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Sample 007

Page
Published on Monday, October 6, 1997 by Gideon Ariel

* 645 OCEAN ROAD * POINT PLEASANT, NEW JERSEY 08742 * PHONE 800-714-1907 * FAX 732-714-1913 *

  • General Information
  • Case History
  • Job Information
  • Neck Kinematics
  • Shoulder Kinematics
  • Elbow Kinematics
  • Wrist Kinematics
  • Finger Kinematics
  • Thumb Kinematics
  • Conclusions

Table of Contents

1. General Information

More information...

Examinee
Name: Removed for privacy
Address: Removed for privacy
City, State, ZIP: Removed for privacy
Social Security Number: Removed for privacy
Employer: Removed for privacy
Occupation:
Height: 1.70m
Weight: 75.0kg
Current Evaluation
Date of Evaluation:
Evaluated by: Removed for privacy
Site of Evaluation: Site 1: Kinematic Consultants
Comments:
Referral Source: Removed for privacy
Insurance Administrator: Removed for privacy
Case Number: Removed for privacy
Claim Number: Removed for privacy

2. Case History

More information...

Physician: Removed for privacy
Diagnosis:
Date of Incident (Injury):
Complaints:
Type of incident:
Required assistance:
Continued to work:
Initially evaluated
By: Removed for privacy
Test and Tx:
Result:
Specialty Referral 1
By: Removed for privacy
Test and Tx:
Result:
Specialty Referral 2
By: Removed for privacy
Test and Tx:
Result:
Surgery 1
Date:
By: Removed for privacy
Type:
Surgery 2
Date:
By: Removed for privacy
Type:
Surgery 3
Date:
By: Removed for privacy
Type:
Return to work:
Status: [Select status]
Comments:

3. Job Information

More 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).

Job Description:
Provided by:
DOT Number:
Work Level Category - DOT: Sedentary
Work Level Category - Employer: Sedentary

4. Neck Kinematics

More information...

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.

Observations/Comments:

Cervical Flexion/Extension

Chart 1: Cervical Flexion/Extension
Table 1: Cervical Flexion/Extension [ Help ]
Range of Motion
[degrees]
Flexion Extension
Norm (population mean) 45 -45
Examinee (sample mean) 80.5 -70.0
Examinee's Worst Effort (min) 76.4 -67.4
Examinee's Best Effort (max) 83.8 -75.1
Range of Effort (roe) 7.3 7.6
Standard deviation (sd) 3.74 3.47
Range of Motion (rom) 150.5 150.5
Degrees of Freedom (df) 2 3
% Deficit to Norm (def0)
H0: Examinee = Norm Accept Accept
Probability (p0) 0.00184 0.00037
Level of Confidence 99.0% 99.0%
% Deficit to Opposing (def1)
H1: Side = Opposing Side Accept Reject
Probability (p1) 0.00592 0.00592
Coefficient of Variation (cov) 4.6% 5.0%
Consistency of Effort (coe) 95.0% 95.4%

Cervical Lateral Flexion

Chart 2: Cervical Lateral Flexion
Table 2: Cervical Lateral Flexion [ Help ]
Range of Motion
[degrees]
Left Right
Norm (population mean) 45 -45
Examinee (sample mean) 48.4 -48.8
Examinee's Worst Effort (min) 45.0 -47.0
Examinee's Best Effort (max) 50.8 -50.7
Range of Effort (roe) 5.8 3.7
Standard deviation (sd) 2.71 1.53
Range of Motion (rom) 97.2 97.2
Degrees of Freedom (df) 3 3
% Deficit to Norm (def0)
H0: Examinee = Norm Accept Accept
Probability (p0) 0.04455 0.00761
Level of Confidence 99.0% 99.0%
% Deficit to Opposing (def1)
H1: Side = Opposing Side Accept Accept
Probability (p1) 0.38436 0.38436
Coefficient of Variation (cov) 5.6% 3.1%
Consistency of Effort (coe) 94.4% 96.8%

Cervical Rotation

Chart 3: Cervical Rotation
Table 3: Cervical Rotation [ Help ]
Range of Motion
[degrees]
Left Right
Norm (population mean) 60 -60
Examinee (sample mean) 83.8 -89.5
Examinee's Worst Effort (min) 81.6 -84.4
Examinee's Best Effort (max) 86.6 -92.6
Range of Effort (roe) 5.0 8.1
Standard deviation (sd) 2.18 3.57
Range of Motion (rom) 173.3 173.3
Degrees of Freedom (df) 3 3
% Deficit to Norm (def0)
H0: Examinee = Norm Accept Accept
Probability (p0) 0.00011 0.00024
Level of Confidence 99.0% 99.0%
% Deficit to Opposing (def1)
H1: Side = Opposing Side Accept Accept
Probability (p1) 0.01656 0.01656
Coefficient of Variation (cov) 2.6% 4.0%
Consistency of Effort (coe) 97.5% 95.9%
Summary 4: Neck Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Cervical Flexion 45 80.5 76.4 83.8 7.3 3.74 150.5 2 Accept 0.00184 99.0% Accept 0.00592 4.6% 95.0%
Cervical Extension -45 -70.0 -67.4 -75.1 7.6 3.47 150.5 3 Accept 0.00037 99.0% Reject 0.00592 5.0% 95.4%
Cervical Lateral Flexion Left 45 48.4 45.0 50.8 5.8 2.71 97.2 3 Accept 0.04455 99.0% Accept 0.38436 5.6% 94.4%
Cervical Lateral Flexion Right -45 -48.8 -47.0 -50.7 3.7 1.53 97.2 3 Accept 0.00761 99.0% Accept 0.38436 3.1% 96.8%
Cervical Internal Rotation 60 83.8 81.6 86.6 5.0 2.18 173.3 3 Accept 0.00011 99.0% Accept 0.01656 2.6% 97.5%
Cervical External Rotation -60 -89.5 -84.4 -92.6 8.1 3.57 173.3 3 Accept 0.00024 99.0% Accept 0.01656 4.0% 95.9%
  • Number of tests where Examinee performed subnormal: 0 of 6
  • Number of tests where Examinee performed asymmetrically (one side worse than the other): 1 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 Neck Kinematics:

