Angela P.

Neri Group C BSN 121Sec 11

Client: Shella Mae C. Nuestro

MUSCULOSKELETAL

MUSCLES, BONES, & JOINTS Normal findings Actual findings Interpretation

1. Inspect the muscles for size.
Compare each muscle on one
side of the body to the same
muscle on the other side
2. Inspect the muscles and
tendons for contractures
3. Inspect the muscles for tremors
4. Palpate muscles at rest to
determine muscle tonicity
5. Palpate muscles while the
client is active and passive for
flaccidity, spasticity, and
smoothness of movement
6. Test muscle strength of upper
extremities
7. Test muscle strength of lower
extremities
8. Inspect the skeleton for normal
structure and deformities
9. Palpate the bones to locate any
areas of edema or tenderness
10. Inspect the joint for swelling
11. Palpate each joint for
tenderness, smoothness of
movement, swelling,
crepitation, and presence of
nodules.
12. Assess joint range of motion of
the head
Equal size on both sides The client has an equal size in
Normal
of the body both sides of her body
No contractures The client has no contractures Normal
No fasciculation or The client has no
Normal
tremors fasciculation or tremors
The client has a normally
Normally firm Normal
firm muscle tonicity
Smooth coordinated The client has a smooth
Normal
movements coordinated movements
The client has a an equal
Equal strength on each
strength on each both side normal
both side
with grade of 5
The strength of the client on
Equal strength on each
each both side is equal and in Normal
both side
grade 5
No deformities The client has no deformities Normal
No edema, tenderness or The client has no edema,
Normal
swelling tenderness or swelling
No swelling, no The client has no swelling,
tenderness, crepitation, or tenderness, crepitation or Normal
nodules nodules
No swelling, no The client upon palpation has
tenderness, crepitation, or no swelling, tenderness, Normal
nodules crepitation or nodules
The client has a full range of
Varies to some degree in
motion. With neck- pivot
accordance with person’s
joint or head in:
genetic makeup and
Flexion - 45° Normal
degree of physical
Extension - 55°
activity. Full range of
Lateral Flexion - 40°
motion.
Rotation - 70°
 The client has full range of
Varies to some degree in
motion. With the trunk-
accordance with person’s
gliding joint being in:
genetic makeup and
Flexion - 90° Normal
degree of physical
Hyperextension – 30°
activity. Full range of
13. Assess joint range motion of Lateral flexion – 35°
motion.
body trunk Rotation - 30°
The client has full range of
motion. With shoulder-ball-
and-socket joint being in:
Flexion – 180°
Hyperextension - 50°
Abduction - 180°
Adduction – 50°
Circumduction – full range
Varies to some degree in Rotation (External &
accordance with person’s Internal) - 90°
genetic makeup and
Normal
degree of physical Elbow-hinge joint:
activity. Full range of Flexion - 160°
motion. Supination, pronation - 90°

Wrist- condyloid joint:

Flexion - 90°
Hyperextension - 70°
Abduction - 20°
Adduction - 55°
14. Assess joint range of motion of Finger flexion - 90°
upper extremities Finger hyperextension - 30°
The client has full range of
motion.
Varies to some degree in Hip flexion with knee straight
accordance with person’s - 90°
genetic makeup and Hip flexion with knee flexed
Normal
degree of physical - 120°
activity. Full range of Hip hyperextension with knee
motion. straight - 15°
15. Assess joint range of motion of Abduction - 45°
lower extremities Adduction -30°