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.
Ankle & Foot Physiotherapy Management SRSSreeraj S R
This document discusses common ankle injuries including sprains and fractures. It describes the ligaments surrounding the ankle and classifications of ankle sprains. The acute, subacute, and maturation stages of rehabilitation are outlined with goals, interventions, and sample exercises described for each stage. Criteria for return to activity are provided, with warnings about potential increases in pain or inflammation. References are listed at the end.
Bobath physiotherapy. evidence based or habit based.Mepsted Roger
The evidence for the use of Bobath methods is reviewed. The reasons for the continued popularity of this approach despite its poor objective evidence base are then discussed.
Assessment and Management of Frozen ShoulderThe Arm Clinic
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
This document discusses the assessment and management of a 28-year-old male who suffered a head injury in a motor vehicle accident one month prior. He is currently in the hospital at Ranchos Los Amigos Level V-VI, exhibiting increased extensor tone in his right lower extremity. The document outlines the key components of assessing a patient at different RLA levels including their medical status, cognitive function, functional mobility, and motor control. It provides questions to address at each level to thoroughly examine the patient and monitor their recovery progress.
Lower Limb Orthotics - Dr Rajendra Sharmamrinal joshi
This document provides information on lower limb orthotics. It defines an orthosis and describes their clinical objectives in treating conditions like pain, deformities, abnormal range of motion, etc. It discusses different types of orthoses like foot, ankle-foot, knee-ankle-foot orthoses. Principles of bracing like distributing forces over large areas and applying forces to control joints are covered. Characteristics of an ideal orthosis in terms of function, comfort, cost are outlined. The document also discusses shoes, foot orthoses, ankle-foot orthoses made of plastic, metal and patellar tendon bearing designs.
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
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 ,
The document discusses knee anatomy, including bony structures like the femur and tibia, ligaments like the ACL and PCL, and muscles like the quadriceps and hamstrings. It outlines the evaluation process for knee injuries, including taking a history of the mechanism of injury, inspecting for deformities or swelling, and performing range of motion and special tests. Common knee injuries are then reviewed such as ACL tears from rotational forces, PCL injuries from falls on a flexed knee, MCL sprains from valgus stress, and meniscal tears that can cause clicking or locking.
A course Review from James Moore's Sporting Hip and Groin Course - February 2016 (Highly Recommend!). Following my attendance of the course, i performed my own research on 'The Sporting Hip and Groin' and incorporated this into the course review which I presented to the Sports Science and Medicine staff at Wigan Athletic FC. Further references available upon request.
This document provides guidance on upper limb assessment. It discusses examining the hand, including range of motion testing of the fingers, thumb, and wrist. It also covers muscle strength testing, tendon examination, nerve examination including sensory distribution and reflex testing, vascular evaluation, and special tests for conditions like De Quervain's disease. The overall document provides a comprehensive overview of systematically examining the upper limb.
Iliotibial band friction syndrome amongst runnersSonaliJoshi44
Iliotibial band friction syndrome, a very recurrently occurring yet not very keenly looked upon condition amongst runners, which shall be taken care of emergently
Musculoskeletal Assessment (Principles and Concepts for Physiotherapists)Sreeraj S R
This document provides information about musculoskeletal assessment for physiotherapists. It discusses when assessment should occur, what it should include, and principles of subjective and objective assessment. For subjective assessment, it describes collecting information on history, pain history, and red flags. For objective assessment, it discusses observing gait, posture, deformities, skin changes, and performing palpation and special tests. Assessment aims to gather information on a patient's musculoskeletal issues through subjective reporting and objective examination.
The document outlines the process for examining a patient's shoulder, including inspection, feeling for tenderness and temperature, assessing range of motion actively and passively, and performing special tests. Key steps are introducing yourself to the patient, gaining consent, exposing the joint, systematically examining alignment, skin, muscles, and bones. A variety of special tests are described to check for impingement, rotator cuff pathology, instability, biceps issues, AC joint problems, and thoracic outlet syndrome. The exam is completed by examining adjacent joints and neurovascular status.
