Physical functioning: 100 %

Physical functioning: 100 %

Positives Negatives

No Mild Negative Results

No Dangerous Negative Results

Mayo Elbow Performance Score

INSTRUCTIONS:

Please complete the below questions.

1. Pain Intensity

None Mild Moderate Severe

2. Motion

Arc of motion greater than 100 degrees Arc of motion between 50 and 100 degrees Arc of motion less than 50 degrees

3. Stability

Stable Moderate instability Grossly Unstable

4. Function (Tick as many as able

Can comb hair Can eat Can perform hygiene Can don shirt Can don shoe

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