MANUAL OF

MUSCULOSKELETAL
PHYSICAL THERAPY

BY DR. MOMENA SHAHZAD

Musculoskeletal Physical Therapy

Manual of Musculoskeletal
Physical Therapy

Dr. Momena Shahzad

DPT, MS-OMPT
Gold Medalist
Consultant Manual Physical Therapist
Lecturer at Riphah College of Rehabilitation and
Allied Health sciences
Riphah International University
Islamabad, Pakistan

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Musculoskeletal Physical Therapy

SEMESTER VII

Index

WEEKS PRACTICAL

1 Musculoskeletal Physical Examination

2 Shoulder joint Assessment

3 Shoulder joint Management

4 Elbow joint Assessment

5 Elbow joint Management

6 Hand and wrist joint Assessment

7 Hand and wrist joint Management

8 Hip joint Assessment

9 Hip joint Management

10 Knee joint Assessment

11 Knee joint Management

12 Foot and Ankle joint Assessment

13 Foot and Ankle joint Management

14 Cervical spine Assessment and Management

15 Thoracic spine Assessment and Management

16 Lumber spine Assessment and Management

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WEEK 1: MUSCULOSKELETAL PHYSICAL EXAMINATION

Introduction

Physical examination is the process of evaluating objective findings through the use of
observation, inspection, palpation, and specific musculoskeletal tests. The information obtained
through physical examination must be integrated with the patient’s history and findings of
investigations.

Objectives

 To learn the proper musculoskeletal physical examination process.

 To learn the integration of findings of physical examination with patients’ history.

Activity 1

Write the findings of general observation.

Activity 2

Do detail observation of posture in sagittal and frontal plane. Write its findings.

Activity 3

Do detail observation of GAIT in sagittal and frontal plane. Write its findings.

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Musculoskeletal Physical Therapy

Activity 4

Do observation of muscle form by comparing right and left side of body. Write its findings.

Activity 5

Write the findings of inspection.

Activity 6

What are the findings of Palpation?

Activity 7

Perform isometric muscle testing described by Cyriax. Write the findings.

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Musculoskeletal Physical Therapy

WEEK 2: SHOULDER JOINT ASSESSMENT

ADHESIVE CAPSULITIS
Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3
Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

IMPINGEMENT SYNDROME

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

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Musculoskeletal Physical Therapy

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

BICIPITAL TENDINITIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

WEEK 3: SHOULDER JOINT MANAGEMENT

ADHESIVE CAPSULITIS

Activity 1

Write down the common Impairments and Activity limitations of Adhesive Capsulitis.

Activity 2
Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Adhesive Capsulitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

IMPINGMENT SYNDROME

Activity 1

Write down the common Impairments and Activity limitations of Impingement syndrome.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Impingement syndrome.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

BICIPITAL TENDINITIS

Activity 1

Write down the common Impairments and Activity limitations of Bicipital tendinitis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Bicipital tendinitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 4: ELBOW JOINT ASSESSMENT

LATERAL EPICONDILITIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

MEDIAL EPICONDILITIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

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Musculoskeletal Physical Therapy

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

OLECRONON BURSISTIS
Activity 1

Write the findings of observation.

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Musculoskeletal Physical Therapy

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

Activity 5
Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

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Activity 7

Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

WEEK 5: ELBOW JOINT MANAGEMENT

LATERAL EPICONDYLITIS

Activity 1

Write down the common Impairments and Activity limitations of Lateral epicondylitis.

Activity 2
Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Lateral epicondylitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

MEDIAL EPICONDYLITIS

Activity 1

Write down the common Impairments and Activity limitations of Medial epicondylitis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Medial epicondylitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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OLECRONON BURSITIS

Activity 1

Write down the common Impairments and Activity limitations of Olecranon bursitis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for Olecranon bursitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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WEEK 6: HAND AND WRIST JOINT ASSESSMENT

CARPEL TUNNEL SYNDROME

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

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Musculoskeletal Physical Therapy

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

DE QUERVAIN SYNDROME

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

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Musculoskeletal Physical Therapy

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5
Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7
Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

WEEK 7: HAND AND WRIST JOINT MANAGEMENT

CARPEL TUNNEL SYNDROME

Activity 1
Write down the common Impairments and Activity limitations of carpel tunnel syndrome.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for carpel tunnel syndrome.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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DE QUERVAIN SYNDROME

Activity 1

Write down the common Impairments and Activity limitations of de quervain syndrome.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for de quervain syndrome.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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WEEK 8: HIP JOINT ASSESSMENT

HIP JOINT ARTHRITIS

Activity 1

Write the findings of observation.

Activity 2
Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

NECK OF FEMUR FRACTURE

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

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Musculoskeletal Physical Therapy

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5
Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7
Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

Activity 8

Write the measurements of Limb Length.

PIRIFORMIS SYNDROME

Activity 1
Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

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Musculoskeletal Physical Therapy

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

TROCHANTERIC BURSITIS

Activity 1

Write the findings of observation.

