brokensoldier244th

May 27, 2015

Thanks, all. I hope it is schedular. I don't want to have to look aver my shoulder all the time if I volunteer or something

May 26, 2015

I feel very fortunate to have the GF that I have. I am 64 and she is 28.

She understands my ED situation and has no problem with it because there are other things that we can do, that she loves. We are on our 2nd year of being together and we are having a great time.

All you need to do is become creative and then the ED issue goes away....That extra SMC-K $100 helps.

OSC

Creativity, comfort, and patience is the key. Ive been married for 18 yrs, and have gradually lost erectile function over the last 10 since I was discharged. We 'used' to be able to walk a bed across a floor. Now, not so much, but understanding, knowing each other pretty well, and patience helps weather it. Sometimes it is like making out in HS- most of the time you didnt get to finish that, either, but it was fun while you were there.

May 26, 2015

C&P mental notes

Beck score 41, Notes from C&P below

Source: VA

Last Updated: 25 May 2015 @ 2301

Sorted By: Date/Time (Descending)

VA Notes from January 1, 2013 forward are available 3 calendar days after

they have been completed and signed by all required members of your VA

health care team. If you have any questions about your information please

visit the FAQs or contact your VA health care team.

=========================================================================

Date/Time: 20 May 2015 @ 1054

Date/Time Signed: 20 May 2015 @ 1054

-------------------------------------------------------------------------

LOCAL TITLE: MENTAL HEALTH DIAGNOSTIC STUDY NOTE

STANDARD TITLE: MENTAL HEALTH DIAGNOSTIC STUDY NOTE

DATE OF NOTE: MAY 20, 2015@10:54:12 ENTRY DATE: MAY 20, 2015@10:54:12

.

Beck Depression Inventory--Second Edition

Date Given: 05/20/2015

Location: L/C&p Local Ro Psy-Review-X

Veteran: S

DOB: Nov (38)

Gender: Male

BDI2 Score: 41 indicates severe depression. The overall range is 0 to 63

with severe depression above 29.

Questions and answers

1. I am sad all the time (2 points)

2. I do not expect things to work out for me (2 points)

3. I feel I am a total failure as a person (3 points)

4. I get very little pleasure from the things I used to enjoy (2 points)

5. I feel quite guilty most of the time (2 points)

6. I don't feel I am being punished (0 point)

7. I am disappointed in myself (2 points)

8. I blame myself for everything bad that happens (3 points)

9. I don't have any thoughts of killing myself (0 point)

10. I cry more than I used to (1 point)

11. I am no more restless or wound up than usual (0 point)

12. It's hard to get interested in anything (3 points)

13. I have much greater difficulty in making decisions than I used to (2

points)

14. I feel more worthless as compared to other people (2 points)

15. I don't have enough energy to do very much (2 points)

16. I sleep a lot more than usual (2 points)

17. I am irritable all the time (3 points)

18. My appetite is much greater than usual (2 points)

19. I find I can't concentrate on anything (3 points)

20. I am too tired or fatigued to do most of the things I used to do (3 points)

21. I am much less interested in sex now (2 points)

Second Edition (BDI-II). Copyright © 1996 Aaron T. Beck. Reproduced,

adapted and translated with permission of Publisher NCS Pearson, Inc. All

rights reserved.

Information contained in this note is based on a self-report assessment

and is not sufficient to use alone for diagnostic purposes. Assessment results

should be verified for accuracy and used in conjunction with other diagnostic

activities and procedures.

-------------------------------------------------------------------------

=========================================================================

Date/Time: 20 May 2015 @ 1000

Note Title: C&P MENTAL DISORDERS

Location: VA CENTRAL PLAINS HEALTH NETWORK - OMAHA DIVISION

Date/Time Signed: 21 May 2015 @ 1837

-------------------------------------------------------------------------

LOCAL TITLE: C&P MENTAL DISORDERS

STANDARD TITLE: MENTAL HEALTH C & P EXAMINATION CONSULT

DATE OF NOTE: MAY 20, 2015@10:00 ENTRY DATE: MAY 21, 2015@18:37:07

AUTHOR: AMES H EXP COSIGNER:

URGENCY: STATUS: COMPLETED

Mental Disorders

(other than PTSD and Eating Disorders)

Disability Benefits Questionnaire

Name of patient/Veteran:

SECTION I:

----------

1. Diagnosis

------------

a. Does the Veteran now have or has he/she ever been diagnosed with a mental

disorder(s)?

