F FAR EASTERN UNIVERSITY

Institute of Nursing

INSTRUCTIONAL SCRIPT
HEALTH ASSESSMENT OF MUSCULOSKELETAL

Name: Austria, Brian Dave R. Score:

Sec/Grp: Sec 7 Gr.1 Date: 4/27/2020

ASSESSMENT INSTRUCTIONAL Tagalog/Taglish ACTUAL FINDING

PROCEDURES SCRIPT Translation (English Only)
(Instuction to client)
PREPARATION
1.Introduce Hi, Good day, I am
yourself and verify Brian Dave Austria, a
the client’s student from Far Magandang araw, ako
identity. Explain Eastern University, si Brian Dave Austria,
to the client what and I will be your isang estudyante ng
you are going to student nurse for Far Eastern
do, why it is today. Would you University, at ako ang
necessary, and mind telling me your iyong magiging
how the client can full name? How would student nurse ngayon.
cooperate. you like me to address Okay lang po ba na
you? Are you already malaman ang buo
comfortable with this niyong pangalan? Ano
kind of setting? What po ang gusto niyong
language are you itawag ko sainyo?
comfortable with? Komportable na po ba
Before proceeding kayo sa kinauupuan
with the assessment niyo? Sa alin pong
of your thorax, breast, lenggwahe kayo
heart, and abdomen, I komportable? Bago ko
just want to give a po umpisahan ang
brief explanation why I pagsusuri sa inyong
need to assess those dibdib, puso, at tiyan,
parts. I am here to gusto ko lang po na
conduct an ipaalam na gagawin
assessment for me to ko ito upang masuri
examine your physical ang inyong katawan.
being. This will only Ito ay tatagal lamang
last for more or less ng higit o mas
than 15-20 minutes, mababa sa 15-20
and I hope that you minuto, at inaasahan
 will cooperate, and be kong makipagtulungan
honest at all times. ka, at maging matapat
Also, I just want to sa lahat ng oras.
inform you that I will Gayundin, nais kong
be documenting this ipaalam sa iyo na
assessment, and I idokumento ko ang
reassure you that all pagsusuri na ito, at
of the data gathered tinitiyak ko sa iyo na
will be treated ang lahat ng data na
confidentially makakalap natin at ito
ay tratratuhin nang
palihim.

2. Perform hand Now, I will be Ngayon,

hygiene and performing proper magsasagawa ako ng
observe other hand hygiene, and wastong paglinis ng
already observe other kamay, at
appropriate appropriate infection naobserbahan ko na
infection control control procedures. ang iba pang
procedures. naaangkop na mga
Assemble pamamaraan.
equipment.
Provide for client
privacy.
3. Assemble I had assembled the Tinipon ko na ang
equipment equipment needed mga kagamitan na
clean, and neat. kailangan ng malinis,
at maayos.
4. Provide for Now, I will be Ngayon, aking ibibigay
client privacy. providing for client ang privacy ng
privacy. Is it okay if I kliyente. Okay lang ba
will be closing the kung isasara ko ang
curtains, and door? mga kurtina, at
pintuan?
MUSCLES, BONES, "Ma'am/Sir, I will now "Ma'am/Sir, i-aassess
& JOINTS assess your muscles, ko na po ang inyong
bones, and joints." kalamnan, mga buto,
at kasukasuan"

5. Inspect the For any apparent Para sa anumang The client has equal
muscles for size. discrepancies, nakita na mga size on both sides of
Compare each measure the muscles pagkakaiba-iba, his/her body.
muscle on one with a tape. sukatin ang mga
side of the body kalamnan gamit ang
to the same
muscle on the "Ma'am/Sir, can you isang tape.
other side. sit still while I'm
inspecting your
muscles." "Ma'am/Sir, p’wede
po bang umupo po
kayo habang sinusuri
ko ang inyong mga
kalamnan."
6. Inspect the "Ma'am/Sir, now I will "Ma'am/Sir, ngayon The client has no
muscles and assess for any po ay susuriin ko po contractures.
tendons for contractures in your ang anumang mga
contractures. muscles and tendons." kontrata sa iyong mga
kalamnan at tendon."
7. Inspect the Inspect any tremors of Suriin ang anumang There is no tremors
muscles for the hands and arms by mga panginginig ng observed on the
tremors. having the client hold mga kamay at braso client.
arms out in front of sa pamamagitan ng
the body. pagkakaroon ng
kliyente na i-angat ang
mga kamay sa harap
"Ma'am/Sir, can you ng katawan.
raise both of your
hands in front of your
body?" "Ma'am/Sir, maaari
ba na iangat ang
parehong mga kamay
sa harap ng iyong
katawan?"
8. Palpate muscles To test muscle tone, Upang i-test ang The client's muscles
at rest to have the client fully muscle tone, ang are firm with no extra
determine muscle relaxed. While the kliyente ay dapat movement at rest.
tonicity. client is seated, relaxed. Habang
passively move each nakaupo ang kliyente,
upper extremity at pasimpleng ilipat ang
several joints to get a kamay sa itaas at baba
feeling for any ng buong kamay at
resistance or rigidity braso kasama ang
that may be present. kasukasuan upang
pakiramdaman ang
anumang paglaban o
"Ma'am/Sir, just be katigasan na maaaring
relaxed and sit upright naroroon.
 while I palpate your
muscles."
"Ma'am/Sir, relax
lang po kayo at
umupo ng tuwid
habang pinapalpate
ko ang iyong mga
muscles."
9. Palpate muscles Tell the client to be Sabihin sa kliyente na The client has well-
while the client is still while you palpate manatiling nakaupo coordinated
active and passive the passive movement habang pinapalpate movements of the
for flaccidity, of muscles of mo ang passive na muscles both in
spasticity, and Sternocleidomastoid, paggalaw ng mga passive and active
smoothness of Trapezius, Deltoid, kalamnan ng movements.
movement. Biceps, Triceps, Wrist Sternocleidomastoid,
& Hand Muscles, Hip Trapezius, Deltoid,
Muscles, Hamstrings, Biceps, Triceps, Wrist
Quadriceps, and & Hand Muscles, Hip
muscles of the ankle Muscles, Hamstrings,
and feet. Quadriceps, at
kalamnan ng bukung-
bukong at paa.
"Ma'am/Sir, now I will
palpate your muscles
if there's any "Ma'am/Sir, ngayon
weakness or sudden ay aking ipapalpate
involuntary ang iyong mga
contractions in your kalamnan kung
muscles. I will first mayroong anumang
palpate your muscles kahinaan o biglaang
while you're hindi sinasadyang
positioned still." paggalaw ng iyong
kalamnan. Ngayon ay
ipapalpate ko ang
Instruct the client to iyong mga kalamnan
move his muscles habang ikaw ay hindi
while you palpate the gumagalaw sa iyong
active movement of posisyon."
muscles of
Sternocleidomastoid,
Trapezius, Deltoid, Sabihan ang kliyente
Biceps, Triceps, Wrist na igalaw ang kanyang
& Hand Muscles, Hip mga kalamnan habang
Muscles, Hamstrings, pinapalpate ang
Quadriceps, and aktibong paggalaw ng
muscles of the ankle mga kalamnan ng
and feet. Sternocleidomastoid,
Trapezius, Deltoid,
Biceps, Triceps, Wrist
Sternocleidomastoid & Hand Musencies,
Hip Musencies,
"Ma'am/Sir, can you Hamstrings,
turn your head to your Quadriceps, at
left and to your right kalamnan ng bukung-
gently?" bukong at paa.