5. Shoulder Kinematics

More information...

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.

Observations/Comments:

Shoulder Flexion/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 (population mean) 180 -50 180 -50
Examinee (sample mean) 124.2 -21.9 116.2 -17.7
Examinee's Worst Effort (min) 118.2 -12.3 109.1 -13.2
Examinee's Best Effort (max) 135.4 -27.1 121.3 -21.4
Range of Effort (roe) 17.2 14.8 12.2 8.2
Standard deviation (sd) 5.77 4.64 3.76 2.94
Range of Motion (rom) 146.1 146.1 133.9 133.9
Degrees of Freedom (df) 10 9 7 7
% Deficit to Norm (def0) 48.5% 24.4% 55.5% 28.1%
H0: Examinee = Norm Reject Reject Reject Reject
Probability (p0) 0.00000 0.00000 0.00000 0.00000
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 11.0% 5.7%
H1: Side = Opposing Side Accept Accept Reject Accept
Probability (p1) 0.00156 0.02122 0.00156 0.02122
Coefficient of Variation (cov) 4.6% 21.2% 3.2% 16.6%
Consistency of Effort (coe) 92.1% 93.6% 94.4% 95.6%

Shoulder Abduction/Adduction

Chart 5: Shoulder Abduction/Adduction
Table 5: Shoulder Abduction/Adduction [ Help ]
Range of Motion
[degrees]
Ab+
Left
Ad-
Left
Ab+
Right
Ad-
Right
Norm (population mean) 180 -50 180 -50
Examinee (sample mean) 144.4 30.9 143.1 24.6
Examinee's Worst Effort (min) 138.0 32.9 132.0 26.4
Examinee's Best Effort (max) 157.3 28.4 154.2 22.6
Range of Effort (roe) 19.3 4.5 22.2 3.8
Standard deviation (sd) 5.42 1.65 6.87 0.99
Range of Motion (rom) 113.6 113.6 118.5 118.5
Degrees of Freedom (df) 12 12 11 11
% Deficit to Norm (def0) 30.9% 70.3% 32.1% 64.9%
H0: Examinee = Norm Reject Reject Reject Reject
Probability (p0) 0.00000 0.00000 0.00000 0.00000
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 10.6% 2.4%
H1: Side = Opposing Side Accept Reject Accept Accept
Probability (p1) 0.29176 0.00000 0.29176 0.00000
Coefficient of Variation (cov) 3.8% 5.3% 4.8% 4.0%
Consistency of Effort (coe) 90.5% 97.1% 88.4% 98.3%

