This document outlines the components and purpose of a scanning examination performed in physical therapy. The scanning exam is used to ensure issues are within the scope of physical therapy and rule out serious pathology. It involves observation of gait and posture, vital signs, functional movement testing, tissue tension testing, palpation, neurological exams, and special tests. The purpose is to detect gross loss of function and movement control in order to guide further physical therapy diagnosis and treatment.
1. Flexor tendon injuries can occur in any of the 5 zones defined by Kleinert and Verdan and require different surgical approaches depending on the location and severity of the injury.
2. Primary repair within 12-24 hours of injury provides the best functional outcomes while delayed or secondary repairs have higher risks of adhesion formation.
3. Flexor tendon repair techniques aim to accurately approximate the tendon ends with core sutures while minimizing handling and restoring the normal gliding relationship between tendons. Postoperative rehabilitation is crucial.
4. Flexor tendon grafting is indicated for injuries with segment
Clinical examination of the spine/back covering the following sections:
INSPECTION
PALPATION
MOVEMENTS
MEASUREMENTS
SPECIAL TESTS
(Neurological examination covered separately in another slideshow : SPINE EXAMINATION - PART 2)
COXA VARA AND COXA VALGA, DEVLOPMENTAL COXA VARA.pptxKisanNepali
Coxa vara and coxa valga refer to reductions or increases in the neck shaft angle of the femur. Developmental coxa vara is caused by a defect in endochondral ossification, resulting in a decreased neck shaft angle and shortening of the femoral neck. This puts increased shear stress on the femoral neck. Left untreated, it can progress and cause premature arthritis. Treatment involves valgus-producing osteotomies to redirect forces from shear to compression and allow normal remodeling. Outcomes depend on the pre-operative neck shaft and epiphyseal-head angles. Complications include recurrence, coxa valga, and avascular necrosis.
There are three main types of snapping hip: external, internal, and intra-articular. External snapping hip is caused by increased tension in the iliotibial band over the greater trochanter with repeated flexion and extension. Internal snapping hip involves snapping of the iliopsoas tendon over the femoral head. Intra-articular snapping hip is caused by labral tears or loose bodies in the hip joint. Conservative treatments include rest, stretching, strengthening, and therapies like cold compression, while operative options involve procedures like Z-plasty of the iliotibial band or arthroscopic surgery to address intra-articular issues.
This document discusses the biomechanics of the hip joint. It begins by defining biomechanics as the science examining forces acting on biological structures. It then describes the hip as both mobile and stable due to its strong bones, powerful muscles, and ligaments. The document goes on to discuss topics such as the femoral neck angle, acetabular version, muscles, joint reaction forces, gait biomechanics, and the effects of conditions like osteoarthritis. It concludes by covering the history and principles of hip biomechanics in total hip arthroplasty, including how procedures aim to decrease joint reaction forces.
Clinical examination of the spine/back covering: NEUROLOGICAL EXAMINATION -
-MOTOR
-SENSORY
-REFLEXES
-AUTONOMOUS
-BOWEL AND BLADDER
(Upper and Lower Limbs)
Covering separately:
The Vertebral level
The pathological process : Extradural or Intradural
The extent of deficit: The Neurological level
The type of deficit: UMN or LMN
UPPER & LOWER LIMBS
This document discusses the treatment of fibular hemimelia, a birth defect where the fibula is partially or completely absent. It describes the advantages of using the Moseley graph method to calculate leg length discrepancies and plan treatment in growing children. Treatment options discussed include amputation, limb lengthening, and epiphysiodesis (surgery to stop bone growth). For mild cases, limb lengthening may be used, while more severe cases typically require amputation. The document provides the measurements and treatment plan for a specific patient between ages 6-9 who requires epiphysiodesis and lengthening to correct their leg length discrepancy.
Calcific tendinitis is characterized by deposits of hydroxyapatite in tendons, most commonly in the rotator cuff. It involves three stages: pre-calcification with chondral metaplasia, calcification with deposit formation, and post-calcification resorption. Shoulder pain is usually acute during resorption as deposits rupture into the bursa. X-rays show deposits appearing as calcium shadows. While rest and NSAIDs are first-line, needle lavage and corticosteroids can provide relief during acute flares. The pathogenesis involves erroneous differentiation of tendon stem cells into osteoblasts and chondrocytes, leading to calcification.
