Question

In your 18 step evaluation per Dr. Patla, which comes before PROM

1. palpation for condition
2. MMT
3. MLT
4. palpation for tenderness

Answer 1

In Dr. Patla's 18-step evaluation, palpation for tenderness comes before PROM, MMT, and MLT. Palpation for condition is the initial step, with subsequent steps that assess joint range, muscle strength, and flexibility in that order.

Step-by-step explanation:

In the 18-step evaluation process as per Dr. A. Patla's approach to clinical evaluation in the physical therapy context, palpation for tenderness typically comes before PROM (Passive Range Of Motion), MMT (Manual Muscle Testing), and MLT (Muscle Length Testing). Palpation for condition is often the initial step, which involves assessing the state of the tissues in terms of texture, density, temperature, and other characteristics. The next step is palpation for tenderness, which helps identify areas of discomfort and potential pathology. After these initial palpation steps, a therapist may then proceed to PROM to assess the joint range without muscle exertion, followed by MMT to test muscle strength, and then MLT to determine muscle length and flexibility.