Shoulder Internal/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 (population mean) 90 -90 90 -90
Examinee (sample mean) 52.4 -87.0 57.6 -92.0
Examinee's Worst Effort (min) 44.5 -71.3 50.0 -83.7
Examinee's Best Effort (max) 57.8 -96.6 62.2 -100.2
Range of Effort (roe) 13.4 25.3 12.2 16.6
Standard deviation (sd) 3.82 8.08 3.54 5.49
Range of Motion (rom) 139.4 139.4 149.7 149.7
Degrees of Freedom (df) 11 11 9 10
% Deficit to Norm (def0) 41.8% 3.3% 35.9%
H0: Examinee = Norm Reject Accept Reject Accept
Probability (p0) 0.00000 0.11461 0.00000 0.12330
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 7.1% 6.7%
H1: Side = Opposing Side Reject Accept Accept Accept
Probability (p1) 0.00162 0.04993 0.00162 0.04993
Coefficient of Variation (cov) 7.3% 9.3% 6.1% 6.0%
Consistency of Effort (coe) 94.5% 88.4% 95.3% 92.7%
Summary 5: Shoulder Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Shoulder Flexion Left 180 124.2 118.2 135.4 17.2 5.77 146.1 10 48.5% Reject 0.00000 99.0% Accept 0.00156 4.6% 92.1%
Shoulder Extension Left -50 -21.9 -12.3 -27.1 14.8 4.64 146.1 9 24.4% Reject 0.00000 99.0% Accept 0.02122 21.2% 93.6%
Shoulder Abduction Left 180 144.4 138.0 157.3 19.3 5.42 113.6 12 30.9% Reject 0.00000 99.0% Accept 0.29176 3.8% 90.5%
Shoulder Adduction Left -50 30.9 32.9 28.4 4.5 1.65 113.6 12 70.3% Reject 0.00000 99.0% 10.6% Reject 0.00000 5.3% 97.1%
Internal Shoulder Rotation Left 90 52.4 44.5 57.8 13.4 3.82 139.4 11 41.8% Reject 0.00000 99.0% 7.1% Reject 0.00162 7.3% 94.5%
External Shoulder Rotation Left -90 -87.0 -71.3 -96.6 25.3 8.08 139.4 11 3.3% Accept 0.11461 99.0% 6.7% Accept 0.04993 9.3% 88.4%
Shoulder Flexion Right 180 116.2 109.1 121.3 12.2 3.76 133.9 7 55.5% Reject 0.00000 99.0% 11.0% Reject 0.00156 3.2% 94.4%
Shoulder Extension Right -50 -17.7 -13.2 -21.4 8.2 2.94 133.9 7 28.1% Reject 0.00000 99.0% 5.7% Accept 0.02122 16.6% 95.6%
Shoulder Abduction Right 180 143.1 132.0 154.2 22.2 6.87 118.5 11 32.1% Reject 0.00000 99.0% 2.4% Accept 0.29176 4.8% 88.4%
Shoulder Adduction Right -50 24.6 26.4 22.6 3.8 0.99 118.5 11 64.9% Reject 0.00000 99.0% Accept 0.00000 4.0% 98.3%
Internal Shoulder Rotation Right 90 57.6 50.0 62.2 12.2 3.54 149.7 9 35.9% Reject 0.00000 99.0% Accept 0.00162 6.1% 95.3%
External Shoulder Rotation Right -90 -92.0 -83.7 -100.2 16.6 5.49 149.7 10 Accept 0.12330 99.0% Accept 0.04993 6.0% 92.7%
  • Number of tests where Examinee performed subnormal: 10 of 12
  • Number of tests where Examinee performed asymmetrically (one side worse than the other): 3 of 12
  • Number of tests where Examinee performed worse on Left Side than on Right Side: 2 of 6
  • Number of tests where Examinee performed worse on Right Side than on Left Side: 1 of 6

Significant Findings Shoulder Kinematics:

6. Elbow Kinematics

More information...

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.

Observations/Comments:
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 (population mean) 140 0 140 0
Examinee (sample mean) 152.7 50.6 147.2 10.8
Examinee's Worst Effort (min) 140.2 60.9 142.5 13.7
Examinee's Best Effort (max) 158.1 45.3 151.7 9.0
Range of Effort (roe) 17.8 15.7 9.2 4.6
Standard deviation (sd) 5.13 4.70 3.39 1.66
Range of Motion (rom) 102.1 102.1 136.4 136.4
Degrees of Freedom (df) 9 8 7 7
% Deficit to Norm (def0) 72.2% 15.4%
H0: Examinee = Norm Accept Reject Accept Reject
Probability (p0) 0.00001 0.00000 0.00028 0.00000
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 58.3% 10.8%
H1: Side = Opposing Side Accept Reject Reject Accept
Probability (p1) 0.00934 0.00000 0.00934 0.00000
Coefficient of Variation (cov) 3.4% 9.3% 2.3% 15.4%
Consistency of Effort (coe) 89.9% 90.8% 95.0% 97.6%
Summary 6: Elbow Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Elbow Flexion Left 140 152.7 140.2 158.1 17.8 5.13 102.1 9 Accept 0.00001 99.0% Accept 0.00934 3.4% 89.9%
Elbow Extension Left 0 50.6 60.9 45.3 15.7 4.70 102.1 8 72.2% Reject 0.00000 99.0% 58.3% Reject 0.00000 9.3% 90.8%
Elbow Flexion Right 140 147.2 142.5 151.7 9.2 3.39 136.4 7 Accept 0.00028 99.0% 10.8% Reject 0.00934 2.3% 95.0%
Elbow Extension Right 0 10.8 13.7 9.0 4.6 1.66 136.4 7 15.4% Reject 0.00000 99.0% Accept 0.00000 15.4% 97.6%
  • 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 Elbow Kinematics:

7. Wrist Kinematics

More information...

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.

