The condition scripts highlight the key subjective and objective information used to create your initial hypothesis. These are the typical presentations for each condition and work well with non complex cases.
2-3 focused questions and the 2 tests are used to rule in the diagnosis. Ideally one test that is sensitive and one test that is specific would be the best option but the validity of many special tests are questionable. In this part of the process general questions may confound the reasoning process so keep the questions focused on the condition scripts. Followup questions and examination will be focused and serve as bias correction to further rule out competing differentials and to identify contributing etiologies.
When performing the biomechanical assessment with a subluxed joint or precapsular restriction we will have a restricted passive physiological intervertebral motion(PPIVM). We will then proceed to check the end feel with the passive arthrokinematic intervertebral motion(PPAVIM) to determine if the end feel is pericapsular restriction(hard capsular) or a subluxed pathomechanical end feel.
In the presence of a normal, muscle hypertonicity or hypermobile end feel the PAIVM is not required since we already know there is not a restricted end feel. The links below are to the biomechanical assessment and manipulation for the jammed(subluxed end feel).
For those of you who want to go further there is our fellowship program.
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