Adolescent Sports Evaluation shadow health Objective data
Objective Data Collection: 23 of 23 (100%)
Correct
Partially correct
Incorrect
Missed
Growth Chart: Height & Weight
1 of 1 point
Weight Percentile
(1/4 point)
Below 5th percentile
Between 5th and 95th percentile
Above 95th percentile
Adolescent Sports Evaluation shadow health Objective data
Weight Growth Curve
(1/4 point)
Growth curve maintained
Growth curve decline
Height Percentile
(1/4 point)
Below 5th percentile
Between 5th and 95th percentile
Above 95th percentile
Height Growth Curve
(1/4 point)
Growth curve maintained
Growth curve declined
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Inspected Skin
1 of 1 point
Lesions
(1/5 point)
No visible lesions
Lacerations/wounds
Erythema
Ecchymosis
Birthmark
Discolorations
Color
(1/5 point)
Consistent with ethnic background
Jaundice
Cyanosis
Pallor
Texture
(1/5 point)
Smooth
Rough
Temperature
(1/5 point)
Warm
Cool
Skin Hydration
(1/5 point)
Elastic
Elastic Tenting
Sluggish Turgor
Inspected General Appearance
1 of 1 point
Posture
(1/2 point)
Upright posture without tension or rigidity
Bent or hunched posture, tension or rigidity
Adolescent Sports Evaluation shadow health Objective data
Clothing
(1/2 point)
Clean clothing, appropriate for age, fit, season and occasion
Dirty, disheveled, or inappropriate to age, fit, season or occasion
Assessed Cervical Spine RoM
1 of 1 point
Flexion
(1/4 point)
Expected range of motion (approx. 45)
Reduced range of motion
Extension
(1/4 point)
Expected range of motion (approx. 45)
Reduced range of motion
Lateral Bending
(1/4 point)
Expected range of motion (approx. 40) on both sides
Reduced range of motion on right
Reduced range of motion on left
Rotation
(1/4 point)
Expected range of motion (approx. 70) on both sides
Reduced range of motion on right
Reduced range of motion on left
Assessed Spine Range of Motion
1 of 1 point
Rotation
(1/1 point)
Expected range of motion (approx. 75-90 degrees)
Reduced flexion
Assessed Wrist RoM
1 of 1 point
Left Extension
(1/4 point)
Expected range of motion (approx. 90 degrees)
Reduced flexion
Right Extension
(1/4 point)
Expected range of motion (approx. 90 degrees)
Reduced extension
Adolescent Sports Evaluation shadow health Objective data
Left Flexion
(1/4 point)
Expected range of motion (approx. 90 degrees)
Reduced flexion
Right Flexion
(1/4 point)
Expected range of motion (approx. 90 degrees)
Reduced flexion
Assessed Elbow RoM
1 of 1 point
Left: Flexion And Extension
(1/4 point)
Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
Reduced Extension
Reduced Flexion
Right: Flexion And Extension
(1/4 point)
Expected range of motion (approx. flexion of 160 degrees and 180 degrees of full extension)
Reduced Extension
Reduced Flexion
Left: Supination And Pronation
(1/4 point)
Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
Reduced Pronation
Reduced Supination
Right: Supination And Pronation
(1/4 point)
Expected range of motion (approx. pronation of 90 degrees and 90 degrees of supination)
Reduced Pronation
Reduced Supination
Assessed Shoulder RoM
1 of 1 point
Adduction
(1/3 point)
Expected range of motion (approx. 50 degrees)
Reduced range of motion
Abduction
(1/3 point)
Expected range of motion (approx. 50 degrees)
Reduced range of motion
Strength
(1/3 point)
0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)
Assessed Trapezius Strength
1 of 1 point
Strength
(1/1 point)
0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)
