Get the free Upper Extremities Assessment Form Aug 2013 - mckenzieinstitutecanada

Title: Microsoft Word Upper Extremities Assessment Form Aug 2013 Author: MID Created Date: 8×8/2013 11:38:17 AM

How to fill out upper extremities assessment form

How to fill out upper extremities assessment form:

1. Begin by carefully reviewing the form and familiarizing yourself with its sections and instructions.
2. Provide your personal information such as name, date of birth, and contact details in the designated fields.
3. Make sure to accurately indicate the date of assessment to ensure proper documentation.
4. Follow the form's guidelines to assess the range of motion, strength, and dexterity of the upper extremities.
5. Use the appropriate method or tool, as specified, to measure the ranges of motion for various joints such as the shoulder, elbow, wrist, and fingers.
6. Assess the strength of the upper extremities by performing specific exercises or resistance tests as instructed on the form.
7. Document any pain, discomfort, or limitations experienced during the assessment.
8. Evaluate the dexterity and coordination of fine motor skills by conducting tasks such as gripping objects, manipulating small items, or performing intricate finger movements.
9. Take note of any additional observations or relevant information in the appropriate section.
10. Review the completed form for accuracy and completeness before submitting it for further analysis or documentation.

Who needs upper extremities assessment form:

1. Individuals undergoing rehabilitation or physical therapy after upper extremities injuries or surgeries.
2. Occupational therapists or physiotherapists assessing the condition and progress of patients with upper extremity impairments.
3. Medical practitioners or specialists evaluating patients with conditions affecting the upper extremities, such as arthritis, nerve injuries, or congenital abnormalities.

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What is upper extremities assessment form?

The upper extremities assessment form is a document used to evaluate the condition and function of a person's arms, hands, and fingers.

Who is required to file upper extremities assessment form?

Employees who have experienced an injury or illness affecting their upper extremities may be required to file the assessment form.

How to fill out upper extremities assessment form?

The form typically requires information such as the employee's name, description of the injury or illness, extent of impairment, and treatment received.

What is the purpose of upper extremities assessment form?

The purpose of the form is to assess and document the impact of an injury or illness on the upper extremities of an individual.

What information must be reported on upper extremities assessment form?

The form may require details about the nature of the injury or illness, medical diagnosis, treatment plan, and any limitations or restrictions on work activities.