[X] Yes[ ] No

ICD code: 296.23

If the Veteran currently has one or more mental disorders that conform to

DSM-5 criteria, provide all diagnoses:

Mental Disorder Diagnosis #1: Major Depressive Disorder, Severe without

psychosis

ICD code: 296.23

b. Medical diagnoses relevant to the understanding or management of the

Mental Health Disorder (to include TBI): None

2. Differentiation of symptoms

------------------------------

a. Does the Veteran have more than one mental disorder diagnosed?

[ ] Yes[X] No

c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?

[ ] Yes[ ] No[X] Not shown in records reviewed

3. Occupational and social impairment

-------------------------------------

a. Which of the following best summarizes the Veteran's level of

occupational

and social impairment with regards to all mental diagnoses? (Check only

one)

[X] Total occupational and social impairment

b. For the indicated level of occupational and social impairment, is it

possible to differentiate what portion of the occupational and social

impairment indicated above is caused by each mental disorder?

[ ] Yes[ ] No[X] No other mental disorder has been diagnosed

c. If a diagnosis of TBI exists, is it possible to differentiate what

portion

of the occupational and social impairment indicated above is caused by

the

TBI?

[ ] Yes[ ] No[X] No diagnosis of TBI

SECTION II:

-----------

Clinical Findings:

------------------

1. Evidence review

------------------

a. Medical record review:

Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed?

[X] Yes[ ] No

Was the Veteran's VA claims file (hard copy paper C-file) reviewed?

[X] Yes[ ] No

If yes, list any records that were reviewed but were not included in

the Veteran's VA claims file:

The VBMS fiel whihc is the electronic claims file is reviewed.

b. Was pertinent information from collateral sources reviewed?

[X] Yes[ ] No

If yes, describe:

Statement from Veteran's Wife - Buddy Statement.

2. History

----------

a. Relevant Social/Marital/Family history (pre-military, military, and

post-military):

The veteran is married to Kolette to whom he has been married for 16

years. They have four children: Trevelian (15); Briallen (12);

Rowen (11); and Haevyn (6). The veteran has special time with Haevyn

in

the evening. His oldest child is now going to movies wiht her friends.

His wife is a theatre manager and "we dont see each other a whole

lot.... I am on FMLA leave until they terminate me."

The veteran stated that he has been at home for the past 3 months on

FMLA. he has had a hard time getting motivated to do dishes, cleaning

in house, etc. The veteran stated that his wife and he have a white

board, for his to do list and to schedule his time.

The veteran will wear his clothes many days in a row. He may cook

simple meals such as boiling noods or cooking pizza rolls, or frozen

pizzas. His shopping lists are random and non directed.

The veteran stated that he has one friend who has "bipolary type

issues", but other than that he does not have any one with whom he

associates with.

b. Relevant Occupational and Educational history (pre-military, military,

and

post-military):

For the past few years the veteran has worked for a health care

solutions provider such as RFID and WiFi Tagging (Arrow Scout Product).

The veteran has been doing basic door locks and wires, and now had to

step away from the work. Teh veteran stated that he is getting spacy

and

"things that I should know... command line stuff... and basic

communication is not consistent with good professional business... the

days I am on I am on but days I am off it's off... they cant isolate me

from others... I have a long list of absences such as 38 times last

year....". The veteran is on FMLA. The veteran has applied at other

businesses in town "but because of reference and performance issues...

requirements I come here weekly... the places say that while we would

like to hire you you have these issues...". The veteran stated that he

has been in trouble for markedly irritability and outbursts of anger

with others at work. Many times trainees ask for others to teach them,

although he is an expert on certain systems.

c. Relevant Mental Health history, to include prescribed medications and

family mental health (pre-military, military, and post-military):

The veteran is seeing Dr. Fl about one time per week. However, in

the past three weeks veteran missed an appointment as he was not

feeling

well, Dr. Fl had to reschedule due to life circumstances, and

then

they are coordinating now for the next appointment.

d. Relevant Legal and Behavioral history (pre-military, military, and

post-military):

None.

e. Relevant Substance abuse history (pre-military, military, and

post-military):

None reported.

f. Other, if any:

I have reviewed the record by Stanley M of Stanely Healthcare.

