Assesment Performa for Upper Extermity
ArmComponent Normal Value (degrees) Rt. Side Lt. Side Loss of % Rt. Side Loss of % Lt Side Mean % Loss RtLt. Sum of % Loss Rt.Lt. Combining Value Rt.Lt % summary value for component
Range of Movement (Active ) Value 90% Shoulder 1. 1. Flexion-Extension are
2. Rotation are
3. Adduction- Abduction are
0-2200-1800-180              
Range of Movement (Active ) Value 90% Wrist 1. 1. Dorsiflexion Palmarflexion are
2. Radial - Ulnardeviation are
0-1600-55              
Muscle Strength Value 90% Shoulder 1. 1. 1. Flexion
2. Extension
3. Rotation -Ext
4. Rotation - Int.
5. Abduction
6. Adduction
               
Muscle Strength Value 90%Elbow 1. 1. Flexion
2. Extension
3. Pronation
4. Supination
               
Muscle Strength Value 90%Wrist 1. 1. Dorsiflexion 2. Palmar flexion3. Radial deviation4. Ulnardeviation                
Co-ordinated activities Value 90% 1. Lifting overhead objects remove and placing at the same place -99%
2. Touching nose with end of the Extremity - 99%
3. Eating Indian Style - 99%
4. Combing and plaiting - 99%
5. Putting on a shirt /kurta - 99%
6. Ablution glass of water - 99%
7. Drinking glass of water - 99%
8. Buttoning - 99%
9. Tie Nara Dhoti - 99%
10.Writing - 99%