Myofascial release is a manual therapy technique that aims to relax and elongate the fascia through slow, sustained pressure. Fascia is the connective tissue that surrounds and connects muscles, bones, and organs. Injuries, immobilization, and aging can cause fascial adhesions or restrictions that impair movement. Myofascial release techniques like crosshand strokes, skin rolling, and deep tissue stroking apply moderate pressure to "creep" or elongate the fascia and increase range of motion. It can help remove waste from injuries and is often used with other treatments like exercise. Precautions include acute injuries or conditions affecting the skin, blood vessels, or nerves.
The document discusses the anatomy and biomechanics of the hand. It covers the skin, fascia, bones, joints, ligaments, and motion of the hand. Some key points include:
- The hand skeleton consists of carpal bones, metacarpals, and phalanges. The thumb, index finger, and remaining fingers each have varying degrees of mobility.
- The wrist joint allows flexion/extension and radial/ulnar deviation. The carpal bones form arches and transmit force between the forearm and hand.
- Ligaments like the scapholunate and lunotriquetral stabilize carpal bone alignment and joint motion. The collateral ligaments control lateral finger motion.
Surgical treatment of clubfoot aims to achieve a plantigrade foot through complete release of all contracted structures. The timing of surgery is typically between 9-12 months of age. Various surgical techniques fully release the hindfoot, midfoot, and forefoot joints. Postoperative casting is crucial to maintain correction, while complications like under- or over-correction, infection, and loss of correction require additional treatment. Residual or resistant clubfoot in older children presents unique challenges requiring customized surgical and non-surgical approaches.
Hand 2009 (2) Questions Included Not To PostPam Kasyan
The document summarizes the anatomy of the hand including bones, joints, muscles, nerves and common clinical tests. It describes 19 bones, 29 articulations and the intrinsic and extrinsic muscles. It outlines the median, ulnar and radial nerves, their points of entrapment and resulting clinical presentations such as carpal tunnel syndrome. Common hand disorders like tendon injuries and nerve palsies are also summarized.
This document provides information on limb length measurement and discrepancies. It defines true and apparent limb length measurement and describes various methods to measure limb lengths, including using a tape measure between bony landmarks or blocks under the shorter limb. Causes of limb length discrepancies include fractures, infections, bone diseases, tumors and more. Supra-trochanteric and infra-trochanteric shortening are distinguished and different measurement techniques are outlined for each.
Limb length discrepancy can be structural, resulting from actual differences in bone length, or functional, caused by other factors like muscle imbalance. Evaluation involves history, exam including gait and specific tests, and imaging like x-rays. Treatment depends on severity but may include shoe lifts for mild cases, guided growth for moderate, and surgery like epiphysiodesis, shortening, or lengthening for more severe discrepancies. The goal is balanced posture, equal lengths, and proper weight bearing.
This document defines and describes cavus foot, including its causes, clinical features, diagnosis, and treatment options. A cavus foot has an abnormally high arch and accompanying toe deformities. Causes include neuromuscular conditions like Charcot-Marie-Tooth disease and polio. Clinical features include a high arch and clawing of the toes. Diagnosis involves physical exam and x-rays. Treatment depends on flexibility and severity but may include tendon lengthening, osteotomies, and joint fusions to correct deformities in the forefoot, midfoot, and hindfoot. The goal is to create a plantigrade foot.
Limb length discrepancy can be congenital or acquired. It is defined as a difference in leg length of 2.5 cm or more. A short leg causes an awkward gait, increased energy expenditure, and back pain. Treatment depends on the severity and includes shoe lifts for mild cases and epiphysiodesis, shortening, or lengthening procedures for larger discrepancies. Limb lengthening uses either external fixators like the Ilizarov or internal devices to gradually lengthen the bone through the process of distraction osteogenesis, where the bone is slowly pulled apart to stimulate new bone growth. Treatment must be tailored based on the individual's age, growth remaining, and specific condition.