Observations/Comments:

Wrist Flexion/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 (population mean) 60 -60 60 -60
Examinee (sample mean) 78.1 -44.9 57.3 -21.6
Examinee's Worst Effort (min) 76.6 -42.1 53.4 -14.9
Examinee's Best Effort (max) 80.0 -47.0 60.3 -27.3
Range of Effort (roe) 3.4 4.9 6.9 12.4
Standard deviation (sd) 1.18 1.68 2.44 4.24
Range of Motion (rom) 123.0 123.0 78.9 78.9
Degrees of Freedom (df) 7 7 6 6
% Deficit to Norm (def0) 25.1% 4.5% 64.0%
H0: Examinee = Norm Accept Reject Accept Reject
Probability (p0) 0.00000 0.00000 0.01326 0.00000
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 33.8% 37.9%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00000 0.00000 0.00000 0.00000
Coefficient of Variation (cov) 1.5% 3.7% 4.3% 19.6%
Consistency of Effort (coe) 98.1% 97.3% 93.8% 89.3%

Wrist Ulnar/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 (population mean) 30 -20 30 -20
Examinee (sample mean) 41.5 -21.9 25.4 -2.3
Examinee's Worst Effort (min) 39.0 -15.7 20.7 2.1
Examinee's Best Effort (max) 43.8 -26.8 28.3 -5.9
Range of Effort (roe) 4.8 11.1 7.6 8.0
Standard deviation (sd) 1.70 3.43 2.54 2.94
Range of Motion (rom) 63.4 63.4 27.6 27.6
Degrees of Freedom (df) 9 10 9 8
% Deficit to Norm (def0) 18.5% 70.9%
H0: Examinee = Norm Accept Accept Reject Reject
Probability (p0) 0.00000 0.04570 0.00014 0.00000
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 50.8% 62.0%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00000 0.00000 0.00000 0.00000
Coefficient of Variation (cov) 4.1% 15.6% 10.0% 129.9%
Consistency of Effort (coe) 94.6% 89.2% 81.6% 78.7%

Forearm Supination/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 (population mean) 80 -80 80 -80
Examinee (sample mean) 99.4 -86.0 88.6 -82.5
Examinee's Worst Effort (min) 98.3 -83.4 87.6 -79.8
Examinee's Best Effort (max) 101.7 -87.9 89.9 -85.7
Range of Effort (roe) 3.5 4.5 2.3 5.9
Standard deviation (sd) 1.09 1.64 0.83 2.47
Range of Motion (rom) 185.4 185.4 171.1 171.1
Degrees of Freedom (df) 8 9 7 7
% Deficit to Norm (def0)
H0: Examinee = Norm Accept Accept Accept Accept
Probability (p0) 0.00000 0.00000 0.00000 0.01140
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 11.6% 3.7%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00000 0.00130 0.00000 0.00130
Coefficient of Variation (cov) 1.1% 1.9% 0.9% 3.0%
Consistency of Effort (coe) 98.8% 98.2% 99.0% 97.1%
Summary 7: Wrist Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Wrist Flexion Left 60 78.1 76.6 80.0 3.4 1.18 123.0 7 Accept 0.00000 99.0% Accept 0.00000 1.5% 98.1%
Wrist Extension Left -60 -44.9 -42.1 -47.0 4.9 1.68 123.0 7 25.1% Reject 0.00000 99.0% Accept 0.00000 3.7% 97.3%
Wrist Ulnar Deviation Left 30 41.5 39.0 43.8 4.8 1.70 63.4 9 Accept 0.00000 99.0% Accept 0.00000 4.1% 94.6%
Wrist Radial Deviation Left -20 -21.9 -15.7 -26.8 11.1 3.43 63.4 10 Accept 0.04570 99.0% Accept 0.00000 15.6% 89.2%
Forearm Supination Left 80 99.4 98.3 101.7 3.5 1.09 185.4 8 Accept 0.00000 99.0% Accept 0.00000 1.1% 98.8%
Forearm Pronation Left -80 -86.0 -83.4 -87.9 4.5 1.64 185.4 9 Accept 0.00000 99.0% Accept 0.00130 1.9% 98.2%
Wrist Flexion Right 60 57.3 53.4 60.3 6.9 2.44 78.9 6 4.5% Accept 0.01326 99.0% 33.8% Reject 0.00000 4.3% 93.8%
Wrist Extension Right -60 -21.6 -14.9 -27.3 12.4 4.24 78.9 6 64.0% Reject 0.00000 99.0% 37.9% Reject 0.00000 19.6% 89.3%
Wrist Ulnar Deviation Right 30 25.4 20.7 28.3 7.6 2.54 27.6 9 18.5% Reject 0.00014 99.0% 50.8% Reject 0.00000 10.0% 81.6%
Wrist Radial Deviation Right -20 -2.3 2.1 -5.9 8.0 2.94 27.6 8 70.9% Reject 0.00000 99.0% 62.0% Reject 0.00000 129.9% 78.7%
Forearm Supination Right 80 88.6 87.6 89.9 2.3 0.83 171.1 7 Accept 0.00000 99.0% 11.6% Reject 0.00000 0.9% 99.0%
Forearm Pronation Right -80 -82.5 -79.8 -85.7 5.9 2.47 171.1 7 Accept 0.01140 99.0% 3.7% Reject 0.00130 3.0% 97.1%
  • 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 Wrist Kinematics:

8. Finger Kinematics

More information...

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.