Adolescent Sports Evaluation shadow health Objective data
Assessed Deltoid Strength And Shoulder Rotation
1 of 1 point
Strength & Rotation
(1/3 point)
Symmetric
Asymmetric
Forward Flexion
(1/3 point)
Expected range of motion (approx. 180 degrees)
Reduced range of motion
Extension
(1/3 point)
Expected range of motion (approx. 50 degrees)
Reduced range of motion
Assessed Hand/Finger RoM And Strength
1 of 1 point
Left
(1/2 point)
0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)
Right
(1/2 point)
0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)
Assessed Symmetry of Extremities
1 of 1 point
Extremities
(1/1 point)
Symmetrical
Asymmetrical
Assessed Leg Symmetry, Knee or Ankle Effusion
1 of 1 point
Effusion
(1/3 point)
Present
Not present
Leg Symmetry
(1/3 point)
Symmetric
Asymmetric
Knee Symmetry
(1/3 point)
Symmetric
Asymmetric
Assessed Calf Symmetry, Leg Strength
1 of 1 point
Calf Muscles
(1/2 point)
Symmetric
Asymmetric
Leg Strength
(1/2 point)
0 – No muscle contraction
1 – Barely detectable contraction
2 – Active movement with gravity eliminated
3 – Active movement against gravity
4 – Active movement against gravity and resistance
5 – Active movement against full resistance without fatigue (normal)
Tested Hip, Knee and Ankle Range of Motion
1 of 1 point
Hip Range Of Motion
(1/3 point)
Symmetric, full range of motion without limitations
Asymmetric range of motion with limitations
Knee Range Of Motion
(1/3 point)
Symmetric, full range of motion without limitations
Asymmetric range of motion with limitations
Ankle Range Of Motion
(1/3 point)
Symmetric, full range of motion without limitations
Asymmetric range of motion with limitations
Tested 6 Cardinal Fields of Vision
1 of 1 point
Cardinal Fields
(1/2 point)
No abnormal findings
Nystagmus
Fixed Pupil
Convergence
(1/2 point)
No abnormal findings
Unequal bilaterally
Fixed Pupil
Tested Peripheral Vision
1 of 1 point
Observations
(1/1 point)
No abnormal findings
Reduced right visual field
Reduced left visual field
Tested Visual Acuity
1 of 1 point
Right
(1/2 point)
20/100
20/70
20/50
20/40
20/30
20/25
20/20
20/15
20/13
20/10
Left
(1/2 point)
20/100
20/70
20/50
20/40
20/30
20/25
20/20
20/15
20/13
20/10
Romberg Test
1 of 1 point
Romberg
(1/1 point)
Maintains upright posture
Difficulty remaining upright
Auscultated Breath Sounds
1 of 1 point
Breath Sounds
(1/2 point)
Clear in all areas
Diminished in some areas
Absent in some areas
Adventitious Sounds
(1/2 point)
No adventitious sounds
Wheezing
Fine crackles
Stridor
Rhonchi
Rales
Auscultated Abdominal Aorta
1 of 1 point
Sounds
(1/1 point)
No bruit
Bruit
Auscultated Heart Sounds
1 of 1 point
Heart Sounds
(1/3 point)
S1 and S2 audible
S1, S2, and S3 audible
S1, S2 and S4 audible
S1, S2, S3 and S4 audible
Extra Heart Sounds
(1/3 point)
No extra sounds
Gallops
Murmur
Friction rub
Valve clicks
Rate And Rhythm
(1/3 point)
Regular rate and rhythm
Irregular rate and rhythm
Arrhythmia
Screened Adam’s Forward Bend
1 of 1 point
Iliac Crests
(1/6 point)
Equal height
Unequal height
Scapula Prominence And Shape
(1/6 point)
Equal height
Unequal height
Spine Contour
(1/6 point)
Expected curvature
Decreased lordosis
Increased lordosis
Decreased kyphosis
Increased kyphosis
Spine Symmetry
(1/6 point)
Symmetrical
Asymmetrical
Waistline
(1/6 point)
Equal height
Unequal height
Flexion
(1/6 point)
Expected range of motion (approx. 75-90 degrees)
Reduced flexion
Adolescent Sports Evaluation shadow health Objective data
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