Trapezius Sternocleidomastoid

"Next Ma'am/Sir, for "Una Ma'am / Sir,

your shoulders, can maaari mo bang iikot
you kindly lift them?" ang iyong ulo sa iyong
kaliwa at sa iyong
kanan kanan?"
Deltoid

"Next Ma'am/Sir, for Trapezius

your deltoid muscle,
can you raise your "Susunod Ma'am/Sir,
hands?” para sa iyong mga
balikat, maaari mo
bang i-angat ang mga
ito?"
Biceps & Triceps

"Next Ma'am/Sir, can

you flex and extend Deltoid
your arms?"
"Susunod Ma'am/Sir,
para sa iyong deltoid
na kalamnan, maaari
Wrist and Finger
mo bang itaas ang
Muscles
iyong mga kamay?"
"Next Ma'am/Sir,
kindly open and close
your hands?" Biceps at Triceps
 "Susunod Ma'am/Sir,
maaari mo bang i-
Hip Muscles bend at i-extend ang
(Put the client in a iyong mga braso?"
supine position while
both legs are
extended) Wrist and Finger
Muscles
"Next Ma'am/Sir, can
you please raise your "Susunod Ma'am/Sir,
feet?" p’wede po bang
buksan at isara ang
iyong mga kamay?"
Hamstrings & Hip Muscles
Quadriceps
(Ilagay ang kliyente sa
(The client is still in a isang supine na
supine position posisyon habang ang
n) parehong mga binti ay
nakadiretso)
"Next Ma'am/Sir, can
you try to bend and "Susunod Ma'am/Sir,
extend your knee?" maaari mo bang itaas
ang iyong mga paa?"

Hamstrings at
Muscles of the Ankle Quadriceps
and Feet
(Ang kliyente ay nasa
"Lastly Ma'am/Sir, supine na posisyon pa
can you move your rin)
foot up and down?"
"Susunod Ma'am/Sir,
maaari mo bang
subukang ibaluktot at
idiretso ang iyong
tuhod?"

Muscles of the Ankle

and Feet

"Panghuli Ma'am/Sir,
maaari mo bang
igalaw angi iyong paa
ng nang pataas at
 pababa?"
10. Test muscle Compare the right Ikumpara ang kanang For the
strength of the side with the left side. bahagi sa kaliwang sternocleidomastoid,
head & shoulders bahagi. the client has a Grade
5 for the muscle
"Ma'am/Sir, now I’ll strength it has a 100%
assess your muscle "Ma'am/Sir, susuriin normal muscle
strength of your head ko ngayon ang lakas strength, normal full
and shoulders. Go ng kalamnan ng movement against
against my hand inyong ulo at balikat. gravity and against full
where my hand exerts Labanan niyo kung resistance.
force, but don’t force saan ko nilalagyan ng
it too much" lakas, ngunit huwag
masyadong ipilit" For the Trapezius, the
client has a Grade 5
(Go to the client's for the muscle
back when doing the (Pumunta sa likod ng strength it has a 100%
muscle strength test kliyente habang normal muscle
for shoulders) ginagawa ang muscle strength, normal full
strength test sa movement against
kanyang balikat.) gravity and against
minimal resistance.
Sternocleidomastoid

Client turns the head Sternocleidomastoid

to one side against the
resistance of your Ang kliyente ay ililiko
hand. Repeat with the ang ulo mula sa isang
other side. side laban sa
resistance ng iyong
kamay. Ulitin uli sa
"Ma'am/Sir, when I kabilang side.
exert force on your
head fight against it."
"Ma'am/Sir,
sumalungat sa
Trapezius puwersa kung saan
ipinagpapatuloy ko
Client shrugs the ang inyong ulo."
shoulders against the
resistance of your
hands. Trapezius
 Ipagkipit-balikat ang
kliyente laban sa
"Ma'am/Sir, try to resistance ng iyong
shrug your left kamay.
shoulder and your
right shoulders while I
push it down."
"Ma'am/Sir, subukan
niyo magkipit-balikat
sa inyong mga balikat
habang tinutulak ko
pababa."

