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Upper Extremity Functional Assessment
The upper extremity functional assessment is designed to test the upper extremity following surgery or injury to determine the patient’s readiness to return to sport. The assessment addresses ROM, proprioception, strength, endurance, motor control and functional testing. Descriptions of each test with recommended standards is found in the back. The assessment should be utilized once patient has completed the appropriate rehab and has been cleared by physician. Patient Name:__________________________________________________ MRN:_________________________________ __________ Injury/Surgery:________________________________________________ Date of Injury/Surgery:_________________ _______________ Concomitant Injuries/Procedures:____________________________________________________________________________________ _____________ Operative Limb Non-operative limb Limb Symmetry Index Passive Range of Motion: ER- 0 - IR at 90° ABD - 0 - - 0 - - Joint Position Sense – Mid range (Avg 3 trials each limb) Joint Position Sense – end range (Avg. 3 trials each limb) External Rotation Strength (Avg of 3 trials) Handheld Dynamometer In scapular plane In 90° ABD Eccentric ER in scapular plane Internal Rotation strength (Avg/3 trials) Handheld dynamometer In scapular Plane In 90° ABD Ratio of ER/IR in scapular plane Ratio of ER/IR in 90° ABD Periscapular Strength (Avg/3 trials) Middle Trapezius Lower Trapezius Motor Control Scapular Dyskinesis Test Symmetry: Yes or No Functional Performance Tests (Avg/3 trials) Upper Quarter Y-Balance Closed Kinetic Chain Upper Extremity Stability Males: > 21 Yes or No Females > 23 Yes or No
Single arm seated shot-put test Shoulder Endurance Posterior shoulder endurance test Cleared for sport activities: Yes No Recommendations:
Examiner: _________________________________________________________________________________________ Joint Position Sense: Patient in supine. Arm ABD to 90 degrees with elbow flexed 90 degrees. Patient’s eyes closed, move the patient’s arm passively to an angle of either ER or IR, measure that angle. Then passively move the shoulder through ER and IR, then ask patient to actively reproduce the angle measured. Repeat at various angles for 3 trials and record for both mid-range and end range.
- A > 5 degrees error is considered abnormal Strength Testing External rotation strength: Using a handheld dynamometer(HHD). Patient is supine and instructed to apply maximal isometric force against the HHD positioned just proximal to the wrist. Measured in both the scapular plane and in 90 degrees ABD. Average of 3 trials for each limb, in each position.
- Limb Symmetry: Involved > 90% of uninvolved Internal rotation strength: Using an HHD. Patient is supine and instruct them to apply a maximal isometric force against the HHD positioned just proximal to the wrist. Measured in both scapular plane and in 90 degrees ABD. Average of 3 trials for each limb, in each position.
- Limb Symmetry: Involved > 90% of uninvolved Eccentric external rotation strength: Measured with the HUMAC system. Patient is seated and it is measured in both scapular plane and 90 degrees ABD. Average of 3 trials for each limb, in each limb.
- Limb Symmetry: Involved > 90% of uninvolved ER/IR Ratio: Calculated for each limb based on the average of 3 trials. The average external rotation isometric strength is divided by the average internal rotation isometric strength.
- Limb Symmetry: involved arm > 90% of uninvolved arm Middle Trapezius: Measured with HHD. Patient in prone with arm ABD 90 degrees. Instruct patient to apply maximal isometric force against the HHD that is proximal to the elbow in the horizontal abduction direction. Average of 3 trials for each limb.
- Limb Symmetry: Involved > 90% of uninvolved Lower Trapezius: Measured with HHD. Patient in prone with arm elevated to 120 degrees. Instruct patient to apply maximal isometric force applied against the HHD that is just proximal to the elbow in the elevation direction. Average of 3 trials for each limb.
- Limb Symmetry: Involved > 90% of uninvolved
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