|
Acute NP
|
Acute EP
|
|
Corrective NP
|
Corrective EP
|
|
Rehabilitative NP
|
Rehab EP
|
|
Tx Frequency (#/wks)
/
|
|
|
|
|
|
SFMA
• • •
|
Palpation
|
|
Muscle Testing
• • •
|
|
|
|
|
|
JMD
• • •
|
TED
• • •
|
|
SMCD
• • •
|
Orthopedic Tests
• • •
|
|
|
|
|
Select Joint
|
Pain/Weakness
• • •
|
|
Flexion
|
Extension
|
|
L Flexion
|
R Flexion
|
|
L Extention
|
R Extension
|
|
L Lateral Flexion
|
R Lateral Flexion
|
|
L Plantar flexion
|
R Plantar Flexion
|
|
L Dorsi Flexion
|
R Dorsi Flexion
|
|
L Inversion
|
R Inversion
|
|
L Eversion
|
R Eversion
|
|
L Internal Rotation
|
R Internal Rotation
|
|
L External Rotation
|
R External Rotation
|
|
L Abduction
|
R Abduction
|
|
L Adduction
|
R Adduction
|
|
L Supination
|
R Supination
|
|
L Pronation
|
R Pronation
|
|
|
|
|
Total Duration of Visit
|
|
|
97140 minutes/units
/
|
97110 minutes/units
/
|
|
97112 minutes/units
/
|
|
|
|
|
|
Home Advice
• • •
|
|