Observations/Comments:
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 (population mean) 80 0 80 0
Examinee (sample mean) 67.9 -5.4 41.9 7.6
Examinee's Worst Effort (min) 65.6 -0.1 30.0 11.2
Examinee's Best Effort (max) 70.1 -7.1 58.2 4.8
Range of Effort (roe) 4.4 7.0 28.2 6.3
Standard deviation (sd) 1.55 2.24 10.83 1.95
Range of Motion (rom) 73.3 73.3 34.3 34.3
Degrees of Freedom (df) 9 8 7 6
% Deficit to Norm (def0) 30.3% 95.4% 19.0%
H0: Examinee = Norm Reject Accept Reject Reject
Probability (p0) 0.00000 0.00004 0.00001 0.00002
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 71.0% 35.5%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00000 0.00000 0.00000 0.00000
Coefficient of Variation (cov) 2.3% 41.3% 25.9% 25.7%
Consistency of Effort (coe) 95.8% 93.9% 36.8% 88.6%
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 (population mean) 80 0 80 0
Examinee (sample mean) 101.8 -8.5 103.0 -0.3
Examinee's Worst Effort (min) 90.8 -6.7 101.9 1.6
Examinee's Best Effort (max) 115.5 -11.5 104.0 -2.0
Range of Effort (roe) 24.7 4.8 2.0 3.6
Standard deviation (sd) 9.80 1.37 0.78 1.22
Range of Motion (rom) 110.4 110.4 103.3 103.3
Degrees of Freedom (df) 9 9 6 7
% Deficit to Norm (def0)
H0: Examinee = Norm Accept Accept Accept Accept
Probability (p0) 0.00003 0.00000 0.00000 0.22906
Level of Confidence 95.0% 95.0% 95.0% 95.0%
% Deficit to Opposing (def1) 2.2% 14.8%
H1: Side = Opposing Side Accept Accept Accept Reject
Probability (p1) 0.38120 0.00000 0.38120 0.00000
Coefficient of Variation (cov) 9.6% 16.1% 0.8% 360.2%
Consistency of Effort (coe) 82.2% 97.5% 98.5% 97.6%
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 (population mean) 80 0 80 0
Examinee (sample mean) 67.8 6.7 59.9 10.5
Examinee's Worst Effort (min) 60.2 9.7 58.2 11.8
Examinee's Best Effort (max) 73.3 3.4 63.1 8.7
Range of Effort (roe) 13.1 6.3 4.9 3.1
Standard deviation (sd) 4.06 1.75 1.88 1.11
Range of Motion (rom) 61.1 61.1 49.5 49.5
Degrees of Freedom (df) 9 9 6 7
% Deficit to Norm (def0) 30.6% 16.7% 50.1% 26.2%
H0: Examinee = Norm Reject Reject Reject Reject
Probability (p0) 0.00000 0.00000 0.00000 0.00000
Level of Confidence 95.0% 95.0% 95.0% 95.0%
% Deficit to Opposing (def1) 25.6% 12.4%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00014 0.00004 0.00014 0.00004
Coefficient of Variation (cov) 6.0% 26.2% 3.1% 10.6%
Consistency of Effort (coe) 86.7% 94.3% 92.4% 95.5%
Summary 8: Finger Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Index finger MP Flexion Left 80 67.9 65.6 70.1 4.4 1.55 73.3 9 30.3% Reject 0.00000 99.0% Accept 0.00000 2.3% 95.8%
Index finger MP Extension Left 0 -5.4 -0.1 -7.1 7.0 2.24 73.3 8 Accept 0.00004 99.0% Accept 0.00000 41.3% 93.9%
Index finger PIP Flexion Left 80 101.8 90.8 115.5 24.7 9.80 110.4 9 Accept 0.00003 95.0% 2.2% Accept 0.38120 9.6% 82.2%
Index finger PIP Extension Left 0 -8.5 -6.7 -11.5 4.8 1.37 110.4 9 Accept 0.00000 95.0% Accept 0.00000 16.1% 97.5%
Index finger DIP Flexion Left 80 67.8 60.2 73.3 13.1 4.06 61.1 9 30.6% Reject 0.00000 95.0% Accept 0.00014 6.0% 86.7%
Index finger DIP Extension Left 0 6.7 9.7 3.4 6.3 1.75 61.1 9 16.7% Reject 0.00000 95.0% Accept 0.00004 26.2% 94.3%
Index finger MP Flexion Right 80 41.9 30.0 58.2 28.2 10.83 34.3 7 95.4% Reject 0.00001 99.0% 71.0% Reject 0.00000 25.9% 36.8%
Index finger MP Extension Right 0 7.6 11.2 4.8 6.3 1.95 34.3 6 19.0% Reject 0.00002 99.0% 35.5% Reject 0.00000 25.7% 88.6%
Index finger PIP Flexion Right 80 103.0 101.9 104.0 2.0 0.78 103.3 6 Accept 0.00000 95.0% Accept 0.38120 0.8% 98.5%
Index finger PIP Extension Right 0 -0.3 1.6 -2.0 3.6 1.22 103.3 7 Accept 0.22906 95.0% 14.8% Reject 0.00000 360.2% 97.6%
Index finger DIP Flexion Right 80 59.9 58.2 63.1 4.9 1.88 49.5 6 50.1% Reject 0.00000 95.0% 25.6% Reject 0.00014 3.1% 92.4%
Index finger DIP Extension Right 0 10.5 11.8 8.7 3.1 1.11 49.5 7 26.2% Reject 0.00000 95.0% 12.4% Reject 0.00004 10.6% 95.5%
  • 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 Finger Kinematics:

9. Thumb Kinematics

More information...

