Shoulder Injury Questionnaire

SHOULDER QUESTIONNAIRE - All-Star Orthopaedics
SHOULDER QUESTIONNAIRE Patient Name: _____ DOB Please give the date of your injury: _____ Or is it : [ ] ONGOING PAIN 4. How long have you had this pain ... Document Viewer

Www.montereybayurgentcare.com
Patient Name Employer (at time of injury) Type of Business Last Date Worked OCCUPATIONAL INJURY OR ILLNESS QUESTIONNAIRE Date of Birth Date of Injury ... Get Document

The Back Pain Quiz - About.com
Back Pain Quiz. Back pain is a very common condition. Four out of 5 people will actually experience low back pain sometime in their life. How much do you know about back pain? ... Read Article

Rheumatism - Wikipedia, The Free Encyclopedia
Rheumatism or rheumatic disorder is an umbrella term for conditions causing chronic, often intermittent pain affecting the joints and/or connective tissue. ... Read Article

Questionnaire for New Patients – Shoulder Injury David M. Lintner MD Methodist Sports Medicine 713 441 3560 – Phone 713 790 2054 – Fax ... Retrieve Here

SPORTS INJURY SHOULDER FUNCTION ASSESSMENT QUESTIONNAIRE
Title: SPORTS INJURY SHOULDER FUNCTION ASSESSMENT QUESTIONNAIRE Author: gaynor kanes Last modified by: Simon Roberts Created Date: 8/10/2004 12:00:00 PM ... View Document

PENN SHOULDER SCORE 3 - Elite Rehab Solutions
PENN SHOULDER SCORE Part II: Function: Please circle the number that best describes the level of difficulty you might have performing each activity. ... Retrieve Full Source

Allan Langer - Wikipedia, The Free Encyclopedia
Langer made his debut for the Australian test side against Papua New Guinea due to a shoulder injury to Sterling. [13] 1996 Allan Langer; 1998 Andrew Johns; 1999 Andrew Johns; 2000 Trent Barrett; 2001 Preston Campbell; 2002 Andrew Johns; 2004 Danny Buderus; ... Read Article

shoulder Injury Questionnaire - Gardiner Family Chiropractic
GARDINER FAMILY CHIROPRACTIC SHOULDER INJURY QUESTIONNAIRE Name _____ Date _____ The purpose of this questionnaire is to measure your perceived ... Get Doc

Work-Related Injury Questionnaire
ABOVE SHOULDER LEVEL AT SHOULDER Work-Related Injury Questionnaire Author: TP Last modified by: DP Created Date: 8/29/2008 1:14:00 PM Company: TP Other titles: Work-Related Injury Questionnaire ... Read Full Source

Shoulder Questionnaire - Page One
Shoulder Questionnaire - Page One Appointment Date: ID: Patient Name: OrthoWest Physician: Referring Physician: Receptionist: Kirk S. Hutton, M.D. Did you have an injury at the onset of symptoms? oYes oNo If yes, was it work related? ... Fetch Content

Musculoskeletal Injuries: An Occupational Health And Safety ...
A work related injury. Introduction The general, obstetrics and gynecology, vascular and cardiac ultrasound sections were inspected. A questionnaire on ¨ pain - localized and/or general mainly in the neck, shoulder and arms. ... Visit Document

SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION Please Rate Your ...
Courtesy of the American Shoulder and Elbow Surgeons. SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION Name: _____ Date: _____ Please rate your ability to do the following common tasks as they relate to your injured ... Fetch Content

Pain Questionnaire Shoulder - Jeter, M.D
SHOULDER PAIN QUESTIONNAIRE. Which shoulder is bothering you? _____ Are you right or left handed? _____ Did your shoulder pain start with a specific injury? ... Return Doc

SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION
SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION Please rate your ability to do the following common tasks as they relate to your injured shoulder. Mark one answer to each question. TASK Normal Mild Compromise Difficult Very Difficult (with aid) Unable 1. Use back pocket ... Access Content

Skeletal Survey - Wikipedia, The Free Encyclopedia
A skeletal survey is a series of X-rays of all the bones in the body, Skeletal surveys are also used with suspected non accidental injury in children Shoulder surgery. Shoulder replacement; Bankart repair; ... Read Article

The Carpal Tunnel Syndrome Screening Quiz - About.com
Carpal Tunnel Syndrome Screening Quiz. The median nerve travels from the forearm into your hand through a "tunnel" in your wrist. The bottom and sides of this tunnel are formed by wrist bones. ... Read Article

Ulnar Nerve Test - YouTube
Ulnar Nerve Test Sheena Livingstone. Subscribe Subscribed Unsubscribe 1,398 1K. Loading Loading Working Add to. Want to watch this again later? Sign in to add this video to a playlist. Sign in. Share More. Report. ... View Video

SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION
SHOULDER INJURY SELF-ASSESSMENT OF FUNCTION. RATING SCALE OF THE AMERICAN SHOULDER AND ELBOW SURGEONS NAME_____ DATE_____ AGE_____ SCORE_____ PAIN: (5=None; 4= slight; 3=after unusual activity; 2=moderate; 1=marked; 0=complete disability: _____) FUNCTION: (4 ... Retrieve Doc

Shoulder Pain Questionnaire - Sjsmo.com
Shoulder Pain Questionnaire Name_____ Which shoulder is bothering you? Left Right Both Are your left handed or right handed? ... Doc Viewer

Shoulder Scoring Scales For The Evaluation Of Rotator Cuff ...
Shoulder Scoring Scales for the Evaluation of Rotator Cuff Repair Anthony A. Romeo, MD*; Augustus Mazzocca, Shoulder Test is a patient-based self-assessment device that An extensive patient-administered questionnaire was com- ... Retrieve Full Source

SECOND INJURY FUND EMPLOYEE QUESTIONNAIRE - LCI
SECOND INJURY FUND EMPLOYEE QUESTIONNAIRE Shoulder injury? Yes [ ] Yr _____No [ ] Elbow injury? Yes Your answers in this questionnaire will be used to establish our prior knowledge. We will keep this information Confidential. ... Fetch Here