The document outlines a rehabilitation program following arthroscopic Bankart repair surgery in 4 phases. Phase 1 focuses on controlling pain and inflammation while gradually increasing range of motion and strengthening. Phase 2 enhances strength and continues increasing range of motion. Phase 3 aims to achieve full range of motion and improve strength and neuromuscular control. Phase 4 maximizes strength, endurance, control and initiates sport specific exercises to return to pre-injury activity levels. Each phase progresses exercises and intensities over several weeks to meet outlined goals.
This document outlines Brunnstrom's approach to motor recovery following stroke. It describes the general principles, stages of recovery, evaluation procedures, and training techniques. Key points include:
- Recovery follows stereotypical stages that parallel normal motor development.
- Early recovery is characterized by basic limb synergies that gradually give way to more independent voluntary movements.
- Evaluation and treatment are based on the current stage of recovery rather than traditional strength tests.
- Procedures utilize reflexes and primitive movement patterns to facilitate recovery to the next stage.
The document discusses post-operative management of tendon transfers and flexor/extensor tendon injuries. It outlines 3 phases of postoperative treatment: 1) immobilization, 2) activation of the transfer, and 3) strengthening/return to function. Specific protocols are provided for each phase including exercises, splinting, and precautions. Common tendon transfers are also reviewed for different nerve injuries along with prerequisites and rehabilitation guidelines.
The scanning examination is used in physical therapy to:
1) Ensure a patient's presentation is appropriate for physical therapy by ruling out serious pathology like fractures or neurological issues.
2) Detect gross loss of function, range of motion deficits, and movement deviations.
3) Help identify common orthopedic conditions like disc herniations, arthritis, or tendonitis.
The scanning exam involves observation of gait, posture, and movement quality as well as tests of vital signs, functional movement, tissue tension, palpation, neurological function, and special orthopedic tests for different body regions.
This document provides an overview of shoulder anatomy and common shoulder injuries. It begins with brief epidemiology of shoulder pain, noting that shoulder injuries are common in adults ages 40-60. It then details the anatomy of the shoulder joint, including the bones, joints, muscles, nerves and vascular structures. The document outlines common differential diagnoses for shoulder pain and provides guidance on clinical history and physical exam. It concludes with sections on specific shoulder injuries like fractures of the clavicle and proximal humerus, shoulder dislocations, and treatment approaches.
Dr. Manoj Das provides an overview of examining the foot and ankle. The objectives are to assess, diagnose, and treat conditions. The anatomy is complex with 28 bones and 55 joints. The examination involves taking history, observing gait and appearance, palpating for tenderness, and assessing range of motion, neurovascular status, and performing special tests. Key areas to examine include the ankle, subtalar, and first MTP joints as well as the ligaments, tendons and bones of the foot and ankle. A thorough examination is important for accurately diagnosing and treating foot and ankle conditions.
Dr. Manoj Das' document provides an overview of examining the foot and ankle. It discusses the anatomy of the foot and ankle including bones, joints, ligaments and muscles. The examination involves taking a history, observing gait, posture and deformities, palpating for tenderness, and assessing range of motion, neurovascular status, and performing special tests. The goal is to assess, diagnose and treat conditions of the foot and ankle.
This document provides an overview of examining the lower limbs, with a focus on the hip, knee, and diabetic foot. It outlines the standard approach of looking, feeling, moving, and performing special tests for each region. For the hip, key points include assessing the Trendelenburg test, range of motion, and performing tests like Thomas and limb length measurement. For the knee, priorities are evaluating gait, effusion, range of motion, and integrity of internal structures using tests such as Drawer's and McMurray's. The diabetic foot examination aims to detect features of vasculopathy, immunopathy, and neuropathy and classify the foot severity per King's staging system.
simple slides for hip examination . some method and procedures i showed as videos and are not added here . They are tests for movent of hip , CDH tests ,
Lower limb neurological examination frequently appears in OSCEs. You’ll be expected to pick up the relevant clinical signs using your examination skills. This lower limb neurological examination OSCE guide provides a clear, concise, step-by-step approach to performing a neurological examination of the lower limb
This document provides an overview of the clinical examination of the spine. It discusses the anatomy of the spine and common spinal conditions. The examination involves obtaining a history, inspecting the spine, palpating for tenderness, and assessing range of motion. Special tests like the straight leg raise test help localize pain and diagnose conditions like herniated discs. A neurological exam evaluates muscle strength, sensation, and reflexes to identify abnormalities affecting the spinal cord or nerves. A thorough spinal exam provides important clues for diagnosing underlying spinal problems.
