1. ACL Injury 1. PCL Sprain 1. Lumbar Radiculopathy 2. Patellofemoral Syndrome 2. MCL Sprain 2. Intra-articular Hip Pathology 3. Meniscal Tear 3. Distal Femoral/Proximal Tibial 3. Knee OA Stress Fx INFLUENCE OF THE SYMPTOMS ON THE EXAM. Detailed by Area of Symptoms as Mapped on Body Chart Pain Severity Irritability Nature (identify the primary mechanism Stability Limit Location behind the signs/symptoms) Exam? Med Left Mod Mild Inflammatory Nociceptive Acute Waxing and Yes Knee Mechanical Nociceptive Waning Non Non Mechanical Nociceptive Acute, Subacute, Improving Yes ↑ Mild Mild Inflammatory Nociceptive Chronic, Worsening No ↓ Mod Mod Neurogenic Acute on Chronic, Not Changing Severe Severe Central Subacute on Waxing &Waning Autonomic Chronic Affective What is the anticipated vigor (limit) of your ROM exam? Select only the highest vigor you would be willing to use. Examine only to the Examine only to the X Unlimited Other (Describe): Examine to the end ONSET or end of active or examination of PASSIVE LIMIT change in pain (P1), ACTIVE LIMIT, even SUSTAINED or with OVER even if the active limit if P1 has already been COMBINED PRESSURE sufficient has not been achieved. reproduced. movements as needed. to determine end feel. Acuity, Current Does the nature, diagnosis, or Yes. Giving Way with stairs and Rationale for this Inflammation, Aggravation warrant special swelling, waxing and waning vigor. Justify your to Ease Ratio of 1: 1 or less caution for exam or treatment? symptoms assessment of severity Yes / No If yes, what? & irritability (e.g. Trauma / Inflammation / Red Flags / Instability/ Pathological Process) Running, walking, sitting, How is this activity limitation Patient is unable to participate descending stairs, cycling, affecting the patient’s in soccer or avocation standing participation in her normal social roles? What is the primary activity limitation? REVISED HYPOTHESES AFTER THE PATIENT INTERVIEW
1. ACL Injury 2. Patellofemoral Syndrome 3. Meniscal Tear 1. PCL Sprain 2. MCL Sprain 3. Distal Femoral/Proximal Tibial Stress Fx 1. Lumbar Radiculopathy 2. Intra-articular Hip Pathology 3. Knee OA INFLUENCE OF THE SYMPTOMS ON THE EXAM. Detailed by Area of Symptoms as Mapped on Body Chart Pain Location Severity Irritability Nature (identify the primary mechanism behind the signs/symptoms) Stability Limit Exam? Med Left Knee Mod Mild Inflammatory Nociceptive Mechanical Nociceptive Acute Waxing and Waning Yes Non Mild Mod Severe Non Mild Mod Severe Mechanical Nociceptive Inflammatory Nociceptive Neurogenic Central Autonomic Affective Acute, Subacute, Chronic, Acute on Chronic, Subacute on Chronic Improving ↑ Worsening ↓ Not Changing Waxing &Waning Yes No What is the anticipated vigor (limit) of your ROM exam? Select only the highest vigor you would be willing to use. Examine only to the ONSET or change in pain (P1), even if the active limit has not been achieved. Examine only to the end of active or ACTIVE LIMIT, even if P1 has already been reproduced. X Examine to the end of PASSIVE LIMIT with OVER PRESSURE sufficient to determine end feel. Unlimited examination SUSTAINED or COMBINED movements as needed. Other (Describe): Rationale for this vigor. Justify your assessment of severity & irritability Acuity, Current Inflammation, Aggravation to Ease Ratio of 1: 1 or less Does the nature, diagnosis, or warrant special caution for exam or treatment? Yes / No If yes, what? (e.g. Trauma / Inflammation / Red Flags / Instability/ Pathological Process) Yes. Giving Way with stairs and swelling, waxing and waning symptoms What is the primary activity limitation? Running, walking, sitting, descending stairs, cycling, standing How is this activity limitation affecting the patient’s participation in her normal social roles? Patient is unable to participate in soccer or avocation REVISED HYPOTHESES AFTER THE PATIENT INTERVIEW