Customer compaints are noted for sarcastic outburts, lapses in

concentration on a daily basis, he is an emoitonal roler coaster at

work

and lacks the subtle socal skills. He is an extrem liability with the

client base of hopsitals and elder care facilities.

3. Symptoms

-----------

For VA rating purposes, check all symptoms that actively apply to the

Veteran's diagnoses:

[X] Depressed mood

[X] Near-continuous panic or depression affecting the ability to function

independently, appropriately and effectively

[X] Chronic sleep impairment

[X] Mild memory loss, such as forgetting names, directions or recent

events

[X] Impairment of short- and long-term memory, for example, retention of

only highly learned material, while forgetting to complete tasks

[X] Flattened affect

[X] Impaired judgment

[X] Disturbances of motivation and mood

[X] Difficulty in establishing and maintaining effective work and social

relationships

[X] Di

fficulty in adapting to stressful circumstances, including work or a

worklike setting

[X] Inability to establish and maintain effective relationships

[X] Neglect of personal appearance and hygiene

[X] Intermittent inability to perform activities of daily living,

including maintenance of minimal personal hygiene

Behavioral observations:

N/A

4. Other symptoms

-----------------

Does the Veteran have any other symptoms attributable to mental disorders

that are not listed above?

[ ] Yes[X] No

5. Competency

-------------

Is the Veteran capable of managing his or her financial affairs?

[X] Yes[ ] No

6. Remarks (including any testing results), if any:

---------------------------------------------------

DBQ PSYCH Mental disorders:

Please review the Veteran's electronic folder in VBMS and state that it was

reviewed in your report.

The Veteran is service connected for major depressive disorder (claimed as

depression and chronic pain) which is currently evaluated at 70%. Please

evaluate for the current level of severity of the Veteran's service

connected disability. If the diagnosis rendered is different from the

disability for which the Veteran is service connected, please indicate

whether the Veteran's current diagnosis is a progression of the service

connected disability or the original diagnosis was in error.

***Please comment on the effect of the Veteran's service connected

disabilities on his or her ability to function in an occupational

environment and describe any identified functional limitations. Please

refrain from opining on if the veteran is unemployable or employable;

instead focus and reflect on the functional impairments and how these

impairments impacts occupational and employment activities.

.............................................................................

.............................................................................

............................

SUMMARY: The VBMS file is reviewed.

The veteran is seen today for current serverity of service related Major

Depressive Disorder. the veteran's MDD is severe. He is involved with

psychiatric intervention with two medications as well as intervetion with

Dr.

F to address the psychotherapeutic aspects of his mental disorder. I

have reviewed the veteran's statment from his employer as well as his wife's

letter. The veteran's MDD would lead to Total Social and Occupational

functioning impairment. The veteran's functional restrictions are:

Functional Restrictions due to service related MDD:

Shopping: Moderate

Hygiene: Severe

Cooking: Moderate

Driving: Moderate

Cleaning: Severe

Toileting: None

Dressing: None

May 24, 2015

Hang in there, bud. 70% here. It sucks. If you are having a good day you are sleepy from meds, if you are having a bad day you dont care if you are sleepy, or much of anything else.

Buck52 · May 24, 2015

damn Buck. Some of that rings true for me, also. Fell from a faulty obstacle fractured vert., 2 fragmented discs in lumbar and sacral. Im only 38 and luckily for me I grew up military so I knew about VA care. Glad that your guy got some of the help that he needed.

May 24, 2015

What's the difference? Both are a win

May 23, 2015

Looking over what MyHealth has, I guess I have a Beck score of 41, whatever that means in the whole thing. My actual C/P notes are not there yet, though.

Navy4life · May 23, 2015

Prep for decision. The RO has my physical and mental results already.

And a long weekend.

And with my In laws all weekend, too.

May 22, 2015

Very true. Good point. Thanks!

CAS

May 22, 2015

I know, but my reasoning for iu was mental not physical. That's why I'm not as worried about it.

May 22, 2015

That looks pretty positive for contribution to an increase on your part. I still have partial motion (15 or so degrees) Good on you.

CFR 38 sec 4.71a

May 22, 2015

Here are the notes from my physical GM exam for IU. I had a mental one as well, which was my primary reason for filing for IU so Im not as worried about this one. Thoughts, though?

