Shoulder Grading Rubric

History ***Total_____/8 (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)

The student should be able to identify at least 10 good history questions. These include, but are not limited to:

___ What happened	___ How did it happen	___ Sounds/sensations
___ Direction of forces applied	___ Location of pain	___ Type of pain
___ Rate pain level	___ Radiating pain	___ Referred pain
___ Movement ↑ or ↓ pain	___ Pain constant/intermittent	___ Previous injury
___ Length of symptoms	___ Previous Rx	___ Sleeping problems
___ Onset (Acute or Chronic)	___ Medication(s)	___ Night pain
___ Changes in daily routine	___ Is this your dominant arm	___ Decreased velocity
___ Altered sensations (e.g., Vertigo, tinnitus, paresthesia, snapping)	___ Previous history of shoulder, elbow, wrist, or hand problems/pain	___ When is the pain the worst: morning, noon, night, before, during, after practice

Observation ***Total____/8 (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)

The student should be able to identify at least 10 good observation points. These include, but are not limited to:

___ Bilateral comparison	___ Deformity	___ Swelling
___ Symmetry of gait	___ Head and neck position	___ Skin color
___ Scars/lacerations	___ Atrophy/hypertrophy	___ Clothing removal
___ Apley's scratch test	___ Sulcus sign	___ Raised AC joint
___ Winging scapula	___ Step deformity	___ Facial expressions
___ Level of scapula, shoulder, clavicle	___ Posture (e.g., Kyphosis, lordosis, scoliosis, FHP, swayback)

Palpations ***Total___/11 (Palpations)

Bony Palpation - Reasons for bony palpation: AT palpates for: Total 2 points____ (.5 each)

_____ Point tenderness

_____ Deformity

_____ Crepitus

_____ Symmetry

Reasons for boney tissue palpations

Bony Palpations

___ Clavicle	___ AC Joint	___ Acromion Process
___ Spine of Scapula	___ Greater Tuberosity of Humerus

Soft Tissue Palpation - Reasons for soft tissue palpation: AT palpates for: Total 2 points(.5 each)_______

_____Point tenderness

______Symmetry

______ Spasm/tone

______Swelling/warmth

Reason for soft tissue palpations

Soft Palpations

Rotator Cuff

___ Supraspinatus

___ Infraspinatus

___ Teres Minor

___ Subscapularis

___ Deltoids

____ Trapezius

Range of Motion ***Total_____/3 (ROM)*** (1 point each)

Special tests ***Total_______/16 (Special Tests) (1 each)

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