tailieunhanh - Manual therapy diagnosis in orthopaedic: Part 2

(BQ) Continued part 1, part 2 of the document Manual therapy diagnosis in orthopaedic has contents: Supplementary data, diagnosis and treatment planning, palpatory examination, active examination, examination of the pelvic region, examination of the thoracic spine, examination of the temporomandibular joints,. and other contents. Invite you to refer. | Chapter 9 Supplementary Data Diagnosis and Treatment Planning RADIOGRAPHY AND OTHER IMAGING STUDIES When making a manual diagnosis it is important to be aware of any physical anomalies morphologic changes and fractures. However the first two cannot be objectively established by physical examination and the last cannot always be identified with sufficient diagnostic certainty Radiographs are therefore needed to provide definite answers. They serve two purposes they provide either a supplemental or a definitive contribution to the physical examination and they explain its findings. When requesting radiographs it is important to be able to justify the request When interpreting the radiographs uniform criteria should be used to gain a valid result. This plus the fact that a great deal of experience is needed to interpret radiographs makes a good working relationship vwth the radiologist both desirable and necessary. Finally although CT and MRI scans are too expensive for routine use they can provide definite answers as to whether or not manual therapy is indicated. ELECTRODIAGNOSTIC STUDIES Electrocardiograms electroencephalograms and electromyograms can be produced and interpreted only by the appropriate medical specialists. Electromyography and nerve conduction velocity studies can be an important adjunct to manual assessment and are sometimes necessary for differential diagnosis. BIOPSY The manual therapy examination may eld findings that suggest tissue biopsy would be advisable. Examination of tissues and tissue fluids is one of the ways of establishing whether or not manual therapy is indicated. LABORATORY TESTS In cases where relative or absolute counterindications for manual therapy are suspected laboratory tests can often give a definitive answer. The results of any previous laboratory tests should be taken into account together wth any treatment that was prescribed at the time for example insulin antihypertensives or anticoagulants. OTHER SPECIAL MEDICAL TESTS