Male Reproductive System Conditions

Disability Benefits Questionnaire

Name of patient/Veteran: Satterfield, Cedric

Indicate method used to obtain medical information to complete this

document:

[ ] Review of available records (without in-person or video telehealth

examination) using the Acceptable Clinical Evidence (ACE) process

because

the existing medical evidence provided sufficient information on which

to

prepare the DBQ and such an examination will likely provide no

additional

relevant evidence.

[ ] Review of available records in conjunction with a telephone interview

with the Veteran (without in-person or telehealth examination) using the

ACE process because the existing medical evidence supplemented with a

telephone interview provided sufficient information on which to prepare

the DBQ and such an examination would likely provide no additional

relevant evidence.

[ ] Examination via approved video telehealth

[X] In-person examination

Evidence review

---------------

Was the Veteran's VA claims file (hard copy paper C-file) reviewed?

[X] Yes [ ] No

If yes, list any records that were reviewed but were not included in the

Veteran's VA claims file:

none

If no, check all records reviewed:

[ ] Military service treatment records

[ ] Military service personnel records

[ ] Military enlistment examination

[ ] Military separation examination

[ ] Military post-deployment questionnaire

[ ] Department of Defense Form 214 Separation Documents

[ ] Veterans Health Administration medical records (VA treatment

records)

[ ] Civilian medical records

[ ] Interviews with collateral witnesses (family and others who have

known the Veteran before and after military service)

[ ] No records were reviewed

[ ] Other:

1. Diagnosis

------------

Does the Veteran now have or has he ever been diagnosed with any conditions

of the male reproductive system?

[X] Yes [ ] No

[X] Erectile dysfunction

ICD code: . Date of diagnosis: many years

2. Medical history

------------------

a. Describe the history (including onset and course) of the Veteran's male

reproductive organ condition(s) (brief summary):

The veteran states that his ED has progressed to the point that he is

unable to have full penetration and ejaculation. He tried medication

in

the past ("I think Cialis") and it was ineffective. He states that

this

impacts his quality of life and his relationship with his wife.

b. Does the Veteran's treatment plan include taking continuous medication

for

the diagnosed condition?

[ ] Yes [X] No

c. Has the Veteran had an orchiectomy?

[ ] Yes [X] No

d. Is there any renal dysfunction due to condition?

[ ] Yes [X] No

3. Voiding dysfunction

----------------------

Does the Veteran have a voiding dysfunction?

[ ] Yes [X] No

4. Erectile dysfunction

-----------------------

Does the Veteran have erectile dysfunction?

[X] Yes [ ] No

If yes, complete the following section:

a. Etiology of erectile dysfunction:

erectile dysfunction

b. If the Veteran has erectile dysfunction, is it as likely as not (at least

a 50% probability) attributable to one of the diagnoses in Section 1,

including residuals of treatment for this diagnosis?

[X] Yes [ ] No

If yes, specify the diagnosis to which the erectile dysfunction is as

likely as not attributable:

erectile dysfunction

c. If the Veteran has erectile dysfunction, is he able to achieve an

erection

sufficient for penetration and ejaculation without medication?

[ ] Yes [X] No

If no, has the Veteran used medications for treatment of his erectile

dysfunction?

[X] Yes [ ] No

If yes, is the Veteran able to achieve an erection sufficient for

penetration and ejaculation with medication?

[ ] Yes [X] No

5. Retrograde ejaculation

-------------------------

Does the Veteran have retrograde ejaculation?

[ ] Yes [X] No

6. Male reproductive organ infections

-------------------------------------

Does the Veteran have a history of chronic epididymitis, epididymo-orchitis

or prostatitis?

[ ] Yes [X] No

7. Physical exam

----------------

a. Penis

[ ] Normal

[ ] Not examined per Veteran's request

[ ] Not examined per Veteran's request; Veteran reports normal anatomy

with no penile deformity or abnormality

[X] Not examined; penis exam not relevant to condition

[ ] Abnormal

b. Testes

[ ] Normal

[ ] Not examined per Veteran's request

[ ] Not examined per Veteran's request; Veteran reports normal anatomy

with no testicular deformity or abnormality

[X] Not examined; testicular exam not relevant to condition

[ ] Abnormal

c. Epididymis

[ ] Normal

[ ] Not examined per Veteran's request

[ ] Not examined per Veteran's request; Veteran reports normal anatomy of

epididymis with no deformity or abnormality

[X] Not examined; epididymis exam not relevant to condition

[ ] Abnormal

d. Prostate

[ ] Normal

[ ] Not examined per Veteran's request

[X] Not examined; prostate exam not relevant to condition

[ ] Abnormal

8. Tumors and neoplasms

-----------------------

Does the Veteran have a benign or malignant neoplasm or metastases related

to

any of the diagnoses in the Diagnosis section?