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.

Observations/Comments:
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 (population mean) 70 0 70 0
Examinee (sample mean) 72.0 -5.3 64.3 25.6
Examinee's Worst Effort (min) 68.6 0.0 62.4 30.8
Examinee's Best Effort (max) 75.0 -11.7 66.3 18.7
Range of Effort (roe) 6.5 11.7 4.0 12.1
Standard deviation (sd) 1.86 3.52 1.72 4.03
Range of Motion (rom) 77.3 77.3 38.7 38.7
Degrees of Freedom (df) 11 11 6 5
% Deficit to Norm (def0) 16.2% 73.2%
H0: Examinee = Norm Accept Accept Reject Reject
Probability (p0) 0.00158 0.00015 0.00006 0.00001
Level of Confidence 99.0% 99.0% 99.0% 99.0%
% Deficit to Opposing (def1) 19.9% 79.9%
H1: Side = Opposing Side Accept Accept Reject Reject
Probability (p1) 0.00000 0.00000 0.00000 0.00000
Coefficient of Variation (cov) 2.6% 66.7% 2.7% 15.7%
Consistency of Effort (coe) 95.2% 90.9% 91.1% 79.2%
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 (population mean) 80 0 80 0
Examinee (sample mean) 44.7 -14.1 35.9 -13.4
Examinee's Worst Effort (min) 27.9 -10.0 32.4 -8.8
Examinee's Best Effort (max) 66.7 -16.8 39.5 -20.2
Range of Effort (roe) 38.9 6.7 7.2 11.3
Standard deviation (sd) 12.42 2.15 2.96 3.71
Range of Motion (rom) 58.8 58.8 49.3 49.3
Degrees of Freedom (df) 11 11 6 5
% Deficit to Norm (def0) 88.3% 89.7%
H0: Examinee = Norm Reject Accept Reject Accept
Probability (p0) 0.00000 0.00000 0.00000 0.00015
Level of Confidence 95.0% 95.0% 95.0% 95.0%
% Deficit to Opposing (def1) 29.9% 2.4%
H1: Side = Opposing Side Accept Accept Reject Accept
Probability (p1) 0.04321 0.30523 0.04321 0.30523
Coefficient of Variation (cov) 27.8% 15.2% 8.3% 27.7%
Consistency of Effort (coe) 57.7% 92.7% 88.0% 84.9%
Summary 9: Thumb Kinematics
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Thumb MP Flexion Left 70 72.0 68.6 75.0 6.5 1.86 77.3 11 Accept 0.00158 99.0% Accept 0.00000 2.6% 95.2%
Thumb MP Extension Left 0 -5.3 0.0 -11.7 11.7 3.52 77.3 11 Accept 0.00015 99.0% Accept 0.00000 66.7% 90.9%
Thumb IP Flexion Left 80 44.7 27.9 66.7 38.9 12.42 58.8 11 88.3% Reject 0.00000 95.0% Accept 0.04321 27.8% 57.7%
Thumb IP Extension Left 0 -14.1 -10.0 -16.8 6.7 2.15 58.8 11 Accept 0.00000 95.0% Accept 0.30523 15.2% 92.7%
Thumb MP Flexion Right 70 64.3 62.4 66.3 4.0 1.72 38.7 6 16.2% Reject 0.00006 99.0% 19.9% Reject 0.00000 2.7% 91.1%
Thumb MP Extension Right 0 25.6 30.8 18.7 12.1 4.03 38.7 5 73.2% Reject 0.00001 99.0% 79.9% Reject 0.00000 15.7% 79.2%
Thumb IP Flexion Right 80 35.9 32.4 39.5 7.2 2.96 49.3 6 89.7% Reject 0.00000 95.0% 29.9% Reject 0.04321 8.3% 88.0%
Thumb IP Extension Right 0 -13.4 -8.8 -20.2 11.3 3.71 49.3 5 Accept 0.00015 95.0% 2.4% Accept 0.30523 27.7% 84.9%
  • 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 Kinematics:

Summary : FCE - KinCon Report
description side norm mean min max roe sd rom df def0 h0 p0 conf def1 h1 p1 cov coe
Cervical Flexion 45 80.5 76.4 83.8 7.3 3.74 150.5 2 Accept 0.00184 99.0% Accept 0.00592 4.6% 95.0%
Cervical Extension -45 -70.0 -67.4 -75.1 7.6 3.47 150.5 3 Accept 0.00037 99.0% Reject 0.00592 5.0% 95.4%
Cervical Lateral Flexion Left 45 48.4 45.0 50.8 5.8 2.71 97.2 3 Accept 0.04455 99.0% Accept 0.38436 5.6% 94.4%
Cervical Lateral Flexion Right -45 -48.8 -47.0 -50.7 3.7 1.53 97.2 3 Accept 0.00761 99.0% Accept 0.38436 3.1% 96.8%
Cervical Internal Rotation 60 83.8 81.6 86.6 5.0 2.18 173.3 3 Accept 0.00011 99.0% Accept 0.01656 2.6% 97.5%
Cervical External Rotation -60 -89.5 -84.4 -92.6 8.1 3.57 173.3 3 Accept 0.00024 99.0% Accept 0.01656 4.0% 95.9%
Shoulder Flexion Left 180 124.2 118.2 135.4 17.2 5.77 146.1 10 48.5% Reject 0.00000 99.0% Accept 0.00156 4.6% 92.1%
Shoulder Extension Left -50 -21.9 -12.3 -27.1 14.8 4.64 146.1 9 24.4% Reject 0.00000 99.0% Accept 0.02122 21.2% 93.6%
Shoulder Abduction Left 180 144.4 138.0 157.3 19.3 5.42 113.6 12 30.9% Reject 0.00000 99.0% Accept 0.29176 3.8% 90.5%
Shoulder Adduction Left -50 30.9 32.9 28.4 4.5 1.65 113.6 12 70.3% Reject 0.00000 99.0% 10.6% Reject 0.00000 5.3% 97.1%
Internal Shoulder Rotation Left 90 52.4 44.5 57.8 13.4 3.82 139.4 11 41.8% Reject 0.00000 99.0% 7.1% Reject 0.00162 7.3% 94.5%
External Shoulder Rotation Left -90 -87.0 -71.3 -96.6 25.3 8.08 139.4 11 3.3% Accept 0.11461 99.0% 6.7% Accept 0.04993 9.3% 88.4%
Elbow Flexion Left 140 152.7 140.2 158.1 17.8 5.13 102.1 9 Accept 0.00001 99.0% Accept 0.00934 3.4% 89.9%
Elbow Extension Left 0 50.6 60.9 45.3 15.7 4.70 102.1 8 72.2% Reject 0.00000 99.0% 58.3% Reject 0.00000 9.3% 90.8%
Wrist Flexion Left 60 78.1 76.6 80.0 3.4 1.18 123.0 7 Accept 0.00000 99.0% Accept 0.00000 1.5% 98.1%
Wrist Extension Left -60 -44.9 -42.1 -47.0 4.9 1.68 123.0 7 25.1% Reject 0.00000 99.0% Accept 0.00000 3.7% 97.3%
Wrist Ulnar Deviation Left 30 41.5 39.0 43.8 4.8 1.70 63.4 9 Accept 0.00000 99.0% Accept 0.00000 4.1% 94.6%
Wrist Radial Deviation Left -20 -21.9 -15.7 -26.8 11.1 3.43 63.4 10 Accept 0.04570 99.0% Accept 0.00000 15.6% 89.2%
Forearm Supination Left 80 99.4 98.3 101.7 3.5 1.09 185.4 8 Accept 0.00000 99.0% Accept 0.00000 1.1% 98.8%
Forearm Pronation Left -80 -86.0 -83.4 -87.9 4.5 1.64 185.4 9 Accept 0.00000 99.0% Accept 0.00130 1.9% 98.2%
Index finger MP Flexion Left 80 67.9 65.6 70.1 4.4 1.55 73.3 9 30.3% Reject 0.00000 99.0% Accept 0.00000 2.3% 95.8%
Index finger MP Extension Left 0 -5.4 -0.1 -7.1 7.0 2.24 73.3 8 Accept 0.00004 99.0% Accept 0.00000 41.3% 93.9%
Index finger PIP Flexion Left 80 101.8 90.8 115.5 24.7 9.80 110.4 9 Accept 0.00003 95.0% 2.2% Accept 0.38120 9.6% 82.2%
Index finger PIP Extension Left 0 -8.5 -6.7 -11.5 4.8 1.37 110.4 9 Accept 0.00000 95.0% Accept 0.00000 16.1% 97.5%
Index finger DIP Flexion Left 80 67.8 60.2 73.3 13.1 4.06 61.1 9 30.6% Reject 0.00000 95.0% Accept 0.00014 6.0% 86.7%
Index finger DIP Extension Left 0 6.7 9.7 3.4 6.3 1.75 61.1 9 16.7% Reject 0.00000 95.0% Accept 0.00004 26.2% 94.3%
Thumb MP Flexion Left 70 72.0 68.6 75.0 6.5 1.86 77.3 11 Accept 0.00158 99.0% Accept 0.00000 2.6% 95.2%
Thumb MP Extension Left 0 -5.3 0.0 -11.7 11.7 3.52 77.3 11 Accept 0.00015 99.0% Accept 0.00000 66.7% 90.9%
Thumb IP Flexion Left 80 44.7 27.9 66.7 38.9 12.42 58.8 11 88.3% Reject 0.00000 95.0% Accept 0.04321 27.8% 57.7%
Thumb IP Extension Left 0 -14.1 -10.0 -16.8 6.7 2.15 58.8 11 Accept 0.00000 95.0% Accept 0.30523 15.2% 92.7%
