OCS Elbow Material - “EVAL and TREAT” Part I

OCS Elbow Material
“EVAL and TREAT”

As we have done with the previous joints, we will go through a simple screening process for the elbow, as if the patient were to attend therapy through direct access or a simple “eval and treat” prescription.

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A thorough subjective interview should take place. Some sample questions are listed below:

• When and how the injury occurred?
• Was there a specific MOI? Where is the pain located?
• Does the pain move distally/proximally?
• Is numbness and tingling present?
• What movement or specific activities increase your symptoms (sxs)?
• What decreases yours sxs?
• Is there any specific change in sxs from head or posture movement?
• Any past medical history or previous pertinent history?
• Does wrist motion increase sxs?
• Does shoulder motion increase sxs?
A thorough subjective interview will drive more efficient objective testing. Below is a general screening assessment that should be considered when ruling in and out different dysfunctions.
During the subjective interview, general observations should be made.
• What is the patients sitting or standing posture?

o Kyphosis
o Forward Head
o Rounded/IR shoulders
o Shoulder height
o Scapular positioning

• General observations that should be noted?

o Deformities
o Atrophy
o Swelling
o Bruising
• What is the carrying ankle?
o Women average of 13 degrees
o Men average of 10 degrees

 

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