11. Test muscle Deltoid Deltoid For the Deltoid, the

strength of upper client has a Grade 5
extremities Client holds arm up Ipataas sa kliyente ang for the muscle
and resists while you braso at subukan strength it has a 100%
try to push it down. mong itulak ito normal muscle
pababa. strength, normal full
movement against
"Ma'am/Sir, can you gravity and against full
hold your arms up "Ma'am/Sir, maaari resistance.
while I to push it mo bang itaas ang
down?" iyong mga braso
habang itutulak For the biceps and
pababa?" triceps, the client has
Biceps Biceps a Grade 5 for the
muscle strength it has
Client fully extends Ipaextend sa kliyente a 100% normal muscle
each arm and tries to ang mga braso at strength, normal full
flex it while you pasubok na iflex ito movement against
attempt to hold arm in habang sinusubukan gravity and against full
extension. mong iextend ang resistance.
mga ito.

"Ma'am/Sir, can you For the wrist and

flex your both arms "Ma'am/Sir, maaari finger muscles, the
and go against the ba na iflex mo ang client has a Grade 5
force while I try to iyong mga braso at for the muscle
extend it?" labanan ang pwersa strength it has a 100%
habang sinusubukan normal muscle
ko itong iextend ito?" strength, normal full
Triceps movement against
gravity and against full
Client flexes each arm resistance.
and then tries to
extend it against your Triceps
attempt to keep in Ang kliyente ay ife-flex For the grip strength,
flexion. ang kanyang mga the client has a Grade
braso at susubukan 5 for the muscle
itong i-extend ito strength it has a 100%
"Ma'am/Sir, can you laban sa pagflex ko sa normal muscle
go against the force kanyang braso. strength, normal full
from me by extending movement against
your arms while I flex gravity and against full
your arms?" "Ma'am/Sir, maaari resistance.
mo ba na labanan ang
pwersa galing sa akin
Wrist and Finger sa paraan ng pag-
Muscles extend niyo ng inyong
braso habang
Client spreads the sinusubukan ko iflex
fingers and resists as ang iyong mga
you attempt to push braso?"
the fingers together.

Wrist and Finger

"Ma'am/Sir can you Muscles
try to open your hands
while I try to close it?" Ang kliyente ay
ibubuka ang kanyang
mga daliri habang
Grip Strength sinusubukan mong
itulak ang mga daliri
Client grasps your nang magkasama.
index finger and
middle fingers while
you try to pull the "Ma'am/Sir maaari
fingers out. mo bang subukang
ibuka ang iyong mga
kamay habang
"Ma'am/Sir, can you sinusubukan kong
clench your index and isara ito?"
middle finger while I
try to pull it
outward?"
 Grip Strength

Ang kliyente ay isasara

ang kanyang hintuturo
at hinlalato habang
sinusubukang hilain
ito palabas.

"Ma'am/Sir, maaari
mo bang isara ang
iyong hintuturo at
hinlalato habang
sinusubukan ko itong
buksan?"
12. Test muscle Hip Muscles Hip Muscles For the hip muscles,
strength of lower the client has a Grade
extremities Client is supine, both Ang kliyente ay nasa 5 for the muscle
legs extended; client supine na posisyon, strength it has a 100%
raises one leg at a ang parehong mga normal muscle
time while you binti ay nakadiretso; strength, normal full
attempt to hold it ipataas sa kliyente ang movement against
down. isang paa at sunod gravity and against
naman ang isa, minimal resistance.
habang sinusubukan
"Ma'am/Sir, can you mong ibaba ito.
raise your left leg "Ma'am/Sir, maaari For the hip abduction
while I push it down? mo bang itaas ang and hip adduction, the
The same also in your kaliwang paa habang client has a Grade 4
right leg." itinutulak ko ito? for the muscle
Pareho rin sa iyong strength it has a 75%
kanang paa." normal muscle
Hip Abduction strength, normal full
Hip Abduction movement against
Client is supine, both gravity and against full
legs extended. Place Ang kliyente ay
nakasupine na resistance.
your hands on the
lateral surface of each posisyon, ang
knee; client spreads parehong mga binti ay
the legs part against nakadiretso. Ilagay For the Hamstrings
your resistance. ang iyong mga kamay and Quadriceps, the
sa gilid ng bawat client has a Grade 4
tuhod; ipabuka sa for the muscle
kliyente ang mga binti strength it has a 75%
"Next Ma'am/Sir, can laban sa iyong normal muscle
you spread your legs resistance. strength, normal full
while I try to go movement against
against it?" gravity and against
"Susunod Ma'am/Sir, minimal resistance.
maaari mo bang
Hip Adduction ibuka ang iyong mga
binti habang For the muscles of the
Client is in the same sinusubukan kong ankle and feet, the
position as in hip labanan dito?" client has a Grade 5
abduction. Place your for the muscle
hands between the strength it has a 100%
knees; client brings Hip Adduction normal muscle
the legs together strength, normal full
against your Ang kliyente ay nasa movement against
resistance. parehong posisyon gravity and against full
tulad ng sa Hip resistance.
Abduction. Ilagay ang
iyong mga kamay sa
"Now Ma'am/Sir, can pagitan ng mga tuhod;
you spread your legs Ipagdikit sa kliyente
again? Now, try to ang mga binti laban sa
bring your legs iyong resistensya.
together while I try to
go against it. " "Ngayon Ma'am/Sir,
maaari mo bang
ibuka ang iyong mga
binti? Ngayon,
subukan mo pong
Hamstrings ipagsama ang iyong
mga binti habang
Client is supine, both sinusubukan kong
knees bent. Client labanan ito."
resists while you
attempt to straighten Hamstrings
the legs.
Ang kliyente ay
nakasupine na
posisyon,
"Next Ma'am/Sir, can nakabaluktot ang
you bend your legs. magkabilang tuhod.
Now, try to resist by Lumalaban ang
bending your knees kliyente habang ikaw
while I try to ay sinusubukan na
straighten your legs." ituwid ang mga binti.

