CONTINUATION…….

 Biceps (Client fully extends each arm and tries

MUSCULOSKELETAL
I will ask you some question related to our
assessment at the musculoskeletal okay?
Did you feel any pain from your muscles?
to flex it while you attempt to hold arm in
extension)
 Triceps (Client flexes each arm and then tries
to extends it against your attempt to keep in
flexion)

Do you have any injuries from the past like indoor

sports or outdoor sports?

Did you have any limitation of movement cause by

pain?

First assessment, inspect muscle looking for size and

 Wrist and finger muscles (Client spreads the
compare on each sides. No presence of decreased in
fingers and resists as you attempt to push the
size or atrophy and no increase size or hypertrophy.
fingers together)
Inspect the muscles and tendons for contractures.
(ARM TO FOOT FLEXED) No contractures of muscle.

Inspect for fasciculation’s and tremors of the hand.

(HOLD ARMS OUT INFRONT OF THE BODY) no tremors
or any fasciculation’s noted.

Palpate muscles at rest to check for tonicity. (Cheeks,  Grip strength (Client grasps your index finger
arms and thigh) Lacking tone or not atonic, normally and middle fingers while you try to pull the
firm. fingers out.)

Palpate muscles while is active and passive for

flaccidity, spasticity and smoothness of movement.
Coordinated smooth movements.

Test muscle strength. Compare the right side with left

side.  Hip Muscles (Client is supine, both legs
 Sternocleidomastoid (Clients turns head to extended; client raises one leg at a time while
one side against resistance of hand.) you attempt to hold it down.)

 Trapezius (Clients shrugs the shoulder against

the resistance of your hands)  Hip abduction

 Deltoid (Clients holds arm up and resists while

you try to push it down)
  Hip Adduction

 Hip flexion

 Hip Extension

Normal full muscle movement at the several areas

against gravity and against full resistance. Grade 5
muscle strength.

Inspect the skeleton for normal structure and

deformities. No deformities and no bones
misaligned.

Palpate the bones to locate any areas of edema or

tenderness. No tenderness or swelling any edema
that indicate fracture and osteoporosis.

Inspect the joints for swelling. No swelling,

tenderness and no crepitation.

Assess range of motion will move selected body parts

by flexion, extension, abduction, adduction,
circumduction. (after ROM) you can do this exercise at
home 3 to 5 times, use slow steady movement to help
relax muscle.