| Postural Findings |  | 
| SHOULDER |  | 
| Shoulder ROM - Active/Passive |  | 
| (L) Abduction /180/ | (R) Abduction /180/ | 
| (L) Horizontal Adduction /50/ | (R) Horizontal Adduction /50/ | 
| (L) Internal Rotation /90/ | (R) Internal Rotation /90/ | 
| (L) External Rotation /90/ | (R) External Rotation /90/ | 
| (L) Flexion /180/ | (R) Flexion /180/ | 
| (L) Extension /50/ | (R) Extension /50/ | 
| Reproduction of Pain/Symptoms• • • | Notes | 
| Shoulder Manual Muscle Testing (MMT) |  | 
| Findings |  | 
| Shoulder Orthopedic Tests |  | 
| Findings |  | 
| Shoulder Soft Tissue Findings |  | 
| Shoulder Soft Tissue: 1• • • | Finding(s)• • • | 
| Shoulder Soft Tissue: 2• • • | Finding(s)• • • | 
| Shoulder Soft Tissue: 3• • • | Finding(s)• • • | 
| Notes |  | 
| Shoulder Joint Findings |  | 
| Joint: 1• • • | Restriction• • • | 
| Joint: 2• • • | Restriction• • • | 
| Joint: 3• • • | Restriction• • • | 
| Notes |  | 
| Neuromuscular Patterns |  | 
| Findings |  | 
| Additional Shoulder Findings |  | 
| Findings |  | 
| ELBOW |  | 
| Elbow ROM - Active/Passive |  | 
| (L) Flexion /150/ | (R) Flexion /150/ | 
| (L) Extension /0/ | (R) Extension /0/ | 
| (L) Supination /90/ | (R) Supination /90/ | 
| (L) Pronation /90/ | (R) Pronation /90/ | 
| Reproduction of Pain/Symptoms• • • | Notes | 
| Elbow Manual Muscle Testing (MMT) |  | 
| Findings |  | 
| Elbow Orthopedic Tests |  | 
| Findings |  | 
| Elbow Soft Tissue Findings |  | 
| Elbow Soft Tissue: 1• • • | Finding(s)• • • | 
| Elbow Soft Tissue: 2• • • | Finding(s)• • • | 
| Elbow Soft Tissue: 3• • • | Finding(s)• • • | 
| Notes |  | 
| Elbow Joint Findings |  | 
| Joint: 1• • • | Restriction• • • | 
| Joint: 2• • • | Restriction• • • | 
| Joint: 3• • • | Restriction• • • | 
| Notes |  | 
| Additional Elbow Findings |  | 
| Findings |  | 
| WRIST/HAND |  | 
| Wrist/Hand ROM - Active/Passive | (R) Flexion /90/ | 
| (L) Flexion /90/ | (R) Extension /70/ | 
| (L) Extension /70/ | (R) Radial Deviation /20/ | 
| (L) Radial Deviation /20/ | (R) Ulnar Deviation /55/ | 
| (L) Ulnar Deviation /55/ | (R) Thumb Flexion /50/ | 
| (L) Thumb Flexion /50/ | (R) Thumb Extension /50/ | 
| (L) Thumb Extension /50/ | (R) Thumb Abduction /70/ | 
| (L) Thumb Abduction /70/ | (R) Thumb Adduction /30/ | 
| (L) Thumb Adduction /30/ | Notes | 
| Reproduction of Pain/Symptoms• • • |  | 
| Wrist/Hand Manual Muscle Testing (MMT) |  | 
| Findings |  | 
| Wrist/Hand Orthopedic Tests |  | 
| Findings |  | 
| Wrist/Hand Soft Tissue Findings |  | 
| Wrist/Hand Soft Tissue: 1• • • | Finding(s)• • • | 
| Wrist/Thumb Soft Tissue: 2• • • | Finding(s)• • • | 
| Wrist/Thumb Soft Tissue: 3• • • | Finding(s)• • • | 
| Notes |  | 
| Wrist/Hand Joint Findings |  | 
| Joint: 1• • • | Restriction• • • | 
| Joint: 2• • • | Restriction• • • | 
| Joint: 3• • • | Restriction• • • | 
| Notes |  | 
| Additional Wrist/Hand Findings |  | 
| Findings |  | 