The neurological examination evaluates several domains including mental status, cranial nerves, motor function, reflexes, sensation, and coordination. It begins with tests of orientation, attention, memory, and language to assess mental status. Cranial nerves are tested individually for strength and sensation. The motor exam evaluates strength, gait, muscle tone, and abnormal movements. Reflexes including deep tendon reflexes are graded. Coordination is assessed using tests like finger-to-nose. Sensation is tested for vibration, proprioception, temperature, and pain. Subtle signs can indicate conditions like stroke or multiple sclerosis.
This document outlines the components and procedures for performing a neurological examination. It discusses the 7 categories examined which include mental status, cranial nerves, motor system, reflexes, sensory system, coordination, and gait. For each category, it provides details on the specific tests, procedures, and what is evaluated. It examines each of the 12 cranial nerves in-depth, outlining the relevant anatomy and functions tested. It also describes how to evaluate the motor system, reflexes, coordination, gait, and sensory systems. The neurological exam is a comprehensive assessment of the central and peripheral nervous systems.
This document outlines the components of a neurological examination. It discusses the 7 categories examined which include mental status, cranial nerves, motor system, reflexes, sensory system, coordination, and gait. For each category, it provides details on the specific tests, techniques, and what is evaluated. It examines each of the 12 cranial nerves in depth, outlining the relevant anatomy and clinical tests for functions like vision, eye movements, hearing, sensation. It also reviews how to evaluate the motor system, reflexes, coordination, gait, and meningeal signs. The neurological exam is a systematic approach to evaluating the central and peripheral nervous systems.
This document provides an overview of techniques for examining the musculoskeletal system in primary care settings. It discusses taking a history and performing basic examinations of inspection, palpation, movement, and function. The GALS screening method is described for evaluating gait, arms, legs, and spine. Specific areas covered include hands, wrists, shoulders, back, hips, and feet. Common musculoskeletal conditions are demonstrated through photographs.
The document discusses the anatomy and clinical features of spinal fractures. It begins with the anatomy of the vertebral column and its supporting ligaments. It then discusses the classification, mechanisms of injury, and clinical features of spinal fractures. Diagnosis involves history, physical exam including neurological exam, and imaging studies like x-rays, CT scans, and MRI to identify fractures and spinal cord injuries. Management aims to prevent secondary injury through immobilization of the spine.
02- EXAMINATION OF THE FOOT AND ANKLE1.pdfas1723564
This document provides an overview of examining the foot and ankle. It begins with reviewing the anatomy and discussing the key components of taking a history. It then describes examining the foot and ankle in two parts - while the patient is standing and while supine. Key examination techniques are outlined, including inspection of gait, inspection of the foot and ankle at rest, palpation of anatomical structures, and assessing different ranges of motion. Common injuries and conditions are also discussed, along with associated special tests. The goal is to review the process of examining the foot and ankle through assessing different physical exam maneuvers and understanding relevant anatomy.
The document provides information on assessing and evaluating back pain, including:
1) Various pathologies that can cause back pain such as arthritis and congenital deformities.
2) Objective assessment techniques like observation, palpation, range of motion tests, and neurological exams.
3) Special tests to evaluate different areas of the spine including the slump test, straight leg raise, and SI compression tests.
The document provides an overview of foot and ankle anatomy, including the 26 bones and 30 joints of the ankle and foot complex. It describes the three arches of the foot - transverse, medial longitudinal, and lateral longitudinal. Key ankle and foot joints are identified along with their range of motion. Common movements like plantarflexion, dorsiflexion, inversion, and eversion are defined. Physical examination techniques for the foot and ankle are outlined, including inspection, palpation, range of motion testing, and special tests. Common injuries and conditions like shin splints are also mentioned.
