Clinical Mastery in Chiropractic Diagnosis:
Palpation, Motion Assessment, and Diagnostic
Precision Guide
What is the goal of chiropractic analysis? - ✔✔evaluation of neuromusculoskeletal based disorders
use principles of bio mechanics and biophysics with knowledge of anatomy and function of joints to
determine diagnosis and treatment options
What must all chiropractors be able to do in terms of diagnostic skills? - ✔✔be able to determine if their
patients have a heath problem that is responsive to their type of care
What does HIPPIRONEL stand for? - ✔✔history, inspection, palpation, percussion, instrumentation,
ROM, orthopedic tests, neurological tests, X-ray, Lab tests
What does OPQRST stand for? - ✔✔onset, provocative/palliative, quality, radiation, site, timing
what does PARTS stand for? - ✔✔
Pain
Asymmetry
ROM
Tone, texture, temperature
(special tests)
- used in our clinic forms to comply with medicare
- need 2 parts of PARTS to substantiate the existence of a chiropractic subluxation--> get paid
- there are subjective and objective findings
What are the things you looks for in patient history under Pain in PARTS? - ✔✔
- location, quality, intensity
- found through observation, palpation, percussion and provocative testing
, - palpatory tenderness- help determine what tissue is involved
- tenderness during motion
-- MP
-- EP
-- JP
-- Provocative testing
What are the things the practitioner looks for in patient history under Asymmetry in PARTS? - ✔✔-
segmental and global scale
- postural and gait analysis
- static palpation
- X-ray mensuration to detect malposition
- observation
- body is never perfectly symmetrical, asymmetries may or may not be clinically significant
What are the things the practitioner looks for in patient history under Range of motion in PARTS? - ✔✔-
increase, decrease, aberrant motion in
-- AROM, PROM, resisted ROM, segmental ROM
- global: measure with inclinometer or goniometer
- regional and segmental motion palp:
-- accessory joint motions(aka)
-- MotionPalp- movement pasterns
-- EP
-- JP
What are the things the practitioner looks for in patient history under Tone, texture, temperature in
PARTS? - ✔✔-evaluate changes in soft tissue including:
-- skin, ligaments, fascia, muscle
- changes evaluated with: observation, palpation, instrumentation, and tests for strength and length
- static palpation
Palpation, Motion Assessment, and Diagnostic
Precision Guide
What is the goal of chiropractic analysis? - ✔✔evaluation of neuromusculoskeletal based disorders
use principles of bio mechanics and biophysics with knowledge of anatomy and function of joints to
determine diagnosis and treatment options
What must all chiropractors be able to do in terms of diagnostic skills? - ✔✔be able to determine if their
patients have a heath problem that is responsive to their type of care
What does HIPPIRONEL stand for? - ✔✔history, inspection, palpation, percussion, instrumentation,
ROM, orthopedic tests, neurological tests, X-ray, Lab tests
What does OPQRST stand for? - ✔✔onset, provocative/palliative, quality, radiation, site, timing
what does PARTS stand for? - ✔✔
Pain
Asymmetry
ROM
Tone, texture, temperature
(special tests)
- used in our clinic forms to comply with medicare
- need 2 parts of PARTS to substantiate the existence of a chiropractic subluxation--> get paid
- there are subjective and objective findings
What are the things you looks for in patient history under Pain in PARTS? - ✔✔
- location, quality, intensity
- found through observation, palpation, percussion and provocative testing
, - palpatory tenderness- help determine what tissue is involved
- tenderness during motion
-- MP
-- EP
-- JP
-- Provocative testing
What are the things the practitioner looks for in patient history under Asymmetry in PARTS? - ✔✔-
segmental and global scale
- postural and gait analysis
- static palpation
- X-ray mensuration to detect malposition
- observation
- body is never perfectly symmetrical, asymmetries may or may not be clinically significant
What are the things the practitioner looks for in patient history under Range of motion in PARTS? - ✔✔-
increase, decrease, aberrant motion in
-- AROM, PROM, resisted ROM, segmental ROM
- global: measure with inclinometer or goniometer
- regional and segmental motion palp:
-- accessory joint motions(aka)
-- MotionPalp- movement pasterns
-- EP
-- JP
What are the things the practitioner looks for in patient history under Tone, texture, temperature in
PARTS? - ✔✔-evaluate changes in soft tissue including:
-- skin, ligaments, fascia, muscle
- changes evaluated with: observation, palpation, instrumentation, and tests for strength and length
- static palpation
