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  1. In order to properly assess your condition, we must understand how much your neck and/or back problems have affected your ability to manage everyday activities. For each item, please circle the number which most closely describes your condition right now. 1. Pain Intensity. Moderate pain. 2. Sleeping. 3. Personal Care (washing, dressing, etc.) .

  2. The chiropractic SOAP note template streamlines note-taking by organizing key information related to patient visits, including the treatment plan, primary diagnosis, and assessments such as pain scale ratings or findings like forward head posture and positive straight leg tests.

  3. Functional Rating Index (FRI) Scoring Protocols Scoring: The ten items of the FRI may be used to profile the nature of the dysfunction and pain, or they may be totaled.

  4. 1. See Notes 2. Progress as expected 7. 3. 8.Progress slow but steady 4. Progress faster than expected 10. 5. Immediate Im provement 11. 6. Set Back Due To: a) Re -injury b) Over use c) Fatigue d) Age e) Chronicity f) New Injury 1. g) Insta bility h) Pregnancy i) Super-imposed injury 7. Continue Treatment 8.

  5. Chiropractic clinic forms, SOAP notes, case history, consent form, physical exam, resources for helping you start into practice Chiropractic Clinic & Exam Forms. To preserve the format of your Word document, convert it for free into PDF at www.PDFonline.com

  6. Table 1. Psychometric Qualities of the Functional Rating Index. Reliability: Test-retest: Intraclass correlation coefficient was good (weighted mean value 0.85); Cronbach's alpha was excellent (weighted mean value 0.91); FRI is equivalent to the other measures.

  7. 50 Questions ~ Choose the best answer according to the notes. Questions 5, 10, 15, 20, 25, 30, 35, 40, 45 and 50 are fill-ins, just write your answer. Fill-in Question. Use the ________ method (Not DRE) to rate impairment if there is stenosis with radiculopathy at the SAME or DIFFERENT level within the SAME spinal region. Fill-in Question.

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