[ ] Yes [X] No

9. Other pertinent physical findings, complications, conditions, signs

and/or

symptoms

-----------------------------------------------------------------------------

a. Does the Veteran have any scars (surgical or otherwise) related to any

conditions or to the treatment of any conditions listed in the Diagnosis

Section above?

[ ] Yes [X] No

b. Does the Veteran have any other pertinent physical findings,

complications, conditions, signs or symptoms?

[ ] Yes [X] No

10. Diagnostic testing

----------------------

a. Has a testicular biopsy been performed?

[ ] Yes [X] No

b. Have any other imaging studies, diagnostic procedures or laboratory

testing been performed and are the results available?

[ ] Yes [X] No

11. Functional impact

---------------------

Does the Veteran's male reproductive system condition(s), including

neoplasms, if any, impact his ability to work?

[ ] Yes [X] No

12. Remarks, if any:

--------------------

This condition does not impact the veteran's ability to function in an

occupational environment.

Veteran already SC for this condition and GU exam well documented in VA

records (see 8/29/13 Urology clinic note for exam documenting normal GU

exam) so this exam was not repeated today.

****************************************************************************

Back (Thoracolumbar Spine) Conditions

Disability Benefits Questionnaire

Name of patient/Veteran: Satterfield, Cedric

Indicate method used to obtain medical information to complete this

document:

[ ] Review of available records (without in-person or video telehealth

examination) using the Acceptable Clinical Evidence (ACE) process

because

the existing medical evidence provided sufficient information on which

to

prepare the DBQ and such an examination will likely provide no

additional

relevant evidence.

[ ] Review of available records in conjunction with a telephone interview

with the Veteran (without in-person or telehealth examination) using the

ACE process because the existing medical evidence supplemented with a

telephone interview provided sufficient information on which to prepare

the DBQ and such an examination would likely provide no additional

relevant evidence.

[ ] Examination via approved video telehealth

[X] In-person examination

Evidence review

---------------

Was the Veteran's VA claims file (hard copy paper C-file) reviewed?

[X] Yes [ ] No

If yes, list any records that were reviewed but were not included in the

Veteran's VA claims file:

none

1. Diagnosis

------------

Does the Veteran now have or has he/she ever been diagnosed with a

thoracolumbar spine (back) condition?

[X] Yes [ ] No

Thoracolumbar Common Diagnoses:

No response provided.

Diagnosis #1: intervertebral disc syndrome lumbar spine; bilateral

lower

extremity radiculopathy

ICD code: .

Date of diagnosis: many years

2. Medical history

------------------

a. Describe the history (including onset and course) of the Veteran's

thoracolumbar spine (back) condition (brief summary):

The veteran's low back and bilateral radicular symptoms have gradually

worsened over the years. He states that for the last 3 months or so he's

been on FMLA leave due to a combination of back pain and mental health

issues. He normally works as a computer technical support engineer. His

back and bilateral radicular leg pain are now constant and flare up

frequently. He reports missing work on average at least once a week due

to

this condition. "I work on a computer and can remote from home" but

this

is not always practical. He takes continuous medication (Diclofenac and

Gabapentin) for these symptoms. His back and leg pain contributes to

poor

sleep at night and he sometimes sleeps in a chair.

b. Does the Veteran report flare-ups of the thoracolumbar spine (back)?

[X] Yes [ ] No

If yes, document the Veteran's description of the flare-ups in his or

her

own words:

"About a day a week" on average.

c. Does the Veteran report having any functional loss or functional

impairment of the thoracolumbar spine (back) (regardless of repetitive use)?

[X] Yes [ ] No

If yes, document the Veteran's description of functional loss or

functional impairment in his or her own words.

"I can't travel for work anymore" and "because of that I can't get

promoted"

"My wife has to drive me" if going long distances because "I have to

stop all the time to change positions" due to pain.

"I can't go to client sites"

"I've caught my toe and tripped on a step in my home" because "my

feet

are numb".

