康复评估 Range of Motion, Strength and Tests

By the end of this module you can…

• Say what each part of the evaluation is for, before you do it.
• Measure range of motion and say the degrees clearly, including numbers over 100.
• Test strength and sensation, and compare the two sides in plain words.
• Warn before a test that may hurt, and ask whether it brings on the usual pain.
• Explain the findings and the plan of care, and leave imaging and diagnosis to the doctor.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

Tools & tests

• 量角器liáng jiǎo qìGoniometer (joint-angle ruler)
• 皮尺pí chǐTape measure
• 叩诊锤kòu zhěn chuíReflex hammer
• 秒表miǎo biǎoStopwatch
• 问卷wèn juànQuestionnaire
• 检查jiǎn cháExam, test; to examine
• 姿势zī shìPosture, position
• 关节guān jiéJoint

What you find

• 角度jiǎo dùAngle, degrees
• 活动度huó dòng dùRange of motion
• 肌力jī lìMuscle strength
• 柔韧性róu rèn xìngFlexibility
• 平衡píng héngBalance
• 步态bù tàiGait, walking pattern
• 感觉gǎn juéSensation, feeling
• 压痛yā tòngTenderness (pain when pressed)

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 今天先做个评估，看看您的膝盖能弯多少、力气怎么样。Jīn tiān xiān zuò ge píng gū, kàn kan nín de xī gài néng wān duō shao, lì qi zěn me yàng.Today: an evaluation of how far your knee bends and how strong it is.
2. 量角度本身不疼。弯到头的时候可能会有点紧，疼了就告诉我。Liáng jiǎo dù běn shēn bù téng. Wān dào tóu de shí hou kě néng huì yǒu diǎn jǐn, téng le jiù gào su wǒ.Measuring itself doesn’t hurt. Tell me if the bend does.
3. 您的右膝盖能弯到九十五度。Nín de yòu xī gài néng wān dào jiǔ shí wǔ dù.Your right knee bends to 95 degrees.
4. 顶住，别让我推动。Dǐng zhù, bié ràng wǒ tuī dòng.Hold there. Don’t let me move you.
5. 是平时那种疼吗？Shì píng shí nà zhǒng téng ma?Is it your usual pain?
6. 疼了马上告诉我，我马上停。Téng le mǎ shàng gào su wǒ, wǒ mǎ shàng tíng.If it hurts, tell me and I’ll stop right away.
7. 请您从椅子上站起来，尽量不用手。Qǐng nín cóng yǐ zi shang zhàn qǐ lai, jǐn liàng bú yòng shǒu.Please stand up from the chair, without your hands if you can.
8. 两边摸起来感觉一样吗？Liǎng biān mō qǐ lai gǎn jué yí yàng ma?Does it feel the same on both sides?
9. 这些都是锻炼可以帮助改善的地方。Zhè xiē dōu shì duàn liàn kě yǐ bāng zhù gǎi shàn de dì fang.These are all things exercise can help improve.
10. 一个星期来两次，先来六个星期。Yí ge xīng qī lái liǎng cì, xiān lái liù ge xīng qī.Twice a week, for six weeks to start.

What’s in Module 4

1. Part 1 · Warm-UpWarm-Up: How Flexible Are You?
2. Part 2 · The Words for MeasuringReading the Pinyin · Saying 力气 vs. Charting 肌力 · Vocabulary · Flash Cards · Say the Degrees
3. Part 3 · The EvaluationThe Evaluation Script · Say What You Are Doing · Key Patterns · Testing Strength · Tests That May Hurt · Watching Function
4. Part 4 · Feeling, Forms and FindingsSensation, Reflexes and Swelling · Questionnaires · Explaining the Findings
5. Part 5 · Plan & ReviewThe Plan of Care · What Patients Say · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 4 Knowledge Check
8. Part 8 · Wrap-UpModule 4 Homework · Take-Home Phrase Sheet · Module 4 Wrap-Up · 下次见