We made a major shift to our scoring paradigms to better include peoples with different abilities.
We now have 3 categories of evaluation: All Extremities, Upper Extremities Only, Lower Extremities Only.
0 – Apical
2 – Mixed
4 – Diaphragmatic
5 – Full intra-abdominal pressure that can be maintained while breathing
4 – Full intra-abdominal pressure that can not be maintained while breathing
3 – Moderate intra-abdominal pressure that can be maintained while breathing
2 – Moderate intra-abdominal pressure that can not be maintained while breathing
1 – Minimal ability create intra-abdominal pressure
0 – No ability create intra-abdominal pressure
20 – Hip Dominant
10 – Mixed
0 – Knee Dominant
2 – Feet remain flat.
1 – Toes lift off the ground.
0 – Heels lift off the ground.
Shoulder Flexion Test. Performed free standing. Patient instructed to keep elbows straight and palms up, and raise arms towards the ceiling. Clinician to observe both from the front and the side of the patient. Place your hand on the spine if necessary.
3 – None
2 – Minimal. Occurs past 150 degrees.
1 – Moderate. Occurs between 150 – 120 degrees.
0 – Severe. Occurs at less than 120 degrees.
3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance
4 – Hip dominant
1 – Knee dominant
0 – Inability to balance
3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance
Patient stands normally and is asked to balance on the ball of one foot. Clinician observes for creasing of the toes. Toe pressure is acceptable. Toe flexion is not. Competence is an ability to have a 2 second hold. Patients are not allowed to use anything to assist with balance. Multiple attempts are allowed.
5 – Competence w/o Toe Flexion on both feet
4 – Competence w/o Toe Flexion on one foot
3 – Toe Flexion present on both feet
2 – Toe Flexion present on one foot
1 – Inability to balance on both feet
0 – Inability to balance on one foot
0 – Apical
2 – Mixed
4 – Diaphragmatic
5 – Full intra-abdominal pressure that can be maintained while breathing
4 – Full intra-abdominal pressure that can not be maintained while breathing
3 – Moderate intra-abdominal pressure that can be maintained while breathing
2 – Moderate intra-abdominal pressure that can not be maintained while breathing
1 – Minimal ability create intra-abdominal pressure
0 – No ability create intra-abdominal pressure
20 – Hip Dominant
10 – Mixed
0 – Knee Dominant
2 – Feet remain flat.
1 – Toes lift off the ground.
0 – Heels lift off the ground.
3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance
4 – Hip dominant
1 – Knee dominant
0 – Inability to balance
3 – No lateral flexion compensation
2 – Lateral flexion compensation on the left
2 – Lateral flexion compensation on the right
1 – Lateral flexion compensation on both legs
0 – Inability to balance
Patient stands normally and is asked to balance on the ball of one foot. Clinician observes for creasing of the toes. Toe pressure is acceptable. Toe flexion is not. Competence is an ability to have a 2 second hold. Patients are not allowed to use anything to assist with balance. Multiple attempts are allowed.
5 – Competence w/o Toe Flexion on both feet
4 – Competence w/o Toe Flexion on one foot
3 – Toe Flexion present on both feet
2 – Toe Flexion present on one foot
1 – Inability to balance on both feet
0 – Inability to balance on one foot
0 – Apical
2 – Mixed
4 – Diaphragmatic
5 – Full intra-abdominal pressure that can be maintained while breathing
4 – Full intra-abdominal pressure that can not be maintained while breathing
3 – Moderate intra-abdominal pressure that can be maintained while breathing
2 – Moderate intra-abdominal pressure that can not be maintained while breathing
1 – Minimal ability create intra-abdominal pressure
0 – No ability create intra-abdominal pressure
Shoulder Flexion Test. Performed free standing. Patient instructed to keep elbows straight and palms up, and raise arms towards the ceiling. Clinician to observe both from the front and the side of the patient. Place your hand on the spine if necessary.
3 – None
2 – Minimal. Occurs past 150 degrees.
1 – Moderate. Occurs between 150 – 120 degrees.
0 – Severe. Occurs at less than 120 degrees.
PORTLAND, OR
237 NE Broadway
Suite 245
Portland, OR 97232
VANCOUVER, WA
10303 NE Fourth Plain Blvd
Suite #105
Vancouver, WA 98662
