Client Assessment: Part 5

 C.H.A.R.T.S.

The "T" section of the assessment stands for Tissue Characteristics.  This is where you assess the length, strength, play, and tone of the joints/muscles.  You perform manual muscle tests, palpate the muscle belly and insertion/origin areas in search on tenderness (comparable sign), nodules, etc.  You also conduct functional tests such as sit to stand transfers, bending/lifting and stair climbing.

The "S" section stands for Special Tests.  These are tests that will help assess the integrity and involvment of ligaments, joints and tendon in your client's chief complaints.  Some special tests can determine ACL laxity or tears, rotator cuff tendinitis, elbow tendinitis, etc.  This will help guide your program design.

The past few blog entries should provide you with basic guidelines for performing a thorough client assessment.    Feel free to email me at nicparm7777@aol.com with any questions or comments.