Active Health

Assessment Run Sheet

Ready
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Simple Workflow
Fill this out. Download one file. Then run the desktop app.
You do not need to think about the whole system here. Just capture the assessment, then download the assessment file.
1
Enter the patient ID and confirm the date at the top.
2
Fill the sections you actually used during the assessment.
3
Click Download Assessment File. Then pick that file in the desktop app.
Assessment File
patient_YYYY-MM-DD_assessment.json

Phase 1: Intake & Baseline

5 min
Measure Value Reference
Resting HR (bpm) 60-100
Resting RMSSD (ms) Higher = better
Resting RR (breaths/min) 12-20
BP (if indicated) —

Phase 2: Hip IR/ER + Strength (Pre-PRI)

10 min
SUPINE (90° seated)
Test Norm ROM L ROM R Force L Force R LSI% Flag
Hip IR 40° — —
Hip ER 45° — —
PRONE
Test Norm ROM L ROM R Force L Force R LSI% Flag
Hip IR 40° — —
Hip ER 45° — —

Phase 3: PRI / Respiratory Screen

10 min

Phase 4: Post-PRI Hip IR/ER + Remaining Hip

15 min
Post-PRI Re-Test (Hip IR/ER)
SUPINE (90° seated)
Test Norm ROM L ROM R Force L Force R LSI% ΔIR ΔER Flag
Hip IR 40° — — — —
Hip ER 45° — —
PRONE
Test Norm ROM L ROM R Force L Force R LSI% ΔIR ΔER Flag
Hip IR 40° — — — —
Hip ER 45° — —
Remaining Hip ROM + Strength
Test Norm ROM L ROM R Force L Force R LSI% Flag
Hip Flexion 120° — —
Hip Extension 20° — —
Hip Abduction 45° — —
Hip Adduction 25° — —

Phase 5: CARs Screen + HR Trending

10 min
Movement Quality (0-4 dots: 0=unable, 1=poor, 2=fair, 3=good, 4=excellent)
Cervical Spine
Scapula
Shoulder (GH)
Hip
Knee
Ankle
HR During CARs

Phase 6: Shoulder, Knee, Ankle, Spine ROM + Strength

25 min
Shoulder
Test Norm ROM L ROM R Force L Force R LSI% Flag
Flexion 180° — —
Extension 60° — —
Abduction 180° — —
ER 90/90 90° — —
IR 90/90 70° — —
Adduction 25° — —
Knee
Test Norm ROM L ROM R Force L Force R LSI% Flag
Extension / Quad 0° — —
Flexion / Ham 135° — —
Q:H Ratio ≥60%
Ankle
Test Norm ROM L ROM R Force L Force R LSI% Flag
Dorsiflexion 20° — —
Plantarflexion 50° — —
Inversion 35° — —
Eversion 20° — —
Spine (ROM Only)
Test Norm Flex / L Ext / R Notes
Cervical Flex/Ext 80° / 60°
Cervical Rotation 80°
Cervical Lat Flex 45°
Thoracic Rotation 45°
Lumbar Flex/Ext 60° / 25°
Lumbar Lat Flex 25°
sEMG Summary (mTrigger)
Muscle Group L MVC (μV) R MVC (μV) NMDT% Flag
— —
— —
— —

Phase 7: FRA + PAILs/RAILs

10 min
Measure Left Right
Passive ROM
Active ROM
FRA Angle
PAILs Effort
RAILs Effort
Post-Loading ROM

Phase 8: Recovery Snapshot

5 min
Post-Assessment HRV

Clinical Notes

Assessment Summary

Total Strength Tests 0
ROM Asymmetries Detected 0
Strength LSI Deficits 0
CARs Average Score —
PRI IR Change (Supine) —
HR Recovery (baseline to post) —
Utilities
Backup tools live here. Most of the time you only need the download button.