This document discusses the approach to a case of lumbar intervertebral disc prolapse. It outlines how to proceed with history taking, clinical examination, differential diagnosis, and management. For history taking, symptoms like pain characteristics, neurological symptoms, and bowel/bladder dysfunction are important. The clinical examination involves inspection, palpation, range of motion testing, and special tests like straight leg raise. Imaging like MRI or CT is used to confirm diagnosis. Conservative treatment includes rest, medication, and physiotherapy. Surgery is indicated for motor deficits or failure of conservative management.
This document provides an overview of evaluating low back pain. It discusses that most disc herniations occur at L5-S1 and 30% of asymptomatic people have disc protrusions. While MRIs often show spinal abnormalities, these findings do not always correlate with symptoms. The most common cause of low back pain is muscle imbalance leading to spasm. The document outlines approaches to evaluating patients with low back pain, including taking a history, performing physical exams, and assessing for red flags indicating serious underlying issues. Common lumbar spine conditions are described.
This document summarizes various shoulder injuries including sprains, dislocations, instability, tendon injuries, and bursitis. It describes the mechanisms of injury, signs and symptoms, special tests used for diagnosis, and diagnostic procedures for sternoclavicular joint sprain, acromioclavicular joint sprain, glenohumeral dislocations, glenohumeral instability, rotator cuff injuries, bicep tendon injuries, and subacromial/subdeltoid bursitis.
This document summarizes various shoulder injuries including sprains, dislocations, tendinitis, fractures, and nerve injuries. It describes the mechanisms of injury, signs and symptoms, special tests used for diagnosis, and recommends referring patients to an orthopedist. Key details are provided for sternoclavicular joint sprains, acromioclavicular joint sprains, glenohumeral dislocations, rotator cuff injuries, bicep tendon injuries, clavicle and scapula fractures, and thoracic outlet syndrome.
A lecture about Technology in Physical Therapy Practice. Given at the OPTA Western District Meeting on 06/30/11 by Casey Kirkes PT, DPT and Dale Boren Jr. PT, MPT, O
This new employee orientation covers the following key points in 3 sentences:
The orientation reviews PTC's core values, the employee's role and responsibilities, professional development training, who the various company partners are, documentation and billing standards, and emphasizes having fun while embracing change. Employees will complete personality and learning assessments, learn about mentoring resources, and get an overview of performance reviews, social media guidelines, and the importance of teamwork and excellent customer service. The goal is to onboard new employees effectively and get them started on a path of continued learning and professional growth as part of the PTC team.
This document summarizes research on the treatment of femoroacetabular impingement (FAI) with manual therapy. It discusses the anatomy and causes of FAI, as well as diagnosis using imaging and clinical exams. While evidence directly comparing manual therapy to exercise for FAI is limited, manual therapy techniques used successfully for hip osteoarthritis may also benefit FAI by increasing range of motion and reducing pain. Case reports show positive outcomes with manual therapy including traction, mobilization, and soft tissue techniques for FAI patients. More research is still needed on rehabilitation approaches for FAI.
This document provides information about fibromyalgia including its definition, symptoms, diagnosis, treatment, and prognosis. Fibromyalgia is defined as a chronic pain condition characterized by widespread muscle aches, pain and tenderness in at least 11 of 18 tender points. It predominantly affects women and has no known cause but may involve abnormalities in how the brain processes pain signals. Treatment involves lifestyle modifications like exercise, stress management and adequate sleep, along with medications to reduce pain and improve symptoms. While there is no cure for fibromyalgia, treatment can help manage symptoms and many people are able to lead active lives.
The document provides information on medical red flags and common red flags associated with various body regions. It defines red flags as signs or symptoms that may warrant referral to another provider. The document then summarizes several studies on red flag documentation and lists many common red flags for various areas including back, chest/ribs, shoulder, sacrum/pelvis, lower quadrant, and leg. Red flags listed indicate potential serious conditions needing referral such as cancer, infection, fractures, or cardiovascular issues.
The document provides information on performing a differential diagnosis examination for the hip. It discusses evaluating the hip for common conditions like osteoarthritis, fractures, bursitis, labral tears, and referred pain from the low back. Physical examination tests are outlined to help determine the likely cause of hip pain, including assessing range of motion, special tests, and risk factors. The goal is to systematically examine the hip to form an evidence-based diagnosis and guide appropriate treatment.