This document discusses total knee replacement (TKR) and the physiotherapy rehabilitation process. It covers pre-surgical physiotherapy focusing on strength and mobility. Post-surgical physiotherapy is divided into phases focusing initially on range of motion and strengthening, then adding balance and proprioception training. The goals and key exercises of each phase are outlined in detail over 12 weeks of recovery. Complications of TKR like infection, loosening and failure are also mentioned.
Special Tests for Lower Leg, Ankle, and FootJulie Jane
This document describes various physical examination tests for the lower leg, ankle, and foot. It provides procedures and implications for tests that assess the neutral position of the talus, leg and foot alignment, tibial torsion, ligamentous instability, and other conditions. Key tests include those for the anterior drawer test of the ankle, tibial torsion in sitting and supine positions, leg-heel alignment, and Feiss line to assess for flat foot. The document contains detailed steps for examiners to accurately perform various physical exams of the lower extremity.
The document provides guidance on assessing the musculoskeletal system. It details how to inspect and palpate various joints and structures, including the temporomandibular joint, sternoclavicular joint, cervical, thoracic and lumbar spine, shoulders, arms, elbows, wrists, and tests range of motion and neurological function. Assessment findings considered normal include symmetry, smooth movement, and no pain. Abnormalities include tenderness, swelling, limited range of motion, muscle weakness or atrophy.
1. The document discusses shoulder pain and provides a differential diagnosis. It covers anatomy of the shoulder joint, muscles, nerves and bursae.
2. Common causes of shoulder pain discussed include degenerative arthritis, rotator cuff tears, shoulder instability, adhesive capsulitis, bursitis and tendonitis.
3. The differential diagnosis section covers the history, examinations, tests and investigations for various shoulder conditions. It describes conditions like rotator cuff tears, shoulder dislocations, impingement syndrome and frozen shoulder.
Footwear and foot orthotics are important for foot function and treatment of various conditions. Footwear consists of an upper, sole, and heel. The upper covers the dorsal foot and includes the vamp, toe box, and quarter. The sole lies under the plantar foot and includes the ball, waist, and heel. Foot orthotics are modifications made to shoes to treat conditions like pes planus, pes cavus, heel pain, and leg length discrepancy. Common modifications include heel wedges, pads, arch supports, and rocker bottoms. Proper shoe fitting and use of orthotics can help treat many foot and lower limb 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 prosthesis for both lower and upper limb amputations. It discusses the key components and considerations for lower limb prosthetics including the socket, suspension, knee joints, shank, and ankle-foot assemblies. Different types of knee joints and feet are described, including the SACH foot and Jaipur foot. For upper limb prosthetics, it outlines the socket, suspension, arm section, elbow mechanism, wrist unit, terminal devices, and power transmission systems. The document also discusses pre-prosthetic preparation and fabrication process for lower limb prosthetics.
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.
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
Lumbar spine physical examination in physiotherapy.pptxAvaniAkbari
Introduction
The presentation titled "Lumbar Spine Physical Assessment" by Avani Akbari outlines a comprehensive approach to examining the lumbar spine. This assessment is crucial for identifying the underlying issues related to back pain and spinal dysfunction.
Anatomy and Applied Anatomy
Facet Joints: The lumbar spine consists of facet joints that bear 20-25% of the load. The superior facets are medially and backward concave, while the inferior facets are laterally and forward convex. These joints control the direction of movement and have a close pack position in extension, which increases the load on the facet joints. Common issues include lumbarization and sacralization.
Intervertebral Discs: These discs function as shock absorbers and facilitate load distribution. They are composed of the annulus fibrosus and the nucleus pulposus, which decreases in water content with age. The discs are avascular, receiving blood supply via diffusion from the cartilage endplate. Disc herniation, protrusion, prolapse, extrusion, and sequestration are conditions that affect the discs, potentially leading to cauda equina syndrome due to spinal cord pressure.
