Online. Sample PDA Page Published on Saturday, October 4, 1997 by Gideon Ariel General Information Case History Job Information Kinematic Neck Assessment Kinematic Shoulder Assessment Kinematic Elbow Assessment Kinematic Wrist Assessment Kinematic Finger Assessment Thumb Flexion/Extension Conclusions and Recommendations Table of Contents 1. General Information More information... Examinee Name: Address: City, State, ZIP: Social Security Number: Employer: Occupation: Current Evaluation Date of Evaluation: Evaluated by: Site of Evaluation: Site 1: Kinematic Consultants Comments: Referral Source: Insurance Administrator: Case Number: Claim Number: Picture 1: The Examinee 2. Case History More information... Physician: Diagnosis: Date of Incident (Injury): Complaints: Height: Weight: Type of incident: Required assistance: Continued to work: Initially evaluated By: Test and Tx: Result: Specialty Referral 1 By: Test and Tx: Result: Specialty Referral 2 By: Test and Tx: Result: Surgery 1 Date: By: Type: Surgery 2 Date: By: Type: Surgery 3 Date: By: Type: Return to work: Status: [Select status] Comments: 3. Job Information This data is usually obtained from the referring case manager or directly from the Examinee's employer. If no job description is available a description is obtained from the Dictionary of Occupational Titles (DOT). More information... Job Description: Provided by: DOT Number: Work Level Category - DOT: Sedentary Work Level Category - Employer: Sedentary 4. Kinematic Neck Assessment A computer kinematic assessment is performed for cervical flexion/extension, lateral flexion and rotation. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events are video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Picture 2: Cervical Flexion Picture 3: Cervical Extension Chart 1: Cervical Flexion/Extension Table 1: Cervical Flexion/Extension [ Help ] Range of Motion[degrees] Flexion Extension Norm (mean) 45 -45 Examinee Sample (mean) 21.5 -43.9 Standard Deviation (sd) 3.06 3.23 Range of Motion (rom) 65.4 65.4 Trial Consistency (sd/rom) 4.7% 4.9% Degrees of Freedom (df) 8 8 H0: Examinee = Norm Reject Accept Probability (p0) 0.00000 0.17026 Level of Confidence 99% 99% H1: Side = Opposing Side Reject Accept Probability (p1) 0.00000 0.00000 Picture 4: Cervical Lateral Flexion - Left Picture 5: Cervical Lateral Flexion - Right Chart 2: Cervical Lateral Flexion Table 2: Cervical Lateral Flexion [ Help ] Range of Motion[degrees] Left Right Norm (mean) 45 -45 Examinee Sample (mean) 32.9 -32.1 Standard Deviation (sd) 2.41 6.12 Range of Motion (rom) 65 65 Trial Consistency (sd/rom) 3.7% 9.4% Degrees of Freedom (df) 8 8 H0: Examinee = Norm Reject Reject Probability (p0) 0.00000 0.00011 Level of Confidence 99% 99% H1: Side = Opposing Side Accept Accept Probability (p1) 0.35569 0.35569 Picture 6: Cervical Rotation - Left Picture 7: Cervical Rotation - Right Chart 3: Cervical Rotation Table 3: Cervical Rotation [ Help ] Range of Motion[degrees] Left Right Norm (mean) 60 -60 Examinee Sample (mean) 32.9 -29.5 Standard Deviation (sd) 2.51 1.79 Range of Motion (rom) 62.3 62.3 Trial Consistency (sd/rom) 4% 2.9% Degrees of Freedom (df) 9 10 H0: Examinee = Norm Reject Reject Probability (p0) 0.00000 0.00000 Level of Confidence 99% 99% H1: Side = Opposing Side Accept Reject Probability (p1) 0.00100 0.00100 Number of tests where Examinee performed subnormal: 5 of 6 Number of tests where Examinee performed asymmetrically (one side worse than the other): 2 of 6 Number of tests where Examinee performed worse on Left Side than on Right Side: 0 of 0 Number of tests where Examinee performed worse on Right Side than on Left Side: 0 of 0 Significant Findings Kinematic Neck Assessment: 5. Kinematic Shoulder Assessment A computer kinematic assessment is performed for shoulder flexion/extension, abduction/adduction, internal and external rotation. