application of Special Tests

Conclusion

Chapter 11. Palpation

B. James Massey, PT, DPT, OCS, FAAOMPT

Palpation Procedure

Palpation Components of the Musculoskeletal Examination

Abdominal Palpation

Pulse Palpation

Bony Landmark Palpation

Joint Motion

Conclusion

Chapter 12. Physical Performance Measures

Robert J. Butler, PT, DPT, PhD

Overview of Testing Hierarchy

Single Body-Weight Physical Performance Measures

Single Body-Weight Loading

Single Body-Weight Loading and Momentum

Agility

Aerobic Capacity

Upper Extremity

General Core Stabilization

Conclusion

Chapter 13. Gait

Janice K. Loudon, PT, PhD, SCS, ATC

Walking Gait

Running Gait

Biomechanical Analysis of Walking and Running

Conclusion

Chapter 14. Posture

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Body Type

Optimal Standing Posture

Other Posture Positions

Abnormal Postures

Dynamic Posture

Palpation Assessment of Thoracic Posture

Conclusion

Part III. Examination of the Head and Spine

Chapter 15. Face and Head

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Face and Head

Conclusion

Chapter 16. Temporomandibular Joint

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Temporomandibular Joint

Conclusion

Chapter 17. Cervical Spine

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Cervical Spine

Conclusion

Chapter 18. Thoracic Spine

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Thoracic Spine

Conclusion

Chapter 19. Lumbar Spine

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Lumbar Spine

Conclusion

Chapter 20. Sacroiliac Joint and Pelvic Girdle

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Sacroiliac Joint and Pelvic Girdle

Conclusion

Part IV. Examination of the Extremities

Chapter 21. Shoulder

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Christopher Fiander, PT, DPT, OCS, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Shoulder Joint

Conclusion

Chapter 22. Elbow and Forearm

Dawn Driesner Kennedy, PT, DPT, OCS, COMT, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Elbow Joint

Conclusion

Chapter 23. Wrist and Hand

Jonathan Sylvain, PT, DPT, OCS, FAAOMPT; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS; Gary P. Austin, PT, PhD, OCS, FAFS, FAAOMPT

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Wrist and Hand

Conclusion

Chapter 24. Hip

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Hip Joint

Conclusion

Chapter 25. Knee

David Logerstedt, PT, PhD, MPT, SCS; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Knee

Conclusion

Chapter 26. Lower Leg, Ankle, and Foot

Shefali Christopher, PT, DPT, SCS, LAT, ATC; Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Clinically Applied Anatomy

Client Interview

Observation

Triage and Screening

Motion Tests

Muscle Performance Testing

Special Tests

Palpation

Physical Performance Measures

Common Orthopedic Conditions of the Lower Leg, Ankle, and Foot

Conclusion

Part V. Examination of Special Populations

Chapter 27. Emergency Sport Examination

John DeWitt, PT, DPT, SCS, ATC; Mitch Salsbery, PT, DPT, SCS, CSCS

Sports-Related Concussion

Cervical Spine Injuries

Cardiac Disorders

Compartment Syndrome

Asthma

Pneumothorax

Heat-Related Illness

Fractures

Endocrine emergencies

Conclusion

Chapter 28. Geriatric Examination

Michael Schmidt, PT, DPT, OCS, FAAOMPT; Charles Sheets, PT, OCS, SCS, Dip MDT; Tasala Rufai, PT, DPT, GCS

Influence of Age on Diagnosis

Change in Tissue Properties as a Result of Aging

Influence of Age on Pain

Physical Requirements for Activities of Daily Living

Osteoporosis

Examination of Balance

Conclusion

Chapter 29. Pediatric Examination

Dora J. Gosselin, PT, DPT, PCS, C/NDT

Child's Musculoskeletal System

Multisystem Pathologies

Pathologies of the Spine

Upper Extremity Pathology

Lower Extremity Pathology

Conclusion