Unit One:

Mobility

Objectives
Describe the basic function and
structure of the
musculoskeletal system.
Select significant subjective and
objective data related to the
musculoskeletal system which should
be obtained during patient
assessment.
Relate normal from abnormal findings
related to a musculoskeletal
assessment.

Anatomic and Physiologic

Overview
Function of bone:

Microscopic structure http://www.y

outube.com/watch?v=d9owEvYdouk
Osteo blasts, cytes and clasts
Osteons = Haversian
System Cancellous =
trabecular = spongy bone
Cortical = compact bone
Lamellae
Caniculi
Volkmans

Bone Maintenance
Calcium 1200-1500
mg / day
Vitamin D
Parathormone
Calcitonin
Thyroid
Cortisol
Estrogen
Testosterone

Bone Healing
Hematoma and
inflammation
Granulation tissue
Callus formation
Ossification
Consolidation
Remodeling

206 Bones
Long
Short
Flat
Irregul
ar

Joints
Synarthrotid
Amphiarthrotic
Diarthroidal
Types of diarthrosis
joints/synovial joints

Joint Capsule
Bursa

Body Movements

Adbuction
Adduction
Protraction
Retraction
Circumduct
ion
Pronation
Supination
Extension
Flexion
Rotation
Inversion
Eversion

Health History using Functional

Health
Begin with past health
Patterns (Gordon)
history/surgery
Medications
Family history
Health Perception-Health
Management Pattern Nutritional
Metabolic Pattern
Elimination Pattern
Activity-Exercise
Pattern Sleep-Rest
Pattern
CognitivePerceptual Pattern
Self Perception-Self
Concept Pattern
Role-Relationship

Physical Assessment
Inspection
Palpation
Motion
Active and Passive

Muscle Strength 0
to 5
Spine curvatures

Diagnostic Studies

Xray
CT
MRI
Myelogram
Bone Density
Bone Scan
Arthroscopy/Arthroce
ntesis
EMG

Laboratory Diagnostics
Alkaline
Phosphatase
Calcium
Phosphorus
RF
ESR
ANA
Complement
Uric Acid
CRP
CK
Potassium