This document provides an overview of a physical therapy course on total hip rehabilitation. The course objectives are to understand hip surgery and exercises, describe hip biomechanics, and effectively progress patients through rehabilitation. The schedule covers topics like evidence-based practice, anatomy, exercises, and outcome measures. Recent advances in hip rehabilitation include smaller incisions, reduced hospital stays, and early mobilization leading to better short-term outcomes. Assessment tools for hip function include the Lower Extremity Function Scale and Harris Hip Score.
This document provides a reading list and brief summaries of books recommended by Physical Therapy Central, Inc. It recommends several business and self-help books, including Michael Levine's "Broken Windows", which is described as a short, easy read; Tom Rath's "StrengthFinder 2.0", which helped change the author's thinking; and Jim Collins' "Good to Great", which helped focus the author and change how they run their business. It also lists books by Eckhart Tolle, Malcolm Gladwell, Michael Gerber, and others and provides short blurbs about each.
This document provides a reading list and brief summaries of books recommended by Physical Therapy Central, Inc. It recommends several business and self-help books, including Michael Levine's "Broken Windows", which is described as a short, easy read; Tom Rath's "StrengthFinder 2.0", which helped change the author's thinking; and Jim Collins' "Good to Great", which helped focus the author and change how they run their business. It also lists books by Eckhart Tolle, Malcolm Gladwell, Michael Gerber, and others and provides short blurbs about each.
The Value of Time ~ A Story to Ponder On (Eng. & Chi.).pptxOH TEIK BIN
A PowerPoint presentation on the importance of time management based on a meaningful story to ponder on. The texts are in English and Chinese.
For the Video (texts in English and Chinese) with audio narration and explanation in English, please check out the Link:
https://www.youtube.com/watch?v=lUtjLnxEBKo
No, it's not a robot: prompt writing for investigative journalismPaul Bradshaw
How to use generative AI tools like ChatGPT and Gemini to generate story ideas for investigations, identify potential sources, and help with coding and writing.
A talk from the Centre for Investigative Journalism Summer School, July 2024
Satta Matka Dpboss Kalyan Matka Results Kalyan ChartMohit Tripathi
SATTA MATKA DPBOSS KALYAN MATKA RESULTS KALYAN CHART KALYAN MATKA MATKA RESULT KALYAN MATKA TIPS SATTA MATKA MATKA COM MATKA PANA JODI TODAY BATTA SATKA MATKA PATTI JODI NUMBER MATKA RESULTS MATKA CHART MATKA JODI SATTA COM INDIA SATTA MATKA MATKA TIPS MATKA WAPKA ALL MATKA RESULT LIVE ONLINE MATKA RESULT KALYAN MATKA RESULT DPBOSS MATKA 143 MAIN MATKA KALYAN MATKA RESULTS KALYAN CHART
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How to Store Data on the Odoo 17 WebsiteCeline George
Here we are going to discuss how to store data in Odoo 17 Website.
It includes defining a model with few fields in it. Add demo data into the model using data directory. Also using a controller, pass the values into the template while rendering it and display the values in the website.
Beginner's Guide to Bypassing Falco Container Runtime Security in Kubernetes ...anjaliinfosec
This presentation, crafted for the Kubernetes Village at BSides Bangalore 2024, delves into the essentials of bypassing Falco, a leading container runtime security solution in Kubernetes. Tailored for beginners, it covers fundamental concepts, practical techniques, and real-world examples to help you understand and navigate Falco's security mechanisms effectively. Ideal for developers, security professionals, and tech enthusiasts eager to enhance their expertise in Kubernetes security and container runtime defenses.
Split Shifts From Gantt View in the Odoo 17Celine George
Odoo allows users to split long shifts into multiple segments directly from the Gantt view.Each segment retains details of the original shift, such as employee assignment, start time, end time, and specific tasks or descriptions.
Views in Odoo - Advanced Views - Pivot View in Odoo 17Celine George
In Odoo, the pivot view is a graphical representation of data that allows users to analyze and summarize large datasets quickly. It's a powerful tool for generating insights from your business data.
