“

Bagaimana cara memberikan program latihan

untuk mengembalikan fungsi pada area yang
mengalami cedera?
EXAMINATION IN
REHABILITATION
1. History
• Onset
• Pain location
3. Assessment
• Mechanism of injury
• Prior treatment and rehabilitation 4. Treatment Goal
• Goals of athlete 5. Treatment Plan
2. Physical Exam 6. Treatment Procedures
• Inspection
• AROM/PROM
• Palpation
• Neurological
• Strength and motor control
• Special test
• Functional exam
• Gait analysis
1.
Basic Concepts
Let’s start with the first set of slides
What is a physical
examination ?

Physical examination is the inspection,

palpation, measurement, and auscultation
of the body and its part
Degree of the patient’s pain

Disability

Level of functioning
Observation
Posture

Gait
Subjective Examination
(History)
Inspection
Palpation

Palpation is performed to assess

◎ Bony and soft tissue contours
◎ Soft tissue consistency
◎ Skin temperature
◎ Texture
2.
Joint Range of
Motion
Assessment of Active ROM

Assessment of the AROM can AROM my be decrease due to the

provide the following patient following patient factors :
information : ◎ Unwillingness to move
◎ Willingness to move ◎ Inability to follow instructions
◎ Level of consciusness ◎ Restricted joint mobility
◎ Ability to follow instructions ◎ Muscle weakness
◎ Attention ◎ Pain
◎ Coordination
◎ Joint ROM
◎ Movement that cause or
increase pain
◎ Muscle strength
Assessment of Passive ROM

Assesment of the PROM provides

information about the following :
◎ Amount of movement possible PROM is usualy slightly greater
at the joint than AROM.
◎ Foctors responsible for limiting
movement
◎ Movement that cause or
increase pain
Assessment of Passive ROM

To assess the PROM at a joint, stabilize the proximal joint

segment and move the distal joint segment through the full
PROM and do the following :
◎ Determine the quality of the movement
◎ Determine the end feel
◎ Note the presence of pain
Measurement of ROM

Goniometry
Measurement
Procedure
2.
Muscle Testing
Let’s start with the first set of slides
Resisted Movement Testing
 Normal (5): Muscle can withstand a strong
degree of resistance against gravity

Good (4): Muscle can withstand a moderate

degree of resistance against gravity

Manual Fair (3): muscle is able to sustain the test

position against gravity
Muscle
Testing Poor (2): muscle is able to complete the
ROM in a plane that is parallel to gravity

Trace (1): muscle can preform palpable

contraction without movement

Zero (0): no contraction

Measurement
Procedure
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Thanks!
Any questions?