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events were video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Shoulder Flexion/Extension Picture 8: LeftShoulder Flexion - Picture 9: LeftShoulder Extension - Picture 10: RightShoulder Flexion - Picture 11: RightShoulder Extension - Chart 4: Shoulder Flexion/Extension Table 4: Shoulder Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 180 -50 180 -50 Examinee Sample (mean) 124.2 -21.9 116.2 -17.7 Standard Deviation (sd) 5.77 4.64 3.76 2.94 Range of Motion (rom) 146.1 146.1 133.9 133.9 Trial Consistency (sd/rom) 3.9% 3.2% 2.8% 2.2% Degrees of Freedom (df) 10 9 7 7 H0: Examinee = Norm Reject Reject Reject Reject Probability (p0) 0.00000 0.00000 0.00000 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Accept Probability (p1) 0.00156 0.02122 0.00156 0.02122 Shoulder Abduction/Adduction Picture 12: LeftShoulder Abduction - Picture 13: RightShoulder Abduction - Chart 5: Shoulder Abduction/Adduction Table 5: Shoulder Abduction/Adduction [ Help ] Range of Motion[degrees] Ab+Left Ad-Left Ab+Right Ad-Right Norm (mean) 180 -50 180 -50 Examinee Sample (mean) 144.4 30.9 143.1 24.6 Standard Deviation (sd) 5.42 1.65 6.87 .99 Range of Motion (rom) 113.6 113.6 118.5 118.5 Trial Consistency (sd/rom) 4.8% 1.5% 5.8% .8% Degrees of Freedom (df) 12 12 11 11 H0: Examinee = Norm Reject Reject Reject Reject Probability (p0) 0.00000 0.00000 0.00000 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Reject Accept Accept Probability (p1) 0.29176 0.00000 0.29176 0.00000 Shoulder Internal/External Rotation Picture 14: LeftShoulder Internal Rotation - Picture 15: LeftShoulder External Rotation - Picture 16: RightShoulder Internal Rotation - Picture 17: RightShoulder External Rotation - Chart 6: Shoulder Internal/External Rotation Table 6: Shoulder Internal/External Rotation (I/R) [ Help ] Range of Motion[degrees] I+Left E-Left I+Right E-Right Norm (mean) 90 -90 90 -90 Examinee Sample (mean) 52.4 -87 56.3 -92.7 Standard Deviation (sd) 3.82 8.08 5.52 5.75 Range of Motion (rom) 139.4 139.4 149.1 149.1 Trial Consistency (sd/rom) 2.7% 5.8% 3.7% 3.9% Degrees of Freedom (df) 11 11 10 11 H0: Examinee = Norm Reject Accept Reject Accept Probability (p0) 0.00000 0.11461 0.00000 0.06460 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Accept Accept Probability (p1) 0.02816 0.02969 0.02816 0.02969 Number of tests where Examinee performed subnormal: 10 of 12 Number of tests where Examinee performed asymmetrically (one side worse than the other): 2 of 12 Number of tests where Examinee performed worse on Left Side than on Right Side: 1 of 6 Number of tests where Examinee performed worse on Right Side than on Left Side: 1 of 6 Significant Findings Kinematic Shoulder Assessment: 6. Kinematic Elbow Assessment A computer kinematic assessment is performed for elbow flexion/extension, and forearm supination/pronation. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events are video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Picture 18: LeftElbow Flexion - Picture 19: LeftElbow Extension - Picture 20: RightElbow Flexion - Picture 21: RightElbow Extension - Chart 7: Elbow Flexion/Extension Table 7: Elbow Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 140 0 140 0 Examinee Sample (mean) 152.7 50.6 146.7 10.6 Standard Deviation (sd) 5.13 4.7 3.42 1.66 Range of Motion (rom) 102.1 102.1 136.2 136.2 Trial Consistency (sd/rom) 5% 4.6% 2.5% 1.2% Degrees of Freedom (df) 9 8 8 8 H0: Examinee = Norm Accept Reject Accept Reject Probability (p0) 0.00001 0.00000 0.00018 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Reject Reject Accept Probability (p1) 0.00459 0.00000 0.00459 0.00000 Number of tests where Examinee performed subnormal: 2 of 4 Number of tests where Examinee performed asymmetrically (one side worse than the other): 2 of 4 Number of tests where Examinee performed worse on Left Side than on Right Side: 1 of 2 Number of tests where Examinee performed worse on Right Side than on Left Side: 1 of 2 Significant Findings Kinematic Elbow Assessment: 7. Kinematic Wrist Assessment A computer kinematic assessment is performed for wrist flexion/extension, ulnar/radial deviation and supination/pronation. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events are video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Wrist Flexion/Extension Picture 22: LeftWrist Flexion - Picture 23: LeftWrist Extension - Picture 24: RightWrist Flexion - Picture 25: RightWrist Extension - Chart 8: Wrist Flexion/Extension Table 8: Wrist Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 60 -60 60 -60 Examinee Sample (mean) 78.1 -44.9 57.3 -21.6 Standard Deviation (sd) 1.18 1.68 2.44 4.24 Range of Motion (rom) 123 123 78.9 78.9 Trial Consistency (sd/rom) 1% 1.4% 3.1% 5.4% Degrees of Freedom (df) 7 7 6 6 H0: Examinee = Norm Accept Reject Accept Reject Probability (p0) 0.00000 0.00000 0.01326 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00000 0.00000 0.00000 0.00000 Wrist Ulnar/Radial Deviation Picture 26: LeftWrist Ulnar Deviation - Picture 27: LeftWrist Radial Deviation - Picture 28: RightWrist Ulnar Deviation - Picture 29: RightWrist Radial Deviation - Chart 9: Wrist Ulnar/Radial Deviation Table 9: Wrist Ulnar/Radial Deviation (U/R) [ Help ] Range of Motion[degrees] U+Left R-Left U+Right R-Right Norm (mean) 30 -20 30 -20 Examinee Sample (mean) 40.6 -22.3 25.4 -2.3 Standard Deviation (sd) 3.4 3.56 2.54 2.94 Range of Motion (rom) 62.9 62.9 27.6 27.6 Trial Consistency (sd/rom) 5.4% 5.7% 9.2% 10.6% Degrees of Freedom (df) 10 11 9 8 H0: Examinee = Norm Accept Accept Reject Reject Probability (p0) 0.00000 0.02198 0.00014 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00000 0.00000 0.00000 0.00000 Forearm Supination/Pronation Picture 30: LeftForearm Supination - Picture 31: RightForearm Supination - Picture 32: LeftForearm Pronation - Picture 33: RightForearm Pronation - Chart 10: Forearm Supination/Pronation Table 10: Forearm Supination/Pronation (S/P) [ Help ] Range of Motion[degrees] S+Left P-Left S+Right P-Right Norm (mean) 80 -80 80 -80 Examinee Sample (mean) 96.7 -86.2 85.7 -82.9 Standard Deviation (sd) 8.47 1.66 8.86 2.54 Range of Motion (rom) 182.9 182.9 168.6 168.6 Trial Consistency (sd/rom) 4.6% .9% 5.3% 1.5% Degrees of Freedom (df) 9 10 8 8 H0: Examinee = Norm Accept Accept Accept Accept Probability (p0) 0.00008 0.00000 0.04577 0.00460 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00639 0.00135 0.00639 0.00135 Number of tests where Examinee performed subnormal: 4 of 12 Number of tests where Examinee performed asymmetrically (one side worse than the other): 6 of 12 Number of tests where Examinee performed worse on Left Side than on Right Side: 0 of 6 Number of tests where Examinee performed worse on Right Side than on Left Side: 6 of 6 Significant Findings Kinematic Wrist Assessment: 8. Kinematic Finger Assessment A computer kinematic assessment is performed for index finger flexion/extension. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events are video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Picture 34: LeftFinger Flexion - Picture 35: LeftFinger Extension - Picture 36: RightFinger Flexion - Picture 37: RightFinger Extension - Chart 11: Finger MP Flexion/Extension Table 11: Finger MP Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 80 0 80 0 Examinee Sample (mean) 67.9 -5.4 41.9 7.6 Standard Deviation (sd) 1.55 2.24 10.83 1.95 Range of Motion (rom) 73.3 73.3 34.3 34.3 Trial Consistency (sd/rom) 2.1% 3.1% 31.6% 5.7% Degrees of Freedom (df) 9 8 7 6 H0: Examinee = Norm Reject Accept Reject Reject Probability (p0) 0.00000 0.00004 0.00001 0.00002 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00000 0.00000 0.00000 0.00000 Chart 12: Finger PIP Flexion/Extension Table 12: Finger PIP Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 80 0 80 0 Examinee Sample (mean) 101.8 -8.5 102.7 -.5 Standard Deviation (sd) 9.8 1.37 1.09 1.27 Range of Motion (rom) 110.4 110.4 103.2 103.2 Trial Consistency (sd/rom) 8.9% 1.2% 1.1% 1.2% Degrees of Freedom (df) 9 9 7 8 H0: Examinee = Norm Accept Accept Accept Accept Probability (p0) 0.00003 0.00000 0.00000 