

Outpatient Physical Therapy Improvement in Movement Assessment Log
Area of Assessment
Balance – Non-vestibularCoordination
Dexterity
Functional Mobility
Gait
Upper Extremity Function
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Western Ontario and McMaster Universities Osteoarthritis Index
Area of Assessment
Activities of Daily LivingFunctional Mobility
Gait
General Health
Pain
Quality of Life
Time
minutesAssessment Type
Patient Reported Outcomescost
Not FreeRehabilitation Measure

Fear-Avoidance Beliefs Questionnaire
Area of Assessment
Activities of Daily LivingBehavior
Functional Mobility
General Health
Life Participation
Mental Health
Motivation
Occupational Performance
Pain
Personality
Quality of Life
Self-efficacy
Stress & Coping
Time
minutes , Depends on the patient's cognitive abilitiesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Shoulder Pain And Disability Index
Area of Assessment
Activities of Daily LivingFunctional Mobility
Life Participation
Pain
Range of Motion
Strength
Upper Extremity Function
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Western Ontario Shoulder Instability Index
Area of Assessment
Activities of Daily LivingBehavior
Functional Mobility
General Health
Life Participation
Mental Health
Motivation
Occupational Performance
Pain
Patient Satisfaction
Quality of Life
Range of Motion
Sleep
Strength
Stress & Coping
Upper Extremity Function
Time
minutes , Estimated 3 minutes to administer, 6 minutes to scoreAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

McGill Pain Questionnaire Short-Form
Area of Assessment
CognitionCommunication
Language
Negative Affect
Pain
Positive Affect
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Quick Disabilities of Arm, Shoulder & Hand
Area of Assessment
Activities of Daily LivingCommunication
Coordination
Dexterity
Eating
Functional Mobility
General Health
Life Participation
Occupational Performance
Pain
Quality of Life
Sleep
Social Relationships
Social Support
Strength
Upper Extremity Function
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Foot and Ankle Ability Measures
Area of Assessment
Activities of Daily LivingFunctional Mobility
Gait
Life Participation
Occupational Performance
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Bad Sobernheim Stress Questionnaire - Deformity
Area of Assessment
Quality of LifeLife Participation
Stress & Coping
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Scoliosis Research Society 22-Item/30-Item
Area of Assessment
Activities of Daily LivingLife Participation
Mental Health
Pain
Patient Satisfaction
Positive Affect
Quality of Life
Social Relationships
Stress & Coping
Time
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure

Bad Sobernheim Stress Questionnaire - Brace
Area of Assessment
Quality of LifeStress & Coping
Time
minutesAssessment Type
Patient Reported Outcomescost
FreeRehabilitation Measure

Community Health Model Activities Program for Seniors Physical Activity Questionnaire
Area of Assessment
Activities of Daily LivingTime
minutesAssessment Type
Patient Reported Outcomescost
$0.00Rehabilitation Measure