Title 38 has only one standard exam position for measuring knee extension/flexion, that is the sitting position. See TITLE 38 § 4.71 Plate II (the official version at GPO Website or the hard copy, not VA Website.) I see QTC measuring standing, sitting, laying down, or whatever they want. Each position can give different results (5 degrees, 10 degrees or whatever.) What is often done is the QTC 'examiner' picks the least favorable measurement for the Vet and submits that to VA. Most Vets do not even know they are being screwed. The BDQ does not even say what position to use, so even your own doctor can be using a less favorable (unauthorized) position. The VA Rater has no way to know (and may not even care) what position was used unless the examiner messes up and mentions it. Has anyone ever noticed this and fought against said circumnavigation of Title 38?