GENERAL MUSCULOSKELETAL ASSESSMENT
Subjective Assessment
1. Demographic data of the patient
a. Name - ______________
b. Gender - ______________
c. Age - __________________
d. Occupation - ____________
2. History
a. Chief complaint (as described by the patient) -
_______________________________________
b. Present history of the chief complaint
(It mainly consists of three domains: Mechanism of injury and its process,
Pain, and Loss of Function)
1. Mechanism of injury and its process
- What actually happened?
- How long have you been suffering from this?
- Is your overall condition improving as days pass?
2. Pain
- Onset – Gradual onset Or Sudden onset
- Severity
Visual Analogue Scale (VAS)
Numeric Rating Scale (NRS)
Wong-Baker Faces Pain Rating Scale
Verbal Rating Scale
3
, GENERAL MUSCULOSKELETAL ASSESSMENT
- Location – Side and site
Body diagram
- Duration – Acute or Chronic
Acute Pain Chronic Pain
Short history of onset and does Long history with often poorly
not last longer than days or defined.
week.
Often have a clearer inciting Inciting factor cannot be clearly
factor identifiable
- Variation – Localized or Referred
Localized Pain Referred Pain
Mostly due to a musculoskeletal Mostly due to peripheral nerve
pathology of tear or wear or strain pathology or Myofascial pain
or sprain. syndrome involving trigger
points.
Localized distribution of pain to Dermatomal distribution or
soft tissues. (Ligaments or Bursae areas that are supplied by
or Tendons or Muscles) individual nerves are affected or
myofascial distribution.
4
Subjective Assessment
1. Demographic data of the patient
a. Name - ______________
b. Gender - ______________
c. Age - __________________
d. Occupation - ____________
2. History
a. Chief complaint (as described by the patient) -
_______________________________________
b. Present history of the chief complaint
(It mainly consists of three domains: Mechanism of injury and its process,
Pain, and Loss of Function)
1. Mechanism of injury and its process
- What actually happened?
- How long have you been suffering from this?
- Is your overall condition improving as days pass?
2. Pain
- Onset – Gradual onset Or Sudden onset
- Severity
Visual Analogue Scale (VAS)
Numeric Rating Scale (NRS)
Wong-Baker Faces Pain Rating Scale
Verbal Rating Scale
3
, GENERAL MUSCULOSKELETAL ASSESSMENT
- Location – Side and site
Body diagram
- Duration – Acute or Chronic
Acute Pain Chronic Pain
Short history of onset and does Long history with often poorly
not last longer than days or defined.
week.
Often have a clearer inciting Inciting factor cannot be clearly
factor identifiable
- Variation – Localized or Referred
Localized Pain Referred Pain
Mostly due to a musculoskeletal Mostly due to peripheral nerve
pathology of tear or wear or strain pathology or Myofascial pain
or sprain. syndrome involving trigger
points.
Localized distribution of pain to Dermatomal distribution or
soft tissues. (Ligaments or Bursae areas that are supplied by
or Tendons or Muscles) individual nerves are affected or
myofascial distribution.
4