Quadriceps "Susunod Ma'am/Sir,

maaari mo bang
Client is supine, knee ibaluktot nang
partially extended; bahagya ang iyong
client resists while you mga binti. Ngayon,
attempt to flex the subukan mo itong
knee. pigilan sa
pamamagitan ng
pagbaluktot ng iyong
"Now Ma'am/Sir, try tuhod habang
to straighten your sinusubukan kong
knees while I try to ituwid ang iyong mga
bend it." binti."

Muscles of the Ankle Quadriceps

and Feet
Ang kliyente ay nasa
Client resists while supine na posisyon,
you attempt to bahagyang
dorsiflex the foot and nakadiretso ang
again resists while you tuhod; lumalaban ang
attempt to flex the kliyente habang
foot. sinusubukan mong
ibaluktot ang tuhod.

"Lastly Ma'am/Sir, try

to resist by moving "Ngayon Ma'am/Sir,
your foot up while I subukang ituwid ang
move it down and iyong tuhod habang
then try to move your sinusubukan kong i-
foot down while I try bend ito."
to push it up."

Muscles of the Ankle

and Feet

Lumalaban ang
kliyente habang
sinusubukan mong i-
 dorsiflex ang paa at
muling lumaban
habang sinusubukan
mong ibaluktot ang
paa.

"Panghuli Ma'am/Sir,
subukang pigilan sa
pamamagitan ng
paggalaw ng iyong
paa pataas habang
tinutulak ko ito
pababa at pagkatapos
ay subukang igalaw
ang iyong paa pababa
habang sinusubukan
kong itulak ito
pataas."
13. Inspect the (Ask the client to (Pakiusapan ang There are no
skeleton for stand straight up) kliyente na tumayo ng deformities in the
normal structure tuwid) skeletal structure of
and deformities. "Ma'am/Sir, can you the client.
stand up straight for
me to observe your
skeleton structure." "Ma'am/Sir, maaari
po ba kayong tumayo
ng tuwid para
maobserbahan ko ang
istruktura ng iyong
skeleton."
14. Palpate the "Ma'am/Sir, I will now "Ma'am/Sir, There are no signs of
bones to locate palpate your bones if ipapalpate ko na po edema and
any areas of there's any edema or ang iyong mga buto tenderness and no
edema or tenderness. Tell me if kung mayroong reported discomfort
tenderness. you feel any pain or presenaiya ng edema. by the client.
discomfort." Sabihan mo ako kung
mayroon lang
nararamdaman kang
masakit o hindi
komportableng
pakiramdam."
15. Inspect the "Ma'am/Sir, now I will "Ma'am/Sir, ngayon There are no signs of
joint for swelling. inspect your joints to oobserbahan ko na swelling on the client's
 see if there's any ang inyong mga joints.
swelling." kasukasuan kung
mayroon ba itong
mga pamamaga."
16. Palpate each "Ma'am/Sir, I will "Ma'am/Sir, No signs of
joint for palpate your joints to ipapalpate ko na ang crepitations or
tenderness, see if there's iyong mga nodules and the joints
smoothness of smoothness of kasukasuan para has smooth
movement, movements, any makita kung maayps movements
swelling, crepitation or ba ang paggalaw nito,
crepitation, and nodules." may crepitations ba o
presence of nodules."
nodules.
17. Assess joint Ask the client to move Hilingin sa kliyente na For the flexion, the
range of motion the head. Use a igalaw ang ulo. client can move its
of the head goniometer to Gumamit ng neck-pivot joint at
measure the angle of goniometer upang approximately 45°
the joint in degrees. masukat ang anggulo with the chin resting
ng kasukasuan sa on the chest.
degrees.
Neck-Pivot Joint Neck-Pivot Joint
For the extension, the
client positioned his
Flexion head vertically at
Flexion approximately 0-5° in
Move the head from Igalaw ang ulo mula an upright position.
the upright midline sa patayo na posisyon
position forward, so ng midline, upang ang
that the chin rests on baba ay nakadikit sa For the
the chest. dibdib. hyperextension, the
client can move its
Neck-Pivot Joint at
"Ma'am/Sir, just look "Ma'am/Sir, tumingin approximately 55° in a
down with your chin lang kayo sa baba at flexed upright
touching your chest." idikit ang iyong baba position.
sa dibdib."