"I don't clean stuff around the house" and "I have to get my kids to

help"

"I have to be able to get up and changes positions"

3. Range of motion (ROM) and functional limitation

--------------------------------------------------

a. Initial range of motion

[ ] All normal

[X] Abnormal or outside of normal range

[ ] Unable to test (please explain)

[ ] Not indicated (please explain)

Forward Flexion (0 to 90): 0 to 50 degrees

Extension (0 to 30): 0 to 20 degrees

Right Lateral Flexion (0 to 30): 0 to 10 degrees

Left Lateral Flexion (0 to 30): 0 to 15 degrees

Right Lateral Rotation (0 to 30): 0 to 20 degrees

Left Lateral Rotation (0 to 30): 0 to 25 degrees

If abnormal, does the range of motion itself contribute to a

functional loss? [X] Yes (please explain) [ ] No

If yes, please explain:

loss of full ROM

Description of pain (select best response):

Pain noted on exam and causes functional loss

If noted on exam, which ROM exhibited pain (select all that apply)?

Forward Flexion, Extension, Right Lateral Flexion, Left Lateral

Flexion, Right Lateral Rotation, Left Lateral Rotation

Is there evidence of pain with weight bearing? [X] Yes [ ] No

Is there objective evidence of localized tenderness or pain on palpation

of the joints or associated soft tissue of the thoracolumbar spine

(back)?

[ ] Yes [X] No

b. Observed repetitive use

Is the Veteran able to perform repetitive use testing with at least three

repetitions? [X] Yes [ ] No

Is there additional loss of function or range of motion after three

repetitions? [ ] Yes [X] No

c. Repeated use over time

Is the Veteran being examined immediately after repetitive use over time?

[ ] Yes [X] No

If the examination is not being conducted immediately after

repetitive

use over time:

[ ] The examination is medically consistent with the Veteran's

statements describing functional loss with repetitive use over

time.

[ ] The examination is medically inconsistent with the Veteran's

statements describing functional loss with repetitive use over

time. Please explain.

[X] The examination is neither medically consistent or inconsistent

with the Veteran's statements describing functional loss with

repetitive use over time.

Does pain, weakness, fatigability or incoordination significantly limit

functional ability with repeated use over a period of time?

[ ] Yes [ ] No [X] Unable to say w/o mere speculation

If unable to say w/o mere speculation, please explain:

I am unable to opine whether pain, weakness, fatigability, or

incoordination could significantly limit functional ability during

flare-ups, or when the joint is used repeatedly over a period of

time.

I am unable to provide this information in terms of degrees of ROM

loss due to "pain on use or during flare-ups." The veteran was not

experiencing a flare up at the time of examination therefore I am

unable to render an opinion regarding functional ability during a

flare-up.

d. Flare-ups

Is the exam being conducted during a flare-up? [ ] Yes [X] No

If the examination is not being conducted during a flare-up:

[ ] The examination is medically consistent with the Veteran's

statements describing functional loss during flare-ups.

[ ] The examination is medically inconsistent with the Veteran's

statements describing functional loss during flare-ups. Please

explain.

[X] The examination is neither medically consistent or inconsistent

with the Veteran's statements describing functional loss during

flare-ups.

Does pain, weakness, fatigability or incoordination significantly limit

functional ability with flare-ups?

[ ] Yes [ ] No [X] Unable to say w/o mere speculation

If unable to say w/o mere speculation, please explain:

I am unable to opine whether pain, weakness, fatigability, or

incoordination could significantly limit functional ability during

flare-ups, or when the joint is used repeatedly over a period of

time.

I am unable to provide this information in terms of degrees of ROM

loss due to "pain on use or during flare-ups." The veteran was not

experiencing a flare up at the time of examination therefore I am

unable to render an opinion regarding functional ability during a

flare-up.

e. Guarding and muscle spasm

Does the Veteran have guarding or muscle spasm of the thoracolumbar spine

(back)? [ ] Yes [X] No

f. Additional factors contributing to disability

In addition to those addressed above, are there additional contributing

factors of disability? Please select all that apply and describe: None

4. Muscle strength testing

--------------------------

a. Rate strength according to the following scale:

0/5 No muscle movement

1/5 Palpable or visible muscle contraction, but no joint movement

2/5 Active movement with gravity eliminated

3/5 Active movement against gravity

4/5 Active movement against some resistance

5/5 Normal strength

Hip flexion: