What is included in the musculoskeletal exam for electrodiagnostic medicine?

Updated: Aug 06, 2019
  • Author: Brian M Kelly, DO; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

A basic musculoskeletal examination could include the following:

  • Passive ROM and active ROM of involved joints

  • Inspection for symmetry of muscle bulk, as well as for superficial lesions, scarring, redness, or swelling

  • Analysis of gait pattern, when appropriate, to identify areas of dysfunction

    • Neurologic impairment

      • Trendelenburg gait, which is indicative of weak hip abductor muscles

      • Wide-based gait patterns, which are indicative of sensory or cerebellar disturbance

    • Musculoskeletal impairment

      • Antalgic gait, which may be indicative of arthritic pain

      • Hip-hiking gait, which may be indicative of leg-length discrepancies or scoliotic pelvic obliquities

  • Palpation of joints, bone, ligaments, tendons, and muscle to delineate sources of pain, tenderness, or trigger points. This practice can help to define referred pains and can be used to begin the process of differentiating neurogenic versus musculoskeletal origins for these pain symptoms.


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