Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Objective Data Collection: 22 of 24 (91.67%)
- Correct
- Partially correct
- Incorrect
- Missed
Assessed Growth
1 of 1 point
Bmi For Age (1/2 point)
- Underweight
- Normal Weight
- Overweight
- Obese
Stature For Age (1/2 point)
- Percentile <= 5
- Percentile > 5 and < 95
- Percentile >= 95
Inspected Hips
1 of 1 point
Symmetry (1/2 point)
- Symmetric Bilaterally
- Asymmetric
Appearance (1/2 point)
- No visible abnormal findings
- Discoloration
- Irregular alignment
- Laceration, lesion, or wound
- Rash
- Redness
- Visible mass
- Visible pulsation
Inspected Legs
1 of 1 point
Symmetry (1/3 point)
- Symmetric bilaterally
- Asymmetric
Right: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Laceration, lesion, or wound
- Rash
- Redness
Left: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Laceration, lesion, or wound
- Rash
- Redness
Inspected Knees
1 of 1 point
Symmetry (1/3 point)
- Symmetric bilaterally
- Asymmetric
Right: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
- Visible mass
Left: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
- Visible mass
Inspected Ankles
1 of 1 point
Symmetry (1/3 point)
- Symmetric bilaterally
- Asymmetric
Right: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
Left: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
Inspected Feet
1 of 1 point
Symmetry (1/3 point)
- Symmetric bilaterally
- Asymmetric
Right: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
Left: Appearance (1/3 point)
- No visible abnormal findings
- Discoloration
- Edema
- Irregular alignment
- Joint deformity
- Laceration, lesion, or wound
- Rash
- Redness
Palpated Popliteal Pulse
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated Dorsalis Pedis Pulse
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Palpated Posterior Tibial Pulse
1 of 1 point
Right: Vibration (1/4 point)
- No thrill
- Thrill
Right: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Left: Vibration (1/4 point)
- No thrill
- Thrill
Left: Amplitude (1/4 point)
- 0 Absent
- 1+ Diminished or barely palpable
- 2+ Expected
- 3+ Increased
- 4+ Bounding pulse
Patella Stability
1 of 1 point
Right Patella (1/2 point)
- No abnormal findings
- Bony Prominence
- Reported tenderness
Left Patella (1/2 point)
- No abnormal findings
- Bony Prominence
- Reported tendernessMusculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Knee Joint Stability
1 of 1 point
Right Knee Joint (1/2 point)
- No abnormal findings
- Bony Prominence
- Crepitus, popping or clicking
- Effusion
- Reported tenderness
- Sensation of warmth
Left Knee Joint (1/2 point)
- No abnormal findings
- Bony Prominence
- Crepitus, popping or clicking
- Effusion
- Reported tenderness
- Sensation of warmth
Tibial Tuberosity
1 of 1 point
Right Tibial Tuberosity (1/2 point)
- No abnormal findings
- Bony Prominence
- Reported tenderness
Left Tibial Tuberosity (1/2 point)
- No abnormal findings
- Bony Prominence
- Reported tenderness
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Tested Hips Range of Motion
1 of 1 point
Flexion (1/4 point)
- Expected range of motion (approx. 90 degrees)
- Reduced hip flexion
Extension (1/4 point)
- Expected range of motion (approx. 30 degrees)
- Reduced hip extension
Abduction (1/4 point)
- Expected range of motion (approx. 45 degrees)
- Reduced hip abduction
Adduction (1/4 point)
- Expected range of motion (approx. 30 degrees)
- Reduced hip adduction
Tested Knees Range of Motion
1 of 1 point
Right: Flexion (1/4 point)
- Expected range of motion (approx. 130 degrees)
- Reduced flexion
Left: Flexion (1/4 point)
- Expected range of motion (approx. 130 degrees)
- Reduced flexion
Right: Extension (1/4 point)
- Expected range of motion (approx. 0 to 15 degrees)
- Reduced extension
Left: Extension (1/4 point)
- Expected range of motion (approx. 0 to 15 degrees)
