va range of motion chart for shoulder

The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. 0000000016 00000 n Going back to the example, if a shoulder disability started after service, the veteran's current doctor should confirm that service-related activities contributed to the current disability. This same information (minus the three repetitions) is asked to be provided with regards to flare-ups. (2013). Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Injuries to the shoulder and arm commonly occur while performing both combat and non-combat duties during service. xb```b``a`a`` @1" P. Recurrent subluxation or instability: Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (e.g., cane(s), crutch(es), walker) and bracing for ambulation. For shoulder disabilities that result from bone, tendon, or ligament issues, the VA assigns a percentage based on the severity of the range of motion limitation (see tables below). Estimate range of motion in degrees for this joint immediately after repeated use over time based on information procured from relevant sources including the lay statements of the Veteran. Shoulder (Abduction - Adduction) 12. Stretching is usually most effective and least painful when tissue temperature is raised to about 43 C (see Heat ). Function: Upward rotation of scapula; elevation of the arm above shoulder level. Eric Gang is an award-winning lawyer with a national law practice focused on Veterans Disability Appeals on behalf of U.S. veterans wrongfully denied medical and disability benefits. Major joints include the shoulder, elbow, wrist, hip, knee and ankle. (Must be specific to the case and based on all procurable evidence.). Payment amounts vary depending on factors like the number of dependents. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one's range of motion injury. 1A. As anyone with musculoskeletal problems will know, your range of motion may vary from day-to-day. Learn about causes of uneven hips, such as scoliosis. Does the Veteran report having any functional loss or functional impairment of the joint or extremity being evaluated on this questionnaire, including but not limited to after repeated use over time? The Schedule of Ratings lists disabilities under different categories based on the part of the body affected. There are several types of range-of-motion exercises. The shoulder's anatomy is complex, but all the different moving parts allow a wide range of motion in the joint. Yes or no. Range of motion of a joint is gauged during passive ROM (assisted) or active ROM (independent)). DOI: Common conditions affecting range of motion, ncbi.nlm.nih.gov/pmc/articles/PMC4690598/, dshs.wa.gov/sites/default/files/FSA/forms/pdf/13-585a.pdf, medlineplus.gov/shoulderinjuriesanddisorders.html, Pendulum and Codman Exercises for Shoulder Rehabilitation. Gates DH, et al. Show each measured range of motion separately rather than as a continuum. VA pays disability compensation based on the CURRENT residuals of that injury or disease. Range of Motion (ROM) test: Perform active and/or passive range of motion and provide the ROM values. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid: Severe: 40: 30 Moderately Severe: 30: 20 Moderate: 20: 20 Slight: 0: 0 5304 Group IV. The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. The technical storage or access that is used exclusively for statistical purposes. VeriSign secured When each qualifying joint motion is painful but motion is not actually limited to a compensable degree under its applicable 52XX-series DC, only one compensable evaluation can be assigned. By asking the right questions and keeping tabs on a Veterans symptoms, the VA should get a more accurate sense of a Veterans disability and how its severity can vary from day-to-day. Read about causes, seeing a doctor. 0 These cookies collect information about how you use our website. Because the severity of musculoskeletal disabilitys symptoms can vary from day to day, a Veteran might wake up in the morning unable to touch their toes when they could the day before. (Must be specific to the case and based on all procurable evidence). hb``b``g`e`X8f0>P ]` A4@:"A&^oB`l>+"-p33p.0uR!x 3#K c)WH[287;lbfaG81 RggHLdefrr\Y. The highest schedular rating for knee pain, also called Limitation of Flexion of the Knee is 30%, and includes the following symptoms: Your final VA Disability Rating for Knee Pain depends upon the Frequency, Severity, and Duration of symptoms and any impairment or loss (e.g., negative work and life impacts). Find out why it is sometimes accompanied by pain while other times it's not, as, Few would suspect the cause of shoulder pain to be something as typical and inactive as sitting at our desks. Why Do My Shoulders Click, Pop, Grind, and Crack? The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. Upon VA examination in May 2000, clinical evaluation revealed limited active range of motion in the right shoulder with 90 degrees of abduction, 95 degrees of forward flexion, 70 degrees of internal rotation with the shoulder adducted and elbow flexed to 90 degrees, and additionally 20 degrees of external rotation in this position. For example, a veteran can be rated for Knee Pain secondary to Hip Pain, among others. To determine the extent to which your musculoskeletal disability affects your range of motion, youll need to visit a doctor and get your condition evaluated. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. 3A. Extension is a movement that increases the angle between the two parts that the joint is connecting. In contrast, pyramiding is a practice prohibited by VA, and refers to when a veteran has two disability ratings for a single manifestation of their disability. The VA knee rating chart is broken out into two separate categories based on "Pain" or "Unfavorable Ankylosis." For example, Knee Pain (DC 5257) only has VA ratings of 10%, 20%, or 30% while Unfavorable Ankylosis of the Knee (5256) has VA ratings of 30%, 40%, 50%, or 60%. document.getElementById('copyright').appendChild(document.createTextNode(new Date().getFullYear())) PTSD Lawyers | Berry Law Firm. This can be difficult because the symptoms limiting functional loss are not usually related to range of motion. Many. Strain and disabilities to the shoulders are common during deployment, training, and combat. I'm not really sure what that means- hopefully the lawyer can explain it to me. Without service connection, you will not be able to qualify for compensation the VA can only provide financial support to Veterans with verifiable, service-connected disabilities. Lifting the arm to shoulder level is lifting it to 90 degrees. This considers not only the objective findings noted on the examination, but also the subjective history provided by the claimant, as well as review of the available medical evidence. This information is made available for educational purposes only and to provide general information and a general understanding of the law. If your musculoskeletal condition inhibits your range of motion significantly, you are more likely to receive a higher disability rating from the VA. The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. Like I had thought, they only gave me 20% for my shoulder. Its possible for your Knee Pain to be caused or made worse by another service connected disability for secondary service connection. 