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Upper Extremity Functional Scale CPT PATIENT INFORMATION New Patient Return Patient Email: Patient Name: Address: Street # or PO Box City Date of Birth: Age: Male Female Home Phone: Patient Status:

How to fill out upper extremity functional scale

How to fill out upper extremity functional scale:

1. Begin by understanding the purpose of the upper extremity functional scale, which is to assess the functional abilities of the upper extremities (arms, hands, and shoulders) in individuals.
2. Familiarize yourself with the different activities and movements that are evaluated in the scale, such as reaching, lifting, grasping, and performing self-care tasks.
3. Rate each activity or movement on a scale of 0 to 5, where 0 represents the inability to perform the activity and 5 represents the ability to perform it without difficulty.
4. Take into account any modifications or assistance required to complete the activities. For example, if the person needs a splint or a caregiver's assistance, note it in the relevant section.
5. Be honest and objective while rating each activity. Avoid over or underestimating the person's abilities.
6. Once you have assessed all the activities, calculate the total score by summing up the ratings for each activity.
7. Interpret the score based on the guidelines provided with the upper extremity functional scale. Higher scores indicate better upper extremity function.

Who needs upper extremity functional scale:

1. Individuals who have experienced upper extremity injuries or conditions that affect the functionality of their arms, hands, or shoulders can benefit from the upper extremity functional scale.
2. The scale can be used by healthcare professionals, therapists, or researchers to evaluate a person's progress in rehabilitation or to assess the impact of interventions or treatments on upper extremity function.
3. The upper extremity functional scale can also be used in clinical trials or research studies to measure functional outcomes and compare the effectiveness of different interventions.

Note: It is always recommended to consult with a healthcare professional or therapist for proper administration and interpretation of the upper extremity functional scale.

For pdfFiller’s FAQs

What is upper extremity functional scale?

The upper extremity functional scale is a measurement tool used to assess the functional abilities of the upper extremities.

Who is required to file upper extremity functional scale?

Individuals who have experienced an injury or condition affecting their upper extremities may be required to file the upper extremity functional scale.

How to fill out upper extremity functional scale?

The upper extremity functional scale can be filled out by following the specific instructions provided on the form, which typically involve rating various activities based on the individual's ability to perform them.

What is the purpose of upper extremity functional scale?

The purpose of the upper extremity functional scale is to assess and document the functional abilities of the upper extremities in order to guide treatment plans and measure progress.

What information must be reported on upper extremity functional scale?

The upper extremity functional scale typically requires information about the individual's ability to perform various tasks such as gripping, lifting, and reaching.

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