Physical functioning: 100 %

Physical functioning: 100 %

Positives Negatives

No Mild Negative Results

No Dangerous Negative Results

Mayo Wrist Score

INSTRUCTIONS:

Please answer the following 5 multiple choice questions.
During the past 4 weeks......

1. Pain Intensity

No pain Mild occasional Moderate, tolerable Severe to intolerable

2. Functional Status

Returned to regular employment Restricted employment Able to work, but unemployed Unable to work because of pain

Important:

Question 3 has two parts choose either part

3a - Range of Motion (% of normal side)

100% 75-99% 50-74% 25-49% 0-24%

3b - If only injured hand examined

Greater than 120 degrees 90-120 degrees 60-90 degrees 30-60 degrees less than 30 degrees

4. Grip strength % of normal

100% 75-100% 50-75% 25-50% 0-25%

Web Design 2020-2021 Orthopaedic Manipulation