Extension For the lateral flexion,

Extension the client can move its
Move the head from neck at approximately
the flexed position to Igalaw ang ulo mula 40° to both left and
the upright position sa nabaluktot na right side.
 posisyon sa patayo na
posisyon
"Ma'am/Sir, can you For the rotation, the
look straight?" "Ma'am/Sir, maaari client can move its
ka bang tumingin Neck-Pivot Joint at
nang diretso?" approximately 70° to
Hyperextension the left and to the
right.
Move the head from Hyperextension
the upright position
back as far as possible. Igalaw ang ulo mula
sa patayo na posisyon
pabalik hangga't
"Ma'am/Sir, can you maaari.
look up?"

"Ma'am/Sir, maaari
Lateral Flexion ka bang tumingala?"

Move the head

laterally to the right Lateral Flexion
and left shoulders.
Igalaw ang ulo sa
kalaunan sa kanan at
"Ma'am/Sir, can you kaliwang balikat.
tilt your head to the
left and to the right?"
"Ma'am/Sir, maaari
mo bang ikiling ang
Rotation iyong ulo sa kaliwa at
sa kanan?"
Turn the face as far as
possible to the right
and left Rotation

Iikot ang mukha

"Ma'am/Sir, can turn hangga't maaari sa
your head to the left kanan at kaliwa
and right as far as you
can?"
"Ma'am/Sir, maari mo
bang ilingon ang
inyong ulo sa kaliwa
 at kanan kung
hanggang saan mo
kaya?"
18. Assess joint Ask the client to move Hilingin sa kliyente na For the flexion of the
range of motion the body trunk. Use a igalaw ang katawan. client's trunk, it has an
of body trunk goniometer to Gumamit ng angle of 90°, for the
measure the angle of goniometer upang extension, it has a 0°
the joint in degrees. masukat ang anggulo angle and for the
ng kasukasuan sa hyperextension, the
degree. client has a 25° angle.
Trunk-Gliding Joint

Flexion. Bend the Trunk-Gliding Joint For the lateral flexion,

trunk toward the toes. the client can move
Extension. Straighten Flexion. Ibaluktot ang side to side at a 35°
the trunk from a katawan patungo sa angle to each side.
flexed position. mga daliri sa paa.
Hyperextension. Bend Extension. Ituwid ang
the trunk backward. katawan mula sa
nakatuwad na For the rotation, the
posisyon. client can move at a
Hyperextension. 30° angle.
"Ma'am/Sir, can you
bend forward while Ibaluktot ang katawan
touching your feet, paatras.
then stand straight,
and bend backward."
"Ma'am/Sir, maaari
ka bang tumuwad
Lateral Flexion habang nakahawak sa
paa, pagkatapos ay
Bend the trunk to the tumayo nang tuwid,
right and to the left. at yumuko patalikod."

Lateral Flexion

"Ma'am/Sir, can you Ibaluktot ang katawan

bend your back to the sa kanan at sa kaliwa.
left and to the right?"
"Ma'am/Sir, maaari
mo bang igalaw ang
iyong likod sa kaliwa
Rotation at kanan?"
Turn the upper part of
the body from side to
 side. Rotation

Iikot ang itaas na

bahagi ng katawan
"Ma'am/Sir, can you mula sa mag kabilang
turn your upper body gilid.
from side to side?"

"Ma'am/Sir, maaari
mo bang igalaw ang
iyong itaas na
katawan mula sa
magkatabi?"
19. Assess joint Ask the client to move Hilingin sa kliyente na For the client's
range of motion the arms, hands, and igalaw ang mga braso, Shoulder-Ball-and-
of upper fingers. Use a kamay, at mga daliri. Socket Joint, the
extremities goniometer to Gumamit ng flexion has a 180°,
measure the angle of goniometer upang extension with 0° and
the joint in degrees. masukat ang anggulo hyperextension with
ng kasukasuan sa 25°. Abduction with
degree. 180° and adduction
Shoulder-Ball-and- with 44°. For the
Socket Joint circumduction, the
Shoulder-Ball-and- client can easily move
Socket Joint his arms in a circular
motion. For the
Flexion internal and external
rotation of the client,
Raise each arm from a Flexion it has both 90° angles.
position by the side
forward and upward Itaas ang bawat braso
to a position beside mula sa gilid at paitaas
the head. sa tabi ng ulo. For the Elbow-Hinge
Joint of the client, the
client's flexion has a
160° angle and 0°
"Ma'am/Sir, can you "Ma'am/Sir, maaari
extension. For the
put your arms on the mo bang ilagay ang
Rotation for
side? Then move your iyong mga braso sa
Supination &
arms upwards." gilid? Pagkatapos ay
Pronation, both have
igalaw ang iyong mga
a 90° angle.
braso paitaas."
Extension

Move each arm from a For the client's Wrist-

vertical position Extension Condyloid Joint, the
beside the head flexion has an 80°, the
forward and down to Igalaw ang bawat extension with 0°, and
a resting position at braso mula sa isang hyperextension with
the side of the body. patayong posisyon sa 70°. For the radial
tabi ng ulo paharap at flexion of the client, it
"Ma'am/Sir, can you pababa sa gilid ng has a 15° angle, and
put your arms back katawan. 45° for the ulnar
on the side" flexion. For the flexion
of the fingers, it has
"Ma'am/Sir, maaari an 85° angle, 0° for
Hyperextension mo bang ibalik ang the extension and 25°
inyong mga kamay sa for the
Move each arm from a tagiliran?" hyperextension. For
resting side position to the abduction and
behind the body. adduction of fingers,
the client can move its
Hyperextension
hands smoothly.
"Ma'am/Sir, move Igalaw ang bawat
each of your arms braso mula sa gilid
behind your body." papunta sa likoran. For the Thumb-Saddle
joint, the client can
move his fingers
Abduction "Ma'am/Sir, across the fifth finger,
pakigalaw ng bawat can move his thumbs
Move each arm braso ninyo sa likuran laterally, and can
laterally from a resting ng inyong katawan." touch the top of each
position at the sides to finger using the
a side position above thumb.
the head, palm of the
hand away from the Abduction
head. Igalaw ang bawat
braso nang pagilid
mula sa gilid ng
"Ma'am/Sir, can you katawan hanggang sa
raise your hands sa gilid sa itaas ng ulo,
above your head, with habang ang palad ng
your palms together?" kamay ay palayo sa
ulo.