0.12502 Level of Confidence 95% 95% 95% 95% H1: Side = Opposing Side Accept Accept Accept Reject Probability (p1) 0.40417 0.00000 0.40417 0.00000 Chart 13: Finger DIP Flexion/Extension Table 13: Finger DIP Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 80 0 80 0 Examinee Sample (mean) 67.8 6.7 59.8 10.3 Standard Deviation (sd) 4.06 1.75 1.77 1.19 Range of Motion (rom) 61.1 61.1 49.6 49.6 Trial Consistency (sd/rom) 6.6% 2.9% 3.6% 2.4% Degrees of Freedom (df) 9 9 7 8 H0: Examinee = Norm Reject Reject Reject Reject Probability (p0) 0.00000 0.00000 0.00000 0.00000 Level of Confidence 95% 95% 95% 95% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00005 0.00004 0.00005 0.00004 Number of tests where Examinee performed subnormal: 7 of 12 Number of tests where Examinee performed asymmetrically (one side worse than the other): 5 of 12 Number of tests where Examinee performed worse on Left Side than on Right Side: 0 of 6 Number of tests where Examinee performed worse on Right Side than on Left Side: 5 of 6 Significant Findings Kinematic Finger Assessment: 9. Thumb Flexion/Extension A computer kinematic assessment is performed for thumb flexion/extension. The Examinee is asked to perform each maneuver 8-10 repetitions to full range and as quickly as possible. The events are video taped in a precisely calibrated field for computer analysis. Each event is analyzed for total dynamic range of motion and peak velocity quantity and quality. Consistency of results is considered for determining Examinee effort. After a thorough discussion of expectations, and agreement of understanding by the Examinee, the Examinee is asked to perform the movement events. More information... Picture 38: LeftThumb Flexion - Picture 39: LeftThumb Extension - Picture 40: RightThumb Flexion - Picture 41: RightThumb Extension - Chart 14: Thumb MP Flexion/Extension Table 14: Thumb MP Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 70 0 70 0 Examinee Sample (mean) 72 -5.3 47.9 31.2 Standard Deviation (sd) 1.86 3.52 .85 2.54 Range of Motion (rom) 77.3 77.3 16.7 16.7 Trial Consistency (sd/rom) 2.4% 4.6% 5.1% 15.2% Degrees of Freedom (df) 11 11 6 5 H0: Examinee = Norm Accept Accept Reject Reject Probability (p0) 0.00158 0.00015 0.00000 0.00000 Level of Confidence 99% 99% 99% 99% H1: Side = Opposing Side Accept Accept Reject Reject Probability (p1) 0.00000 0.00000 0.00000 0.00000 Chart 15: Thumb IP Flexion/Extension Table 15: Thumb IP Flexion/Extension (F/E) [ Help ] Range of Motion[degrees] F+Left E-Left F+Right E-Right Norm (mean) 80 0 80 0 Examinee Sample (mean) 44.7 -14.1 35.9 -13.4 Standard Deviation (sd) 12.42 2.15 2.96 3.71 Range of Motion (rom) 58.8 58.8 49.3 49.3 Trial Consistency (sd/rom) 21.1% 3.7% 6% 7.5% Degrees of Freedom (df) 11 11 6 5 H0: Examinee = Norm Reject Accept Reject Accept Probability (p0) 0.00000 0.00000 0.00000 0.00015 Level of Confidence 95% 95% 95% 95% H1: Side = Opposing Side Accept Accept Reject Accept Probability (p1) 0.04321 0.30523 0.04321 0.30523 Number of tests where Examinee performed subnormal: 4 of 8 Number of tests where Examinee performed asymmetrically (one side worse than the other): 3 of 8 Number of tests where Examinee performed worse on Left Side than on Right Side: 0 of 4 Number of tests where Examinee performed worse on Right Side than on Left Side: 3 of 4 Significant Findings Thumb Flexion/Extension: Number of tests where Examinee performed subnormal: 32 of 54 Number of tests where Examinee performed asymmetrically (one side worse than the other): 20 of 54 Number of tests where Examinee performed worse on Left Side than on Right Side: 2 of 24 Number of tests where Examinee performed worse on Right Side than on Left Side: 16 of 24 Significant Findings Ariel Kinematics Functional Capacity Evaluation: 10. Conclusions and Recommendations Conclusions Date: Name: Title: Reference: Conclusions: Recommendations: Independently verified by Date: Name: Title: Reference: Comments: Reference: /wizard/product/reports/sample005/pda.html