| (L) Shoulder | (R) Shoulder | 
| Pain Diagram |  | 
| Observation | Observation WNL | 
| Bruising | [+] Bruising Comments• • • | 
| Swelling | [+] Swelling Comments• • • | 
| Redness | [+] Redness Comments• • • | 
| ABN Posture• • • | Atrophy• • • | 
| AC Joint Step Defect | GH Sulcus Sign | 
|  | Observation Comments | 
| Shoulder ROM Exam | ROM WNL | 
| Flexion (180) | Flexion Symptoms• • • | 
| Extension (50) | Extension Symptoms• • • | 
| Abduction (180) | ABD Symptoms• • • | 
| Adduction (35) | ADD Symptoms• • • | 
| Internal Rotation (90) | IR Symptoms• • • | 
| External Rotation (80) | ER Symptoms• • • | 
| Horizontal ABD (30) | Horiz. ABD Symptoms• • • | 
| Horizontal Adduction (130) | Horiz. ADD Symptoms• • • | 
| [+} Painful Arc• • • |  | 
| Motor Function |  | 
| Grade 5/5• • • | Grade 4/5• • • | 
| Grade 3/5• • • | Grade 2/5• • • | 
| Grade 1/5• • • | Grade 0/5• • • | 
| Pain with MMT• • • |  | 
| Othopedic Tests |  | 
| Codman's Test | [+] Codman's Test• • • | 
| Dugas Test | [+] Dugas Test• • • | 
| Apley's Test | [+] Apley's Test• • • | 
| Lift-Off Test |  | 
| Hawkins-Kennedy Test | [+] Hawkins-Kennedy Test• • • | 
| Neer's Test | [+] Neer's Test• • • | 
| Empty Can Test | [+] Empty Can Test• • • | 
| Speed's Test |  | 
| Yergason's Test | [+] Yergason's Test• • • | 
| Clunk Test | [+] Clunk Test• • • | 
| Crank Test | [+] Crank Test• • • | 
| O'Brien's Test | [+] O'Brien's Test• • • | 
| Kim Test |  | 
| Anterior Apprehension Test | [+] Anterior Apprehension Test• • • | 
| Posterior Apprehension Test | [+] Posterior Apprehension Test• • • | 
| Load & Shift Test | [+] Load & Shift Test• • • | 