Adduction
"Ma'am/Sir, maaari
Move each arm from a mo bang itaas ang
position at the sides iyong mga kamay sa
across the front of the itaas ng iyong ulo,
body as far as habang ang iyong
possible. The elbow mga palad ay
may be straight or magkadikit?"
bent.

Adduction
"Now Ma'am/Sir,
sway your hands Igalaw ang bawat
downwards across the braso mula sa mga
front of your body as gilid sa buong harap
far as possible." ng katawan hangga't
maaari. Ang siko ay
maaaring tuwid o
baluktot.
Circumduction

Move each arm

forward, up, back, and "Ngayon Ma'am/Sir,
down in a full circle. ibaluktot ang iyong
mga kamay pababa
sa tapat ng harap ng
"Ma'am/Sir, move iyong katawan at
your arms in a circular isagad niyo hangga't
motion." maaari."

Circumduction

External Rotation Igalaw ang bawat

braso pasulong,
With each arm held pataas, likod, at
out to the side at pababa sa isang buong
shoulder level and the bilog.
elbow bent to a right
angle, fingers pointing
down, move the arm "Ma'am/Sir, igalaw
upward so that the mo ang iyong mga
fingers point up. braso pabilog."

"Ma'am/Sir, can you External Rotation

raise your shoulders
and your elbows Ang mga braso ay
forming a 90° angle, nasa gilid sa antas ng
with your fingers balikat at ang siko na
pointing down? Now nakabaluktot sa isang
move your hands up. " tamang anggulo, mga
daliri pagturo, igalaw
ang braso paitaas
Internal Rotation upang ang mga daliri
ay nakaturo paitaas.
With each arm held
out to the side at
shoulder level and the "Ma'am/Sir, maaari
elbow bent to a right mo bang itaas ang
angle, fingers pointing iyong mga balikat at
up, move the arm ang iyong mga siko na
forward and down so bumubuo ng isang
that the fingers point anggulo ng 90 °, na
down. ang iyong mga daliri
ay nakaturo paibaba?
Ngayon ay itaas ang
"Now Ma'am/Sir, iyong mga kamay."
form again your
elbows in a 90° angle,
but now your hands Internal Rotation
facing upward. Move
your hands down." Ang mga braso ay
nasa gilid sa antas ng
balikat at ang siko na
nakabaluktot sa isang
tamang anggulo, mga
Elbow-Hinge Joint daliri pagturo, igalaw
ang braso paibaba
upang ang mga daliri
ay nakaturo paibaba.
Flexion

Bring each lower arm

forward and upward "Ngayon Ma'am/Sir,
so that the hand is at igalaw muli ang iyong
the shoulder. mga siko sa isang
anggulo ng 90°,
ngunit ngayon ang
"Ma'am/Sir, move iyong mga kamay ay
your arms forward nakaturo paitaas.
with the palms facing Iagalaw ang iyong
upward. Now move mga kamay paibaba."
your lower arms
upward and
downward." Elbow-Hinge Joint

Extension Flexion
Bring each lower arm Igalaw ang bawat
forward and ibabang braso
downward, pasulong at paitaas
straightening upang ang kamay ay
nasa balikat.

"Now Ma'am/Sir,
raise again your lower "Ma'am/Sir, igalaw
arm but extend your ang inyong mga braso
arms straight sa mga palad na
downwards" nakaharap sa paitaas.
Ngayon igalaw ang
iyong ibabang braso
Rotation for pataas at pababa."
Supination &
Pronation

Turn each hand and Extension

forearm so that the Igalaw ang bawat
palm is facing upward ibabang braso
and downward. pasulong at pababa,
patuwid

"Ma'am/Sir, face your

palms upward and "Ngayon Ma'am/Sir,
downward." itaas muli ang iyong
ibabang braso ngunit
i-extend nang diretso
Wrist-Condyloid Joint ang iyong mga braso"

Flexion Rotation for

Supination &
Bring the fingers of Pronation
each hand toward the
inner aspect of the Iikot ang bawat kamay
forearm. at bisig upang ang
palad ay nakaharap sa
paitaas at pababa.

"Ma'am/Sir, can you

bring your hands
together, then move "Ma'am/Sir, iharap
your forearms down." ang iyong mga palad
pataas at pababa."

Extension
Wrist-Condyloid Joint
Straighten each hand
to the same plane as
the arm. Flexion

Igalaw ang mga daliri

"Ma'am/Sir, now ng bawat kamay
move your forearms papaloob ng bisig.
straight."

"Ma'am/Sir, maaari
Hyperextension mo bang igalaw ang
iyong mga kamay
Bend the fingers of nang magkasama,
each hand back as far pagkatapos ay igalaw
as possible. ang iyong mga
forearms pababa."