Shoulder Flexion Right 180 116.2 109.1 121.3 12.2 3.76 133.9 7 55.5% Reject 0.00000 99.0% 11.0% Reject 0.00156 3.2% 94.4%
Shoulder Extension Right -50 -17.7 -13.2 -21.4 8.2 2.94 133.9 7 28.1% Reject 0.00000 99.0% 5.7% Accept 0.02122 16.6% 95.6%
Shoulder Abduction Right 180 143.1 132.0 154.2 22.2 6.87 118.5 11 32.1% Reject 0.00000 99.0% 2.4% Accept 0.29176 4.8% 88.4%
Shoulder Adduction Right -50 24.6 26.4 22.6 3.8 0.99 118.5 11 64.9% Reject 0.00000 99.0% Accept 0.00000 4.0% 98.3%
Internal Shoulder Rotation Right 90 57.6 50.0 62.2 12.2 3.54 149.7 9 35.9% Reject 0.00000 99.0% Accept 0.00162 6.1% 95.3%
External Shoulder Rotation Right -90 -92.0 -83.7 -100.2 16.6 5.49 149.7 10 Accept 0.12330 99.0% Accept 0.04993 6.0% 92.7%
Elbow Flexion Right 140 147.2 142.5 151.7 9.2 3.39 136.4 7 Accept 0.00028 99.0% 10.8% Reject 0.00934 2.3% 95.0%
Elbow Extension Right 0 10.8 13.7 9.0 4.6 1.66 136.4 7 15.4% Reject 0.00000 99.0% Accept 0.00000 15.4% 97.6%
Wrist Flexion Right 60 57.3 53.4 60.3 6.9 2.44 78.9 6 4.5% Accept 0.01326 99.0% 33.8% Reject 0.00000 4.3% 93.8%
Wrist Extension Right -60 -21.6 -14.9 -27.3 12.4 4.24 78.9 6 64.0% Reject 0.00000 99.0% 37.9% Reject 0.00000 19.6% 89.3%
Wrist Ulnar Deviation Right 30 25.4 20.7 28.3 7.6 2.54 27.6 9 18.5% Reject 0.00014 99.0% 50.8% Reject 0.00000 10.0% 81.6%
Wrist Radial Deviation Right -20 -2.3 2.1 -5.9 8.0 2.94 27.6 8 70.9% Reject 0.00000 99.0% 62.0% Reject 0.00000 129.9% 78.7%
Forearm Supination Right 80 88.6 87.6 89.9 2.3 0.83 171.1 7 Accept 0.00000 99.0% 11.6% Reject 0.00000 0.9% 99.0%
Forearm Pronation Right -80 -82.5 -79.8 -85.7 5.9 2.47 171.1 7 Accept 0.01140 99.0% 3.7% Reject 0.00130 3.0% 97.1%
Index finger MP Flexion Right 80 41.9 30.0 58.2 28.2 10.83 34.3 7 95.4% Reject 0.00001 99.0% 71.0% Reject 0.00000 25.9% 36.8%
Index finger MP Extension Right 0 7.6 11.2 4.8 6.3 1.95 34.3 6 19.0% Reject 0.00002 99.0% 35.5% Reject 0.00000 25.7% 88.6%
Index finger PIP Flexion Right 80 103.0 101.9 104.0 2.0 0.78 103.3 6 Accept 0.00000 95.0% Accept 0.38120 0.8% 98.5%
Index finger PIP Extension Right 0 -0.3 1.6 -2.0 3.6 1.22 103.3 7 Accept 0.22906 95.0% 14.8% Reject 0.00000 360.2% 97.6%
Index finger DIP Flexion Right 80 59.9 58.2 63.1 4.9 1.88 49.5 6 50.1% Reject 0.00000 95.0% 25.6% Reject 0.00014 3.1% 92.4%
Index finger DIP Extension Right 0 10.5 11.8 8.7 3.1 1.11 49.5 7 26.2% Reject 0.00000 95.0% 12.4% Reject 0.00004 10.6% 95.5%
Thumb MP Flexion Right 70 64.3 62.4 66.3 4.0 1.72 38.7 6 16.2% Reject 0.00006 99.0% 19.9% Reject 0.00000 2.7% 91.1%
Thumb MP Extension Right 0 25.6 30.8 18.7 12.1 4.03 38.7 5 73.2% Reject 0.00001 99.0% 79.9% Reject 0.00000 15.7% 79.2%
Thumb IP Flexion Right 80 35.9 32.4 39.5 7.2 2.96 49.3 6 89.7% Reject 0.00000 95.0% 29.9% Reject 0.04321 8.3% 88.0%
Thumb IP Extension Right 0 -13.4 -8.8 -20.2 11.3 3.71 49.3 5 Accept 0.00015 95.0% 2.4% Accept 0.30523 27.7% 84.9%
  • Number of tests where Examinee performed subnormal: 27 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: 3 of 24
  • Number of tests where Examinee performed worse on Right Side than on Left Side: 16 of 24

Significant Findings FCE - KinCon Report:

10. Conclusions

More information...

Conclusions
Date:
Name: Removed for privacy
Title:
Reference:
Conclusions:
Recommendations:
Independently verified by
Date:
Name: Removed for privacy
Title:
Reference:
Comments:
Reference: /wizard/product/reports/sample007
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