Patient History
Pain Assessment: Includes the type, course, aggravating and relieving factors, posture/movement effects, diurnal variation, and specific red flags like a history of cancer or sudden weight loss.
Stiffness and Weakness: Stiffness in movement, paresthesia, and weakness in the lower limb during activities like walking or climbing stairs are assessed.
Sleeping Position and Micturition: Sleeping positions affecting the spine, and issues like myelopathy and cauda equina syndrome are considered.
Daily Activities: Altered psychosocial behavior and the impact on work and leisure activities are evaluated.
Physical Examination
Observation: Posture is observed from anterior, posterior, and lateral perspectives to check for alignment and any abnormalities.
Active Movements: Assess range of motion (ROM) in different movements without any trick movements. Pain in prolonged flexion, extension, side flexion, and rotation are noted.
Passive Movements: These are more challenging due to body weight and are performed if active movements are pain-free. The end feel of lumbar movements is checked.
Resisted Isometric Movements: These movements are tested in a sitting position, with dynamic and isometric tests for abdominal and extensor muscles, internal/external abdominal obliques, and back rotators/multifidus.
Myotomes: Specific muscle groups corresponding to nerve roots are tested for strength, and resisted isometric pressure is applied.
Functional Assessment
Special Tests:
SLUMP Test: Checks for neurodynamic issues with high sensitivity.
Straight Leg Raising Test: Indicates disc herniation based on pain location.
Passive Lumbar Extension Test: Assesses lumbar instability.
90-90 SLR Test, Ober Test, Rectus Femoris Test, Thomas Test: Evaluate various muscle tightness and nerve involvement.
Reflexes and Dermatome
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.
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.
Description:
Welcome to the comprehensive guide on Relational Database Management System (RDBMS) concepts, tailored for final year B.Sc. Computer Science students affiliated with Alagappa University. This document covers fundamental principles and advanced topics in RDBMS, offering a structured approach to understanding databases in the context of modern computing. PDF content is prepared from the text book Learn Oracle 8I by JOSE A RAMALHO.
Key Topics Covered:
Main Topic : VIEW
Sub-Topic :
View Definition, Advantages and disadvantages, View Creation Syntax, View creation based on single table, view creation based on multiple table, Deleting View and View the definition of view
Target Audience:
Final year B.Sc. Computer Science students at Alagappa University seeking a solid foundation in RDBMS principles for academic and practical applications.
Previous Slides Link:
1. Data Integrity, Index, TAble Creation and maintenance https://www.slideshare.net/slideshow/lecture_notes_unit4_chapter_8_9_10_rdbms-for-the-students-affiliated-by-alagappa-university/270123800
2. Sequences : https://www.slideshare.net/slideshow/sequnces-lecture_notes_unit4_chapter11_sequence/270134792
About the Author:
Dr. S. Murugan is Associate Professor at Alagappa Government Arts College, Karaikudi. With 23 years of teaching experience in the field of Computer Science, Dr. S. Murugan has a passion for simplifying complex concepts in database management.
Disclaimer:
This document is intended for educational purposes only. The content presented here reflects the author’s understanding in the field of RDBMS as of 2024.
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdfnservice241
The University of Ghana has launched a new vision and strategic plan, which will focus on transforming lives and societies through unparalleled scholarship, innovation, and result-oriented discoveries.
How To Sell Hamster Kombat Coin In Pre-marketSikandar Ali
How To Sell Hamster Kombat Coin In Pre Market
When you need to promote a cryptocurrency like Hamster Kombat Coin earlier than it officially hits the market, you want to connect to ability shoppers in locations wherein early trading occurs. Here’s how you can do it:
Make a message that explains why Hamster Kombat Coin is extremely good and why people have to spend money on it. Talk approximately its cool functions, the network in the back of it, or its destiny plans.
Search for cryptocurrency boards, social media groups (like Discord or Telegram), or special pre-market buying and selling structures wherein new crypto cash are traded. You can search for forums or companies that focus on new or lesser-acknowledged coins.
