1. Chapter 3
Client Assessment

2. Chapter Objectives Health Information Form Interviewing the client
Orthopedic testing
Palpation
Predisposing and perpetuating factors

3. Health Information Form
A health information form provides information that will:
Govern your analysis
Formulate your therapeutic plan
Give the therapist clues about contraindications

4. Health Information Form cont’d
A health information form will help the therapist decide:
Where to begin their work
How long it will take to complete the work
Which techniques to use
Where they might locate trigger points

5. Health Information Form cont’d
It is a legal document that must include the following:
A date
The client’s signature in ink
A statement that provides informed consent
Disclaimer of diagnosis
Treatment and payment policies

6. Health Information Form Outline
Section 1: Client’s personal information
Section 2: Client’s present symptoms
Section 3: Illustrations of the body
Section 4: Client’s medical history and medication
Section 5: Client’s signature and date in ink

7. Sample Health Information Form
Health information form, including anterior and posterior views of the human body

8. Sample Health Information Form cont’d

9. Sample Health Information Form cont’d

10. Interviewing the Client
Interviewing Tips:
Be sensitive to client’s feelings
Actively listen and gain client’s trust
Use A&P and trigger point reference books
Determine cause of pain and previous treatment

11. Cause of Pain Sample questions to determine cause of pain:
How exactly did this injury occur?
Were you sore immediately after the accident?
When did you first notice pain/discomfort?
What makes it feel better or worse?

12. Previous Injury Sample questions to determine previous injury:
Have you sought medical attention for this problem?
What was the outcome of the treatment?
Were the diagnosis and treatment effective?

13. Orthopedic Testing Two types of orthopedic evaluations include:
Range of Motion Assessment
(passive, active and active resistive tests)
Postural Assessment
(postural distortions and recognizing the vertically ill)

14. The Vertically Ill

15. Postural Distortions of the Pelvis

16. Anterior and Lateral Pelvic Tilt
Comparing ASIS vs. PSIS for anterior pelvic tilt
Comparing ASIS vs. PSIS along with the iliac crests for lateral pelvic tilt

17. Postural Distortions of the Trunk
Comparing acromions for shoulder asymmetry
Diagram of thoracic kyphosis

18. Postural Distortion of the Head
Diagram of the weigh of a forward head posture

19. Palpation
Palpation is the art and science of examining the skin and underlying structures with one’s hands.
Types of palpation include:
Flat palpation
Pincer palpation
Snapping palpation

20. Flat Palpation
Effective when used on larger muscles
Flat palpation

21. Pincer Palpation Effective for muscles that can be lifted off the body

22. Snapping Palpation Effective almost anywhere in the body

23. Predisposing Factors Leg length discrepancy Short humerus
Small hemipelvis
Foot hyperpronation

24. Perpetuating Factors Overuse syndrome Sleep/rest habits
Nutrition and chemical dependency
Trauma and psycho-emotional distress
Exercise
Disease and postural dysfunction

25. Overuse syndrome
Biomechanical overuse syndrome creates stress and many occur in any of the following locations:
At work
While driving
At home

26. Review
What type of range of motion assessment best evaluates inert tissues?
A. Active muscle tests
B. Active resistive muscle tests
C. Goniometer tests
D. Passive muscle tests

27. Answer
D. Passive muscle tests