Client moves themselves. Observe range, control and symptom response.
Basic Physical
Assessment
Gunakan movement dan simple physical findings untuk memahami limitation secara systematic. Assessment perlu purposeful, consent-based dan tidak memprovokasi symptom semata-mata untuk mencari jawapan.
Every test needs a reason.
Use a task relevant to the client's actual limitation.
Compare when useful, while recognising natural differences can exist.
With consent, observe tenderness/tissue response where appropriate — not to “confirm” a diagnosis.
Build from low demand to relevant demand.
Jangan buat semua assessment pada semua client. Pilih yang relevan berdasarkan interview, observation, safety dan treatment scope.
Palpation is information — not proof.
Explain area and purpose before touch.
Use appropriate pressure; observe response.
Tenderness can vary and does not automatically identify the cause.
Respect pain, withdrawal, discomfort or changed consent immediately.
Palpation tidak boleh digunakan untuk membuat claim seperti “disc lari”, “saraf tersepit” atau organ bermasalah. Findings mesti digabung dengan keseluruhan assessment dan scope practitioner.
Shoulder movement assessment drill
Selepas consent dan safety check, minta partner melakukan arm elevation perlahan dalam comfortable range.
Assessment should change a decision.
Observable/reported finding.
Does it relate to complaint or function?
Anything requiring caution or referral?
Assess further, modify, treat within scope or refer.
Quick Knowledge Check
Apakah tujuan terbaik basic palpation dalam course ini?
Client reports shoulder discomfort overhead. Active elevation is reduced on the symptomatic side and trunk compensation appears near the upper range.
Apa finding yang paling tepat?
Consent boleh berubah pada bila-bila masa. Do not force ROM, repeatedly provoke severe pain, perform techniques outside training, atau gunakan physical assessment sebagai pengganti medical diagnosis. Concerning findings → stop, screen and refer appropriately.
