Calcaneus Spurs Examination: Tools, Preparation, and Patient Assessment

FT PRACTICE ONCALCANEUS SPURS Implementation 5.2.1. Tools preparation - Case scenariocalcaneus spurs - Bedcomplete - Blank clinical status report to record all physiotherapy management - Tensimeter and stethoscope - Watch/stopwatch - Goniometer - VAS Image - Measuring tape - Elastic bandage size 15 cm. - Body scale 2 pcs - Ultra Sound large stool and small stool - Donnut pad-medial arc support shoes 5.2.2. Patient and practitioner preparation - All students were divided into 2, one student as a practitioner and one student as a patient -Give a case scenario to a student who plays the role of a patient with Calcaneus Spurs -The patient studies the scenario, while the practitioner prepares to carry out the examination. 5.2.3. Anamnesis - Say hello and introduce yourself. Ask for the patient's personal data - Ask about the patient's complaint. Ask about the location of the complaint - Ask since complaint when the complaint was felt. Ask the cause of the - Ask about factors that aggravate and relieve complaints. Ask about the history of therapy that has been obtained and the results of the therapy. - Record the results of the anamnesis examination. 5.2.4. Collect secondary data - Ask about the clinical notes - Ask about the results of the laboratory examination. - Ask about the results of the X-ray examination. - Ask about the medicines that have been received. Record all the data obtained 5.2.5. System history - Ask about other illnesses you suffer from - Ask about the possibility of complaints in other body systems. Note the results of anamnesis examination of these systems 5.2.6. Vital sign measurement Convey the purpose/purpose of measuring blood frequency and respiratory frequency to the patient pressure, pulse 5.2.6.1. Tension measurement - Free the patient's upper arm from clothing - Place the cuff on the patient's upper arm with the lower border 2 cm above the cubital fossa - Feel the presence of a.brachial pulse on the medial side of the cubital fossa. Place the stethoscope in the ear, and the stethoscope membrane in the area where the a.brachial pulse can be felt. - Tighten the fastener then pump the pump quickly to 180 to 200 mmHg (until you don't hear a pulse) - Loosen the fastener slowly (lowering speed does not mmHg/second) while listening to the systole and diastole exceed 3 - Convey the measurement results to the patient. - Record the measurement results 5.2.6.2. Pulse measurement - Prepare a watch/stopwatch - Feel with three fingers for a radial pulse on the radial side of the ventral wrist - Count the number of beats in one minute. Convey the measurement results to the patient. Record the measurement result 5.2.6.3. Measurement of respiratory frequency - Prepare a watch/stopwatch - Hold the patient's hand as if to measure the pulse to distract patient - While observing chest/abdominal breaths in one minute movements, count the number the of - Convey the measurement results to the patient. - Record the measurement results 5.2.7. Inspection 5.2.7.1. Static inspection -Observe whether the calcaneus appears larger. -Observe whether there are any deformities -Record the results of the examination 5.2.7.2. Dynamic inspection -The patient is asked to walk -Observe the patient's facial expression to see whether the patient appears to be in pain or not -Observe the gait pattern for abnormalities in the direction of gait pathology. Record the results of the examination 5.2.8. Palpation - Feel the affected area with the back of your hand and compare it with the healthy side to see whether there is an increase in temperature or not -Press the complaint area with three fingers (pressure using palmar tip of the finger) to determine the presence of tenderness the - Press the painful area with three fingers (pressure using the palmar tip of the finger) to find out if there is a bulge - Record the results of the examination 5.2.9. Motion check 5.2.9.1. Active movement check - The patient is asked to move the healthy ankle joint into dorso flexion and plantar flexion as far as possible with the foot sliding on the surface of the bed, then return to its original position. - The patient is asked to move the healthy side into inversion and eversion as far as possible with the foot sliding on the surface of the bed, then return to the original position. -Observe the extent of LGS and the pain -The patient is asked to move the affected ankle joint in dorsi flexion and plantar flexion as far as possible with the foot sliding on the surface of the bed, then return to its original position. - The patient is asked to move the affected side into inversion and eversion as far as possible with the foot sliding on the surface of the bed, then return to the original position. -Observe the extent of LGS and the pain during dorsiflexion, plantar flexion, eversion and inversion movements on the affected area and compare it with the healthy side and ask whether there is pain when moving. -Record the measurement results whether there is limited movement or not and whether there is movement pain or not