Table 1: Example of physical examination recording and coding.

TestRatingData coding

Postural deviationNormal/mild/moderate/
severe
0/1/2/3/4
ROM (e.g., (L) shoulder flexion)Full/restricted0/1
Limiting factor (to ROM)Nothing/pain/stiffness/
pain and stiffness
0/1/2/3
Pain on active ROMScale from 0–100/1/2/3/4/5/6/7/
8/9/10
Strength (e.g., (L) middle deltoid)Full/reduced0/1
Pain on SMT (e.g., middle deltoid)Pain ISQ/pain Increase0/1
Special orthopaedic test (e.g., O’Briens)Negative/positive0/1

(L): Left; ROM: range of motion; ISQ: in status quo.