"Ma'am/Sir, move
your hands back as far Extension
as you can."
Ituwid ang bawat
kamay sa parehong
direksyon ng braso.
Radial Flexion
(Abduction)

Bend each wrist "Ma'am/Sir, ngayon

laterally toward the igalaw nang diretso
thumb side with hand ang inyong mga
supinated. forearms."

"Ma'am/Sir, move Hyperextension

your hands to the side
where your thumbs Ibaluktot ang mga
are facing." daliri ng bawat kamay
pataas hangga't
maaari.

Ulnar Flexion
(Adduction)
"Ma'am/Sir, igalaw
Bend each wrist pataas ang inyong
laterally toward the mga kamay hangga't
fifth finger with the maaari."
hand supinated.

Radial Flexion
"Now Ma'am/Sir, (Abduction)
move your hands to
the side where the Ibaluktot ang bawat
fifth finger is facing." pulso patagilid
patungo sa hinlalaki sa
kamay na nakatihaya.

Flexion (fingers)

Make a fist with each "Ma'am/Sir, ilipat ang

hand. inyong mga kamay sa
gilid kung saan
nakaharap ang iyong
"Ma'am/Sir, can you mga hinlalaki."
clench your both
hands?"
Ulnar Flexion
(Adduction)
Extension (fingers) Ibaluktot ang bawat
Straighten the fingers pulso patagilid
of each hand. patungo sa ikalimang
daliri gamit ang kamay
na nakatihaya.

"Next Ma'am/Sir, can

you now straighten
your hands?"
"Ngayon Ma'am/Sir,
igalaw ang iyong mga
kamay sa gilid kung
Hyperextension saan nakaharap ang
(fingers) ikalimang daliri."
Bend the fingers of
each hand back as far
as possible. Flexion (Fingers)

Gumawa ng isang
kamao sa bawat
"Lastly Ma'am/Sir, kamay.
can you bend your
hands upward as far
as you can?"
"Ma'am/Sir, maaari
mo bang i-clench ang
iyong parehong mga
Abduction (Fingers) kamay?"
Spread the fingers of
each hand apart.
Extension (Fingers)

Ituwid ang mga daliri

"Ma'am/Sir, can you ng bawat kamay.
spread your fingers?"

"Susunod Ma'am/Sir,
Adduction (Fingers) maaari mo bang
Bring the fingers of ituwid ang iyong mga
each hand together. kamay?"

"Ma'am/Sir, can you Hyperextension

now bring your fingers (Fingers)
together?" Ibaluktot ang mga
daliri ng bawat kamay
pabalik hangga't
Thumb-Saddle Joint maaari.
Flexion & Extension "Panghuli Ma'am/Sir,
maaari mo bang
Move each thumb ibaluktot ang iyong
across the palmar mga kamay pataas
surface of the hand hangga't maaari?"
toward the fifth finger.
Move each thumb
away from the hand.
Abduction (Fingers)

Ibuka ang mga daliri

"Ma'am/Sir, can you ng magkahiwalay ang
move your each bawat kamay.
thumb toward your
fifth finger? Then, can
you move it back?" "Ma'am/Sir, maari mo
bang ibuka ang iyong
mga daliri?"
Abduction &
Adduction

Extend each thumb Adduction (Fingers)

laterally. Move each Igalaw ang mga daliri
thumb back to the ng magkasama ang
hand. bawat kamay.

"Ma'am/Sir, can you "Ma'am/Sir, maaari

move your fingers mo na bang ipagsama
close to each other? ang iyong mga
Now try to move your daliri?"
thumbs away from
the hand and move it
back."
Thumb-Saddle Joint

Opposition
Flexion & Extension
Touch each thumb to
the top of each finger Igalaw ang bawat
of the same hand. hinlalaki sa buong
ibabaw ng palmar ng
kamay patungo sa
ikalimang daliri.
"Ma'am/Sir, can you
touch the top of your Igalaw ang bawat
fingers using the tip of hinlalaki sa kamay.
your thumb?"

"Ma'am/Sir, maaari
mo bang igalaw ang
iyong hinlalaki
patungo sa iyong
ikalimang daliri? Kung
gayon, maaari mo
bang ibalik ito?"

Abduction &
Adduction

I-extend ang bawat

hinlalaki patagilid.
Igalaw ang bawat
hinlalaki pabalik sa
kamay.

"Ma'am/Sir, maaari
mo bang igalaw ang
iyong mga daliri
palapit sa isa't isa?
Ngayon subukang
igalaw ang iyong mga
hinlalaki mula sa
kamay at ilipat ito
pabalik."

Opposition

Pindutin ang bawat

hinlalaki sa tuktok ng
bawat daliri ng
parehong kamay.
 "Ma'am/Sir, maaari
mo bang hawakan
ang tuktok ng iyong
mga daliri gamit ang
dulo ng iyong
hinlalaki?"
20. Assess joint Ask the client to move Hilingin sa kliyente na For the Hip-Ball-and-
range of motion its legs, knees, and ilipat ang mga binti, Socket Joint of the
of lower feet. Use a tuhod, at paa nito. client, the flexion has
extremities goniometer to Gumamit ng an angle of 94°,
measure the angle of goniometer upang extension with 0°, and
the joint in degrees. masukat ang anggulo hyperextension of 20°.
ng magkasanib na mga For the abduction, it
degree. has a 50° while during
adduction, it has a 30°
angle. The client can
Hip-Ball-and-Socket easily move his legs in
Joint a circular motion. And
Hip-Ball-and-Socket for the Knee-Hinge
Flexion Joint Joint, the client can
move easily his joints
Move each leg Flexion without pain or
forward and upward.
discomfort.
Igalaw ang bawat paa
Extension pasulong at paitaas.
Move each leg back Extension.
inside the other.
Igalaw ang bawat binti
sa magkatapat na
Hyperextension nakapatong ang isa sa
kabila.
Move each leg back
behind the body. Hyperextension

