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Knee Assessment 2022

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Wardah Khalid
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3 views5 pages

Knee Assessment 2022

Uploaded by

Wardah Khalid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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General patient information © Knee Assessment Form www.cyriax.

eu

Date: Name:

Address:

Date of birth: Sex: m – f

Referral / diagnostic information:

Treatment procedure / analysis

Date first treatment: Date last treatment:

Treatment strategy:

Evolution / treatment adaptation:

Total number of treatment session :

Results:
Specific history

What is your main complaint: pain – paraesthesia – limitation of movement –


instability/giving way/locking – weakness

PAIN
When did it start:
How did it start:

spontaneously

overuse-injury

describe / position of the knee; which forces acted upon it

Evolution:

limitation of movement
how fast did it appear : immediately after trauma or some time later
swelling
immediately after trauma or some time later / local-diffuse
warmth

How can you influence the pain, what makes it worse or better:

Evolution since the start: better-worse-unchanged

Evolution Start → Evolution → Now


Where do you feel the
pain:

Is there any shifting


pain?

Pain quality:

VAS 0-10

constant-intermittent

twinges-at rest

at night

during-after activity
PARAESTHESIA
Where:
When:
at rest-on activity (which)

INSTABILITY/GIVING WAY/LOCKING

Locking:
flexion-extension
how often
spontaneous unlocking

Giving way:
how often

Going up-downstairs:
painful-insecure

General history

Description of typical exertion during professional or leisure activities:

Off work Previous treatments


since: when:

what kind of treatment:

results:

Are there any other joints Medical imaging findings :


affected
which:

Is it the first time you experience this problem: Medication :

Surgery:

Inspection

Gait: smooth – limping Swelling: local – diffuse


where:

Genu valgum – varum – recurvatum Wasting


where:

Flexion deviation position of the knee Remarks:


Basic functional examination

Variables: pain (where and when), ROM (normal, limited, excessive; in what degree), end-feel
(normal, muscle spasm, springy block, harder) and weakness.

Not painful / limited: - Painful / limited: +


Slightly painful / limited: +/- Very painful / limited: ++

Pain ROM End-feel Weakness


Pre-test pain at
rest

Palpation warmth
+ or –

P flexion

P extension

P lateral rotation

P medial rotation

P valgus

P varus

Lachman test or
Lelli’s test

Posterior drawer
test

R extension

R flexion

Palpation warmth
+ or –

Palpation for gross


swelling + or –

Palpation for small


swelling + or –

Results of repeated testing - Remarks:

Appearance of a painful arc during the flexion-extension movement ?


Accessory functional examination

Not necessarily all tests have to be carried out; the variables are mentioned between brackets.
We use the following quotation: test is positive = +; test is negative = -

P bilateral lateral rotation in prone lying (ROM) P varus from 30° flexion (ROM)

R lateral rotation (pain) P valgus from 30° flexion (ROM)

R lateral rotation (weakness) R medial rotation (pain)

R medial rotation (weakness) R flexion from almost full extension (pain)

Squatting with palpation on the patella (pain, Meniscal test : pivoting in standing, flexed
crepitation) position

Remarks :

Palpation

Pain Sensory deficit


where: where:

Conclusion

Lesion: local – referred

Lesion of an inert structure; which one:

Lesion of a contractile structure; which one:

DIAGNOSIS:

Undecided

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