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Get Shoulder Assessment Form
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How to fill out the SHOULDER ASSESSMENT FORM online
The Shoulder Assessment Form is essential for evaluating shoulder function and pain levels. This guide will help you navigate the online process of completing this form effectively and accurately.
Follow the steps to fill out the SHOULDER ASSESSMENT FORM online
- Press the ‘Get Form’ button to access the Shoulder Assessment Form, which will open in the appropriate editor.
- Begin by entering your subject ID and initials in the designated fields, followed by the date.
- Indicate which side is affected by selecting 'R' for right or 'L' for left in the appropriate section.
- Select the device used for treatment, specifying 'RSP TSA Hemi' as necessary, and document the date of surgery (DOS) for both sides.
- For each listed activity, circle the number that best represents your ability to perform it, using the scale provided (0 = unable to do, 3 = normal) for both the left and right arm.
- Rate your pain on a scale of 0 to 10, indicating how bad your pain is today.
- Assess your shoulder function by selecting a rating from 0 to 10 to represent the current overall function of your shoulder.
- Fill out the Simple Shoulder Test by answering each question with 'Yes' or 'No'.
- Complete the SF-36 Questionnaire by choosing the response that most accurately reflects your feelings regarding your health and its impact on your life.
- In the Range of Motion section, fill in the circles that indicate how far you can move your arm in the specified positions for both shoulders.
- Provide feedback on your satisfaction with the outcome at the end of the form, ranking it from 1 to 10, and answer the follow-up questions regarding your experience.
- Once all sections are completed, save your changes, and choose options to download, print, or share the form as needed.
Start completing your Shoulder Assessment Form online today!
The six primary motions performed at the shoulder include flexion, extension, abduction, adduction, internal rotation, and external rotation. Understanding these movements is essential for a comprehensive shoulder assessment. The SHOULDER ASSESSMENT FORM allows you to systematically track these motions, aiding in the evaluation and rehabilitation process.
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