The pivot view in Odoo is a valuable tool for analyzing and summarizing large datasets, helping you gain insights into your business operations.
Slide Presentation from a Doctoral Virtual Open House presented on June 30, 2024 by staff and faculty of Capitol Technology University
Covers degrees offered, program details, tuition, financial aid and the application process.
How to Show Sample Data in Tree and Kanban View in Odoo 17Celine George
In Odoo 17, sample data serves as a valuable resource for users seeking to familiarize themselves with the functionalities and capabilities of the software prior to integrating their own information. In this slide we are going to discuss about how to show sample data to a tree view and a kanban view.
AI Risk Management: ISO/IEC 42001, the EU AI Act, and ISO/IEC 23894PECB
As artificial intelligence continues to evolve, understanding the complexities and regulations regarding AI risk management is more crucial than ever.
Amongst others, the webinar covers:
• ISO/IEC 42001 standard, which provides guidelines for establishing, implementing, maintaining, and continually improving AI management systems within organizations
• insights into the European Union's landmark legislative proposal aimed at regulating AI
• framework and methodologies prescribed by ISO/IEC 23894 for identifying, assessing, and mitigating risks associated with AI systems
Presenters:
Miriama Podskubova - Attorney at Law
Miriama is a seasoned lawyer with over a decade of experience. She specializes in commercial law, focusing on transactions, venture capital investments, IT, digital law, and cybersecurity, areas she was drawn to through her legal practice. Alongside preparing contract and project documentation, she ensures the correct interpretation and application of European legal regulations in these fields. Beyond client projects, she frequently speaks at conferences on cybersecurity, online privacy protection, and the increasingly pertinent topic of AI regulation. As a registered advocate of Slovak bar, certified data privacy professional in the European Union (CIPP/e) and a member of the international association ELA, she helps both tech-focused startups and entrepreneurs, as well as international chains, to properly set up their business operations.
Callum Wright - Founder and Lead Consultant Founder and Lead Consultant
Callum Wright is a seasoned cybersecurity, privacy and AI governance expert. With over a decade of experience, he has dedicated his career to protecting digital assets, ensuring data privacy, and establishing ethical AI governance frameworks. His diverse background includes significant roles in security architecture, AI governance, risk consulting, and privacy management across various industries, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: June 26, 2024
Tags: ISO/IEC 42001, Artificial Intelligence, EU AI Act, ISO/IEC 23894
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Find out more about ISO training and certification services
Training: ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
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2. Purpose of the Scanning Exam
• To ensure patient presentations are within the scope of physical
therapy practice
– Ruling out “serious” pathology
• Neurological compromise
– Upper and lower motor neuron lesions
• Severe ligamentous instability
• Acute fracture
• Any acute or sub-acute lesions with significant inflammatory response
• Briefly consider the presence of regional interdependence (Rob
Wainner) or victims and culprits (Erl Pettman) within the quadrant
– Cervical or thoracic spine playing a role in the development of rotator
cuff tendonitis
3. Purpose of the Scan
• To detect gross loss of function, ROM, and movement control.
• The scanning examination should be negative most of the time
which means you will need further testing to determine your PT
diagnosis.
• The scan alone can help identify common orthopedic lesions that
present acute and or sub-acute. Below are a few…
– Lumbar disc herniation
– Spinal stenosis
– Rotator cuff tendonitis
– Cervical radiculopathy
4. Components of the Scan
• Observation
• Vital signs
• Functional movement testing
• Selective Tissue Tension testing
• Specific palpation
• Neurological exam
• Dural and neural tissue tension tests
• General stress tests
• Special tests
5. Observation
• Look for the obvious…
– Gait deviation
• Break down cardinal planes
– Sagittal – flexion vs.
extension
» Loss of or significant
vertical rise
– Frontal – abduction vs.
adduction
» Trendelenberg sign
– Transverse – external vs.