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Musculoskeletal Physical Therapy

Activity 2

Write the findings of Inspection.

Activity 3
Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

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Musculoskeletal Physical Therapy

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

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Musculoskeletal Physical Therapy

WEEK 9: HIP JOINT MANAGEMENT

HIP JOINT ARTHRITIS

Activity 1

Write down the common Impairments and Activity limitations of hip joint arthritis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for hip joint arthritis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

NECK OF FEMUR FRACTURE

Activity 1

Write down the common Impairments and Activity limitations of neck of femur fracture.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for neck of femur fracture.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

PIRIFORMIS SYNDROME

Activity 1

Write down the common Impairments and Activity limitations of piriformis syndrome.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for piriformis syndrome.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

TROCHANTERIC BURSITIS

Activity 1

Write down the common Impairments and Activity limitations of trochanteric bursitis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for trochanteric bursitis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 10: KNEE JOINT ASSESSMENT

KNEE OSTEOARTHRITIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

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Musculoskeletal Physical Therapy

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

Activity 8
Write the measurements of Limb Length.

LIGAMENTOUS INJURIES
Activity 1

Write the findings of observation.

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Musculoskeletal Physical Therapy

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

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Musculoskeletal Physical Therapy

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

MENISCAL INJURIES

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

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Musculoskeletal Physical Therapy

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

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Musculoskeletal Physical Therapy

WEEK 11: KNEE JOINT MANAGEMENT

KNEE OSTEOARTHRITIS

Activity 1

Write down the common Impairments and Activity limitations of knee osteoarthritis.

Activity 2
Set Physical therapy based Short term and Long term Goals and corresponding
interventions for knee osteoarthritis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

LIGAMENTOUS INJURIES

Activity 1

Write down the common Impairments and Activity limitations of ligamentous injuries.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for ligamentous injuries.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

MENISCAL INJURIES

Activity 1

Write down the common Impairments and Activity limitations of meniscal injuries.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for meniscal injuries.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 12: FOOT AND ANKLE JOINT ASSESSMENT

ANKLE SPRAINS

Activity 1

Write the findings of observation.

Activity 2
Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write the measurements of Muscle Girth.

Activity 8

Write the measurements of Limb Length.

PLANTER FASCIATIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

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Musculoskeletal Physical Therapy

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5
Write the type of end feel.

Activity 6

Write the findings of Manual muscle testing.

Activity 7
Write the measurements of Muscle Girth.

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Musculoskeletal Physical Therapy

Activity 8

Write the measurements of Limb Length.

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Musculoskeletal Physical Therapy

WEEK 13: FOOT AND ANKLE JOINT MANAGEMENT

ANKLE SPRAINS

Activity 1
Write down the common Impairments and Activity limitations of ankle sprains.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for ankle sprains.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

PLANTER FASCIATIS

Activity 1

Write down the common Impairments and Activity limitations of planter fasciatis.

Activity 2

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for planter fasciatis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 14: CERVICAL SPINE ASSESSMENT AND MANAGEMENT

CERVICAL SPONDYLOSIS

Activity 1

Write the findings of observation.

Activity 2
Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of cervical spondylosis.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for cervical spondylosis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

CERVICAL RADICULOPATHY

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

Activity 5
Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of cervical radiculopathy.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for cervical radiculopathy.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

FACET JOINT PATHOLOGY

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

Activity 5
Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of facet joint pathology.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for facet joint pathology.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 15: THORACIC SPINE ASSESSMENT AND MANAGEMENT

THORACIC HYPOMOBILITY

Activity 1

Write the findings of observation.

Activity 2
Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of thoracic hypo mobility.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for thoracic hypo mobility.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

THORACIC OUTLET SYNDROME

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4
Write the findings of Range of motion.

Activity 5
Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of thoracic outlet syndrome.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for thoracic outlet syndrome.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

WEEK 16: LUMBER SPINE ASSESSMENT AND MANAGEMENT

LUMBER RADICULOPATHY

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3

Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of lumber radiculopathy.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for lumber radiculopathy.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

LUMBER DISC HERNIATION

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3
Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of lumber disc herniation.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for lumber disc herniation.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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Musculoskeletal Physical Therapy

LUMBER SPODYLOLISTHESIS

Activity 1

Write the findings of observation.

Activity 2

Write the findings of Inspection.

Activity 3
Write the findings of Palpation.

Activity 4

Write the findings of Range of motion.

Activity 5

Write the type of end feel.

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Musculoskeletal Physical Therapy

Activity 6

Write the findings of Manual muscle testing.

Activity 7

Write down the common Impairments and Activity limitations of lumber spondylolisthesis.

Activity 8

Set Physical therapy based Short term and Long term Goals and corresponding
interventions for lumber spondylolisthesis.

Sr. SHORT TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

Sr. LONG TERM INTERVENTION

No GOALS

Electrotherapy Manual therapy Exercise ther

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