Igalaw ang bawat paa

sa likod ng katawan.
"Ma'am/Sir, can you
move your leg in a
forward and "Ma'am/Sir, maaari
backward motion? mo bang igalaw ang
Then move your leg iyong paa sa isang
back inside the other pasulong at paatras
then move it behind na paggalaw?
your back." Pagkatapos ay igalaw
 ang iyong paa sa likod
ng iba pa at igalaw ito
Abduction sa likod ng iyong
Move each leg out to likod."
the side.

Adduction Abduction
Move each leg back to Igalaw ang bawat binti
the other leg and sa gilid.
beyond in front of it.
Adduction

Igalaw ang bawat binti

"Ma'am/Sir, can you pabalik sa iba pang
move your leg out to mga binti at higit pa sa
the side then move it harap nito.
beyond in front of the
other leg."

"Ma'am/Sir, maaari
mo bang igalaw ang
Circumduction iyong paa sa gilid
Move each leg pagkatapos ilipat ito
backward, up, to the sa kabila ng harap ng
side, and down in a kabilang binti."
circle.

Circumduction. Igalaw
"Ma'am/Sir, can you ang bawat paa
move each of your pabalik, pataas, sa
legs in a circular gilid, at pababa sa
motion?" isang bilog.

Internal rotation "Ma'am/Sir, pwede

bang igalaw ang
Turn each foot and leg bawat isa sa inyong
inward so that the mga binti sa isang
toes point as far as pabilog na
possible toward the paggalaw?"
other leg.

Internal Rotation.
External rotation Balikin ang bawat paa
at paa papasok upang
Turn each foot and leg ang mga daliri ng paa
outward so that the ay tumuturo sa
toes point as far as kabilang binti.
possible away from
the other leg. External Rotation

Iliko ang bawat paa at

paa upang ang punto
"Ma'am/Sir, can you ng mga daliri sa paa ay
turn your feet inward nakalayo mula sa
then outward, do the kabilang paa.
same with the other
feet."

"Ma'am/Sir, maaari
mo bang ikiling ang
Knee-Hinge Joint iyong mga paa
papasok pagkatapos
ay palabas naman,
Flexion gawin ito sa kabilang
paa."
Bend each leg,
bringing the heel
toward the back of
the thigh. Knee-Hinge Joint

Extension Flexion

Straighten each leg, Ibaluktot ang bawat

returning the foot to binti, dalhin ang
its position beside the sakong patungo sa
other foot. likod ng hita.
Extension

Ituwid ang bawat

"Ma'am/Sir, bend binti, ibabalik ang paa
each of your knees sa posisyon nito sa
while your heels go tabi ng kabilang paa.
towards the thigh.
Then return back to
the original position." "Ma'am/Sir, ibaluktot
ang bawat tuhod
habang ang iyong
Extension (plantar mga takong ay
flexion) patungo sa hita.
Pagkatapos ay
Point the toes of each bumalik sa orihinal na
foot downward; posisyon."
Flexion (dorsiflexion)

Point the toes of each Extension (plantar

foot upward. flexion)

Ituro ang mga paa sa

"Ma'am/Sir, can you bawat paa pababa;
point your toes Flexion (dorsiflexion)
downward then
upward?" Ituro ang mga paa sa
bawat paa pataas.

Eversion
"Ma'am/Sir, maaari
Turn the sole of each bang ituro ang iyong
laterally; mga daliri sa paa
Inversion pababa at pataas?"

Turn the sole of each

foot medially. Eversion

Ikiling ang talampakan

"Ma'am/Sir, can you nang patagilid.
turn your sole facing Inversion
the side, then turn it
medially" Ikiling ang
talampakan nang
pagitna.
Flexion

Curl the toe joints of "Ma'am/Sir, maaari

each foot downward; mo bang ikiling ang
Extension iyong talampakan
patagilid , at
Straighten the toes of pagkatapos ay iikot
each foot. ito pagitna"
 "Ma'am/Sir, can you Flexion
curl your toes
downward, then Kulutin ang mga
straighten it." kasukasuan ng daliri
ng paa sa bawat paa
pababa.

Extension

Ituwid ang mga daliri

sa paa ng bawat paa.

"Ma'am/Sir, maaari
mo bang ibaluktot
ang iyong mga daliri
sa paa, pagkatapos ay
ituwid ito."
21. Document "Ma'am/Sir, so far "Ma'am/Sir, sa
findings and there are no deviation ngayon ay walang
observations. from normal results taliwas muna sa
based on my normal sa resulta
assessment. But I will base sa aking
give the results to the assessment ngunit
medical practitioner ibibigay ko ito sa
who has broader medical practitioner
understanding of the na mas malawak ang
results of this kaalaman tungkol dito
assessment to verify para ma-verify nila
everything. I will let ang mga resultang
you know when the ito. Sasabihan ko po
next appointment is. kayo kung kalian po
Thank you for your ulit ang iyong susunod
time and cooperation appointment.
Ma'am/Sir!" Maraming salamat sa
iyong oras and
kooperation
Ma'am/Sir!"