internal rotation
» Excessive lumbopelvic
rotation
– Stance and swing; tolerance,
quality, quantity, and position
of lower extremity
– Postural deviation
– Difficulty with transitional
movement
– Scars, structural deformities,
skin creases
6. Vital Signs
• Blood pressure
• Heart rate
• Respiratory rate
• Pulse
– Central and peripheral
7. Functional Movement Testing
• Upper quadrant
– Apley’s test
– Grip strength
• Lower quadrant
– Functional squat
– Single leg stance
– Walk on heels (L4), toes (S1)
20. Cyriax Terminology
• Strong and painful – think minor muscle lesion
• Strong and pain free – muscle is clear
• Weak and painful – think major muscle lesion
• Weak and pain free – neurological lesion or
full thickness tear
21. Maitland Mobilization Grades
• Grade I - Small amplitude rhythmic oscillating mobilization in early
range of movement
• Grade II - Large amplitude rhythmic oscillating mobilization in
midrange of movement
• Grade III - Large amplitude rhythmic oscillating mobilization to
point of limitation in range of movement
• Grade IV - Small amplitude rhythmic oscillating mobilization at end
range of movement
• Grade V (Thrust Manipulation) - Small amplitude, quick thrust at
end range of movement
Reference: http://www.physio-pedia.com/Manual_Therapy
22. SINSS
• Severity – intensity of patients complaint
• Irritability – the amount of activity to
aggravate/alleviate symptoms
• Nature – the source of the patient’s pain
• Stage – acute, sub-acute, chronic
• Stability – better, same or worsening
23. Resources
• Treatment Based Classification – Password: OUHSC
• Clinical Prediction Rule – Password: OUHSC
• Physical Therapy Central – Resource Page for regional
interdependence articles and more.
• Subacromial Impingement Syndrome
Editor's Notes
Article for Regional Interdependence
After observing the patient upon entering the room and during the patient interview functional movement testing can began if appropriate. Frequent repositioning should be avoided throughout the entire exam if possible to minimize patient discomfort and exacerbation. We want you to learn how to administer all applicable test per patient case that is allowed in a given position such as sitting or lying. This presentation attempts to follow a natural, comfortable positioning of the patient for the lower quadrant and upper quadrant combined. Apley’s and grip testing can be performed in sitting and initiated directly after the patient interview. The lower quadrant functional movement testing is performed in standing. Remain close to patient or have patient close to table to re-stabilize patient if loss of balance occurs. Walking on toes or heel raises can be used for S1 myotome testing and walking on heels for L4 myotome testing. Again pay attention to and note significant deviations or restricted movement during these test.
Next is the selective tissue tension testing created by Cyriax. These test involve spinal AROM with passive overpressure and then resistance. This order of testing can give you a lot of information for the orthopedic patient so you may appreciate more of the subtleties compared to the previous test. Start with the cardinal planes. Using cervical rotation in sitting for example, ask the patient to turn as far as comfortable to the right. If that position does not reproduce their pain then add overpressure. At the end of their rotation gentle add overpressure noting end feel and pain response. If appropriate (so if you assumed a muscle tear was present from the patient interview) you can then add resistance near the painful position to assess muscles for pain and weakness. So with the patient turned to the right ask them to turn to the left into your hand which blocks any movement to the left, causing an isometric contraction. If the left rotators are painful in this lengthened position you can than retest with the neck in neutral. Caution with the more acute neck patient during resistance test as quick, unguarded movement should be avoided. Once all cardinal planes are assessed quadrants can be checked by asking the patient to move in the combined movements. If the cardinal planes are significantly limited and painful quadrants may not be necessary or appropriate. The STTT can be initiated directly after the UQ functional testing in sitting or directly after the LQ functional testing in standing.
You will be assessing skin temperature, texture and feel. Is the skin warm and boggy or firm. With palpation, can you reproduce the patients pain. If so, what are you palpating – the muscle, nerve or bone ? This is where you need to know your anatomy and landmarks.
During the myotomal testing you will be assessing muscle strength or as we like to say “grade”. You want to determine if the strength is normal 5/5 or weak and then how weak with the muscle grades. Then I want you to decide why the muscle is weak, is it because it is an arthritic shoulder and pain turns off the muscle, is it painful and weak and what is painful. The joint, the muscle or another structure?Review Cyriaxtermin
You will use the grades to communicate the depth and speed of the mobilization. You can use + or ++ or +++ to be more descriptive as well as minus. You will also decide from the SINSS which grade to use.