
Screening Osteopathic Structural Exam for the Geriatric Patient
University of North Texas Health Science Center
As our geriatric population continues to increase, physicians will evaluate more and more patients with muscoloskeletal complaints. This presentation demonstrates a screening Osteopathic structural examination modified for the geriatric patient. Screening exams allow the physician to efficiently determine the location of a significant somatic dysfunction(s) in a thorough comprehensive manner. The following screening structural exam is divided into two overall parts: a static and a dynamic portion. Dynamic includes range of motion testing as well as evaluation of gait. Once an area has been identified as having possible somatic dysfunction, the Osteopathic physician can perform a more specific palpatory evaluation segmentally or of a specific joint(s).
- Understand how an Osteopathic Structural Examination assists you in evaluating a patient's musculoskeletal complaints.
- Recognize which planes of motion are being evaluated by the different anatomical positions: anterior, posterior, lateral.
- Identify landmarks on posterior and lateral positions and how to interpret findings.
- Develop proper screening palpatory skills to evaluate the ROM in the spine.
- Use these tools to perform a more detailed segmental evaluation.
- Describe the purpose of Patrick's (FABERE) test.
- Recognize various posture and gaits and be familiar with the following types of gait: antalgic, Parkinsonian (shuffling), ataxic (wise-based).
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Geriatric Osteopathic Screening Structural Examination Video