Examination by the Physiotherapist

Amris, K. & Prip, K. (1994). Torture Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture, Suppl. 1, 14-27.
This article was reviewed by Angela Pitar, doctoral physical therapy student at the University of Minnesota, 2014. 
The link to the full text of the article from Dignity-Danish Institute Against Torture is below.
Purpose - the purpose of physical therapy is to reduce pain, improve function, and educate patients on how to cope with pain. Detailed descriptions of how to complete thorough physical therapy examination with torture survivors is explained, including how to perform evaluation for clients who have been subjected to falanga torture.
Subjective-concentrates on the patients pain and pain patterns.  Includes:
  • Sites of pain and paresthesia-a body diagram
  • Description of LBP
  • Influence of functional movements on pain
  • Visual Analog Scale
Objective-concentrates on specific muscular and joint dysfunctions that are known to be frequent of torture.  Includes:  
  • Physiologic curves-plot the spinal curves, pelvic inclination, position of shoulder girdle, leg length, and joint position
  • Muscular pattern-plot regions of hypertrophy and hypotony
  • AROM/PROM and Piedallus test
  • Specific passive movement test-hyper/hypomobile segments in the spine
  • Muscle palpation and registration of trigger points
  • Shoulder- examine the function of the shoulder and accessory joints, tendinitis around the shoulder joint
  • Joint test
  • Examination of muscle power
  • Respiration
  • Falanga examination


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