Inter-rater Reliability of Three Musculoskeletal Physical Examination Techniques Used to Assess Motion in Three Planes While Standing

Acetabular labral tears are a common cause of hip pain, but specific diagnosis can be difficult due to limitations in current physical examination techniques and radiographic imaging. Pelvic dynamics were captured in 18 participants (10 labral tear patients) who performed single leg squats and stance exercises. Comparisons were made between the pathologic and non-pathologic legs of patients and between patients and controls. The analysis of bilateral symmetry showed significant differences in most parameters implying unique patient compensatory dynamics. Bilateral symmetry was found to be significant in detecting differences in movement patterns and may become a useful tool for clinical evaluation.

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Popliteomeniscal Fascicle Tears Causing Symptomatic Lateral Compartment Knee Pain

The American Journal of Sports Medicine ◽

10.1177/0363546504274144 ◽

2005 ◽

Vol 33 (8) ◽

pp. 1231-1236 ◽

Cited By ~ 47

Author(s):

Robert F. LaPrade ◽

Brian K. Konowalchuk

Keyword(s):

Physical Examination ◽

Knee Pain ◽

Open Repair ◽

Lateral Meniscus ◽

Case Series ◽

Lateral Compartment ◽

Level Of Evidence ◽

Arthroscopic Examination ◽

Examination Techniques

Background Injuries to the popliteomeniscal fascicles of the lateral meniscus are difficult to identify from physical examination and magnetic resonance imaging scans. To our knowledge, there have been no described physical examination techniques to identify symptomatic isolated popliteomeniscal fascicle tears. The popliteomeniscal fascicles have been demonstrated to be important for lateral meniscus stability, and it has been reported that tears can lead to painful symptoms. Hypothesis Popliteomeniscal fascicle tears cause symptomatic lateral compartment knee pain and can be diagnosed by physical examination. Surgical repair can improve patient function. Study Design Case series; Level of evidence, 4. Methods Six patients with isolated tears of the popliteomeniscal fascicles, which caused lateral joint line knee pain, were identified by positive figure-4 test results. Results All patients were found to have replication of their symptoms while placing the affected knee in the figure-4 position and were found to have lateral meniscal hypermobility due to tears of the popliteomeniscal fascicles on arthroscopic examination. All patients had an open repair of the popliteomeniscal fascicles of the lateral meniscus with complete resolution of their symptoms at a mean follow-up of 3.8 years postoperatively. Conclusions The figure-4 test was found to be useful in identifying the source of lateral compartment knee pain due to popliteomeniscal fascicle tears. Open repair of isolated popliteomeniscal fascicle tears was also found to be effective in resolving lateral compartment knee pain due to popliteomeniscal fascicle tears.

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Knowledge and skills in chest auscultation among nurses

Pielegniarstwo XXI wieku / Nursing in the 21st Century ◽

10.2478/pielxxiw-2020-0020 ◽

2020 ◽

Vol 19 (4) ◽

pp. 251-257

Author(s):

Klaudia Majder ◽

Paweł Więch ◽

Agnieszka Wojniak ◽

Dariusz Bazaliński

Keyword(s):

Physical Examination ◽

Nursing Staff ◽

Reliable Method ◽

Survey Questionnaire ◽

Knowledge Test ◽

Knowledge And Skills ◽

Daily Work ◽

Chest Auscultation ◽

Examination Techniques ◽

Level Of Knowledge

AbstractIntroduction. Medical history and physical examination are basic elements allowing nurses to assess patients’ health. The ability to auscultate the chest in combination with anatomical and physiological knowledge constitute a quick and reliable method of differentiation and diagnosis of many diseases.Aim. The aim of the study was to assess knowledge and skills in the field of chest auscultation among nursing staff .Material and method. A prospective, pilot observational study was conducted on a group of 51 nurses. The level of knowledge and skills in the field of chest auscultation and independence in undertaking this activity in professional work were assessed. The knowledge test developed by the author, survey questionnaire and SimScope 360-3400 trainer were used. P<0.05 value was considered statistically significant.Results. Lack of chest auscultation skills was observed in 10% of the respondents, although none of them revealed lack of knowledge in this respect (p<0.001). Higher level of knowledge correlated with higher level of skills of the respondents, while a lower level of knowledge conditioned a lower level of skills (p=0.049). In the respondents’ opinion, auscultation of the lungs and heart are activities performed only by a doctor.Conclusions. Despite a moderate level of knowledge and skills in the field of chest auscultation, nursing staff do not use physical examination techniques in their daily work.

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86: Evidence-based physical examination techniques for the diagnosis of pelvic floor myofascial pain: A systematic review

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2017.12.105 ◽

2018 ◽

Vol 218 (2) ◽

pp. S945-S946

Author(s):

M. Meister ◽

N. Shivakumar ◽

J. Lowder

Keyword(s):

Systematic Review ◽

Physical Examination ◽

Pelvic Floor ◽

Myofascial Pain ◽

Evidence Based ◽

Examination Techniques

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The Abdomen

Drug Intelligence & Clinical Pharmacy ◽

10.1177/106002808602000902 ◽

1986 ◽

Vol 20 (9) ◽

pp. 653-658

Author(s):

R. Leon Longe ◽

Jon C. Calvert

Keyword(s):

Physical Examination ◽

Normal Anatomy ◽

Anatomy And Physiology ◽

Examination Techniques

This article describes the normal anatomy and physiology of the abdomen. Physical examination techniques illustrate the evaluation of the abdominal structures. The text describes physical presentation of selected diseases and discusses their pathophysiology. The text material is applied through a case study.

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