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Global rheumatologic tests for a rheumaman
Global test (GT) is a general comprehensive test, research, trial, check.
Global tests are tentative screening tests for a certain area or the whole musculoskeletal system of a human body. Doing simple stereotyped movements (bending, squatting) in a certain plane or while passing a certain point in these tests is
provocative for emergence of a pain syndrome in a certain group of joints or indicating to the area which demands additional examination to define the type of affection of a joint (joints) and establish provisional rheumatologic (working) diagnosis.
General Examination of the Body
Diagnostic Purpose: To estimate height, mass of a body, length and size of a trunk and limbs, their ratio, form of a column and limbs.
To form the view about physical development, carriage, gait of a patient.
To pay attention to the usage by the sick of assistants of movement and support (a stick, crutches, a chair, relations or medical staff’s help)
Demand: examination is held in “anatomical position”. The body is vertical. Feet are joined across. Arms are dropped along the trunk, palms are outside.
Comment. This position is unusual for a person, but it is simple initial for making movements.
Explanation of results: This test characterizes total mobility of movements of a
Spinal column which can be reached for account of movements of a column and hip joints. Stiffness of a column can be compensated by sufficient amplitude of movements in hip joints. If you look from one side you can estimate the angulations for account of hip joints and the angulations of the whole trunk. The first angle is acute, tending to the right one. The second angle has a ceiling value while fingers are touching the floor.
Diagnostic Purpose: To estimate the function of joints of a shoulder girdle and partially of an elbow joint.
Explanation of results: The onset of the pain while examining and/or the restriction of movement volume reflects a pathologic process either in the shoulder girdle or in the rotatable cuff (muscles, joints of supraspinous, infraspinatus and small round muscles).
- A. The capture of the occiput ( Test “Putting hands behind the head”)
- B. The capture “Knot” ( Test “Putting hands behind the back”)