Join the Right Communities: If you are no longer already a member, be a part of those groups. Be active, share helpful statistics, and display which you recognize your stuff.
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How To Sell Hamster Kombat Coin In Pre Market
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Stay in Touch: After the sale, check in with the customer to ensure they were given the coins. If viable, leave feedback in the network to expose you’re truthful.
How To Sell Hamster Kombat Coin In Pre Market
When you need to promote a cryptocurrency like Hamster Kombat Coin earlier than it officially hits the market, you want to connect to ability shoppers in locations wherein early trading occurs. Here’s how you can do it:
Make a message that explains why Hamster Kombat Coin is extremely good and why people have to spend money on it. Talk approximately its cool functions, the network in the back of it, or its destiny plans.
Search for cryptocurrency boards, social media groups (like Discord or Telegram), or special pre-market buying and selling structures wherein new crypto cash are traded. You can search for forums or companies that focus on new or lesser-acknowledged coins.
Join the Right Communities: If you are no longer already a member, be a part of those groups. Be active, share helpful statistics, and display which you recognize your stuff.
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Hamster kombat free money Withdraw Easy free $500 mo
APM event held on 9 July in Bristol.
Speaker: Roy Millard
The SWWE Regional Network were very pleased to welcome back to Bristol Roy Millard, of APM’s Assurance Interest Group on 9 July 2024, to talk about project reviews and hopefully answer all your questions.
Roy outlined his extensive career and his experience in setting up the APM’s Assurance Specific Interest Group, as they were known then.
Using Mentimeter, he asked a number of questions of the audience about their experience of project reviews and what they wanted to know.
Roy discussed what a project review was and examined a number of definitions, including APM’s Bok: “Project reviews take place throughout the project life cycle to check the likely or actual achievement of the objectives specified in the project management plan”
Why do we do project reviews? Different stakeholders will have different views about this, but usually it is about providing confidence that the project will deliver the expected outputs and benefits, that it is under control.
There are many types of project reviews, including peer reviews, internal audit, National Audit Office, IPA, etc.
Roy discussed the principles behind the Three Lines of Defence Model:, First line looks at management controls, policies, procedures, Second line at compliance, such as Gate reviews, QA, to check that controls are being followed, and third Line is independent external reviews for the organisations Board, such as Internal Audit or NAO audit.
Factors which affect project reviews include the scope, level of independence, customer of the review, team composition and time.
Project Audits are a special type of project review. They are generally more independent, formal with clear processes and audit trails, with a greater emphasis on compliance. Project reviews are generally more flexible and informal, but should be evidence based and have some level of independence.
Roy looked at 2 examples of where reviews went wrong, London Underground Sub-Surface Upgrade signalling contract, and London’s Garden Bridge. The former had poor 3 lines of defence, no internal audit and weak procurement skills, the latter was a Boris Johnson vanity project with no proper governance due to Johnson’s pressure and interference.
Roy discussed the principles of assurance reviews from APM’s Guide to Integrated Assurance (Free to Members), which include: independence, accountability, risk based, and impact, etc
Human factors are important in project reviews. The skills and knowledge of the review team, building trust with the project team to avoid defensiveness, body language, and team dynamics, which can only be assessed face to face, active listening, flexibility and objectively.
Click here for further content: https://www.apm.org.uk/news/a-beginner-s-guide-to-project-reviews-everything-you-wanted-to-know-but-were-too-afraid-to-ask/
Mail Server Configuration Using App passwords in Odoo 17Celine George
In Odoo 17, we can securely configure an email server to send and receive emails within the application. This is useful for features like sending quotations, invoices, and notifications via email. If our email service provider (e.g., Gmail, Outlook) supports app passwords, we can use them to authenticate our Odoo instance with the email server.
This is an introduction to Google Productivity Tools for office and personal use in a Your Skill Boost Masterclass by the Excellence Foundation for South Sudan on Saturday 13 and Sunday 14 July 2024. The PDF talks about various Google services like Google search, Google maps, Android OS, YouTube, and desktop applications.
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.