Case study A 40-year-old woman walks into the therapy office with a noticeable hesitation to place pressure on her right foot, and she quickly steps off it when she does. She is complaining of pain on the bottom of the right foot near her heel and would like to know what might be the cause of her situation. Questions: 1. What structures of the foot could be causing her pain? 2. What orthopedic test should be utilized? Conclusion Judging by the breadth of the common orthopedic tests given here, it should be noted that as a general rule, the greater the ROM at a joint, the higher the number of dysfunctions of that joint and the surrounding musculature becomes common. Given the number of muscles acting upon the glenohumeral and coxal joints, pinpointing the source of pain or dysfunctions becomes more difficult in the absence of orthopedic tests. In many clinical settings, particularly when dealing with clients whose employers or insurance companies may be paying for a limited number of treatments, narrowing the scope of manual therapy to the relevant structures involved becomes particularly important. As many physicians who refer such clients do not specialize in soft-tissue injuries, the application of these tests enables a physician to properly evaluate a client and determine the exact scope of a client’s healthcare needs.
Reflection: Many structural and function problems at both the ankle and foot itself can cause gait issues, but having a client pinpoint the pain might help narrow the focus of the tests one might perform. Analysis: Since the client is reporting pain on the bottom of her foot near the heel and this area is an attachment for the plantar fascia, the windlass test should be performed to indicate or even rule out involvement of the plantar fascia.
WORKS CITED https://qr2.mobi/Musculoskeletal
MUSCULOSKELETAL ASSESSMENT AND TREATMENT FOR MANUAL THERAPISTS Self-Assessment Answers and Rationales 3. The correct answer is a. 4. The correct answer is c. MUSCULOSKELETAL ASSESSMENT AND TREATMENT FOR MANUAL THERAPISTS Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 92, or complete your test online at EliteLearning.com/Book 36. Pain resulting in weakness or loss of movement is usually due to which of the following? a. Poor diet. b. A nervous system disease. c. Injury to a muscle, tendon, or ligament. d. A broken bone. 37. For clients seeking relief from their pain and movement dysfunctions, a therapist should be seeking: 1. The correct answer is b. 2. The correct answer is d.
40. What is one benefit of quick assessment skills? a. Being able to address a client’s pain or dysfunction quickly. b. Being able to charge a client more money. c. Being able to use multiple tests. d. To rule out who massage will not be good for. 41. What is hypertonicity? a. Increased muscle tension. b. Increased cardiovascular tension. c. Increased stress levels. d. An overreaction to a client’s dysfunction. 42. Which massage technique helps realign muscle fibers? c. Petrissage. d. Hot stones. 43. Which is the most likely reason for not doing a PNF stretch on the client? a. The client does not think stretching will work. b. The client already has low ROM. c. Passive stretching is just as effective. d. The client experiences acute pain during the PNF stretch. a. Directional massage. b. Cross-fiber friction.
a. Short-term solutions. b. Long-term solutions. c. Short- and long-term solutions. d. For client retention.
38. Orthopedic tests are assessments that help clarify: a. Whether a dysfunction is functional (muscular) or structural (skeletal) in nature. b. If a bone is broken. c. If a muscle is strained. d. How much pain a client can tolerate. 39. The three knuckle test is utilized to: a. Test for hypomobility of the TMJ. b. Test for broken metacarpals. c. Test for broken phalanges of the hand. d. Tests for hypomobility of the cervical spine.
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Book Code: MPA0825
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