- Reduced extension
Tested Ankles Range of Motion
1 of 1 point
Right: Eversion And Inversion (1/4 point) Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
- Expected range of motion (approx. inversion of 30 degrees and eversion of 20 degrees)
- Reduced inversion
- Reduced eversion
Left: Eversion And Inversion (1/4 point)
- Expected range of motion (approx. inversion of 30 degrees and eversion of 20 degrees)
- Reduced inversion
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
- Reduced eversion
Right: Dorsiflexion And Plantar Flexion (1/4 point)
- Expected range of motion (approx. flexion of 160 degrees and 180 of full extension)
- Reduced dorsiflexion
- Reduced plantar flexion
Left: Dorsiflexion And Plantar Flexion (1/4 point)
- Expected range of motion (approx. flexion of 160 degrees and 180 of full extension)
- Reduced dorsiflexion
- Reduced plantar flexion
Tested Hip Strength
0 of 1 point
Strength (No point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Tested Knee Strength
1 of 1 point
Right (1/2 point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Left (1/2 point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Tested Ankle Strength
0 of 1 point
Right (No point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
Left (No point)
- 0 – No muscle contraction
- 1 – Barely detectable contraction
- 2 – Active movement with gravity eliminated
- 3 – Active movement against gravity
- 4 – Active movement against gravity and resistance
- 5 – Active movement against full resistance without fatigue (normal)
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Tested Deep Tendon Reflexes in Patellar Tendon
1 of 1 point
Right (1/2 point)
- 0 – No response
- 1 – Diminished
- 2 – Expected (active)
- 3 – Hyperactive
- 4 – Hyperactive, with clonus
Left (1/2 point)
- 0 – No response
- 1 – Diminished
- 2 – Expected (active)
- 3 – Hyperactive
- 4 – Hyperactive, with clonus
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Tested Deep Tendon Reflexes in Achilles Tendon
1 of 1 point
Right (1/2 point)
- 0 – No response
- 1 – Diminished
- 2 – Expected (active)
- 3 – Hyperactive
- 4 – Hyperactive, with clonus
Left (1/2 point)
- 0 – No response
- 1 – Diminished
- 2 – Expected (active)
- 3 – Hyperactive
- 4 – Hyperactive, with clonus
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data
Tested Sensation in Legs
1 of 1 point
Right Touch (1/2 point)
- Expected sensation in proximal and distal
- Decreased proximal sensation
- Decreased distal sensation
Left Touch (1/2 point)
- Expected sensation in proximal and distal
- Decreased proximal sensation
- Decreased distal sensation
Tested Sensation in Feet
1 of 1 point
Right (1/2 point)
- Expected sensation
- Decreased sensation
Left (1/2 point)
- Expected sensation
- Decreased sensation
Observed Gait
1 of 1 point
Step Length (1/5 point)
- Stepping foot passes stationary foot
- Stepping foot does not pass stationary foot
Step Height (1/5 point)
- Step height is appropriate and symmetric
- Step height is not appropriate or non symmetric
Step Symmetry (1/5 point)
- Right and left step length equal
- Right and left step length unequal
Step Continuity (1/5 point)
- Steps are continuous
- Discontinuity between steps
Path (1/5 point)
- No deviation of path
- Some path deviation or use of walking aid
- Significant path deviation
Observed Squat
1 of 1 point
Symmetry (1/6 point)
- Symmetric
- Asymmetric
Balance (1/6 point)
- Maintained balance
- Did not maintain balance
Joint Clicking (1/6 point)
- Clicking is not audible
- Clicking is audible
Discomfort (1/6 point)
- No discomfort with activity
- Expresses discomfort with activity
Toleration (1/6 point)
- Tolerates activity to completion
- Does not tolerate activity
Range Of Motion (1/6 point)
- Full range
- Less than full range
- Musculoskeletal and Neurovascular Systems Chelsea Warren shadow health Objective Data