4B. If you are rated 30% or more, you will receive full retirement benefits. Circumference of atrophied side: _____ cm. However, if you have Unfavorable Ankylosis of the Knee, its rated under DC 5256 instead, which has VA ratings of 30%, 40%, 50%, and 60% depending on the frequency, severity, and duration of symptoms to include limitation of range of motion and functional impairment. If yes, check all that apply. Limitation of extension for the knee is rated under diagnostic code 5261. The #1 best way to increase your VA rating for Knee Pain is to have objective medical evidence (X-Ray, MRI results, etc.) Tell Your C&P Examiner Everything You Can About Your Symptoms, Including Flare-Ups. Veterans should provide copies of medical records detailing symptoms, treatment, and results. Degenerative disc disease PO Box 96503Dept. Brand new claims usually take 3-6 months to process. 5B. 5306 Group VI. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. How to Get a 100 Percent VA Rating (if deserved)! This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. But if you have other symptoms, you may have an underlying condition. Separate ratings occur when there is another distinct manifestation of a disability that is not currently rated. Joint pain can also be a factor that can increase the severity of a Veterans disability. If yes, what was the Extension degree endpoint (if different than above)? Provide a complete description of all affected joints in your narrative summary. If you've served in the military, the VA offers you a variety of aid programs and benefits. If testing cannot be performed or is medically contraindicated (such as it may cause the Veteran severe pain or the risk of further injury), an explanation must be given below. %%EOF Veterans need to have evidence establishing that a disabling disease or injury was incurred coincident with service in the Armed Forces, or if preexisting such service, was aggravated therein.. Show details How it works Open the range of motion chart and follow the instructions Easily sign the shoulder range of motion with your finger Send filled & signed knee range of motion chart or save . Veterans should be sure to attend a Compensation and Pension exam once it has been scheduled, as failure to attend can stand as the basis for a denial of the veterans claim. specific disability rating between ten and 100 percent. The MEB Attorney said VA rates disability based on range of motion. The normal shoulder range of motion is 157 -162 for Forward Flexion Is an upgoing movement from the front side or the sagittal plane facilitated by the pectorals, anter More, 148-152 for Abduction Is a sideways upgoing movement in the frontal plane brought about by the supraspinatus and the mid, and 53 - 59 for External Rotation The range of shoulder external rotation is one of . 38 cfr 4 va schedule of ratings title 38 part 4 code of. If yes, is the frequent effusion a result of a diagnosis in Section I? You MAY be entitled to a separate evaluation for any muscle injuries as a result of the shoulder impairment if they are not based on the same symptoms as the shoulder itself. Keep in mind all joints (shoulder, elbow, knee, and back) are based on a range of motion, not the amount of pain it causes or the amount of medication needed for relief. The VA appeals process starts at your regional Department Of Veterans Affairs Office. Minor knee pain usually responds well to self-care measures. tation of motion of the specific joint or joints in-volved is noncompensable under the codes a rating of 10 percent is for application for each such major joint or group of minor joints af-fected by limitation of motion, to be combined, not added under diagnostic code 5002. If you have a disability claim with the VA that you would like to appeal, please contact our team at (888) 682-0786 to schedule a free case evaluation. Osteoarthritis (OA) is a degenerative joint disease. Today, VA announced its next update: The musculoskeletal system and muscle injuries. This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. 4.71, Plate I. Is Age a Factor in VA Claims? These four stretches can help relieve. When, after careful consideration of all evidence, a reasonable doubt arises regarding service origin, the degree of disability, or any other point, such doubt will be resolved in favor of the veteran. Did the veteran have pain on ROM? Condition. and range of motion factors heavily in the determination of the benefits the veteran will receive. are rated based on the range of motion, a mostly testable measure of how much loss of function the disability causes. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment. For instance, which pages you go to most. endstream endobj startxref (The Insiders Guide). Shoulder popping, also known as crepitus, has several possible causes. Apply passive range of motion techniques to the lower extremity + + + OVERVIEW + + Physiologic motions are joint and soft tissue movements that can be produced actively or passively. Range of Motion - Shoulder Range of motion Normal ROM and Goniometry Technique Flexion Normal ROM: 180 degrees Patient Position: Seated Axis: At or just below tip of acromion Fixed Arm :Aligned with midline of body Movable Arm: Along shaft of humerus Special Instructions: Patient must keep arm straight Extension Normal ROM: 45-60 degrees What Should I Expect at a VA C&P Exam for Knee Pain? 4C. Specifically, VA proposes to assign a 40 percent rating for a major joint, or 30 percent for a minor joint, where flexion and/or abduction is limited to 25 degrees from the side. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. It may not display this or other websites correctly. The attorneys at Berry Law Firm are dedicated to helping injured Veterans. Email: [hidden email], National Organization of Veterans Advocates. Whenever a Veteran applies to receive disability benefits from the VA, their claim will either be approved, deferred, or denied. 2E. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. Treatment for Pagets disease depends on the type. The secondary adductors of the shoulder joint are: the Teres major the Anterior portion of the deltoid. This rating will grant you a specific amount of monthly compensation from the VA. See 38 C.F.R. Have you been affected by Camp Lejeune water contamination? All Rights Reserved. The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. If the entire shoulder joint has been replaced by a prosthetic device, the condition is rated at 100 percent for one month after being discharged from the hospital following the replacement. This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. In addition to or instead of the standard disability compensation for Shoulder and Upper Arm conditions, amputations or loss of use of the Shoulder and Upper Arm may also qualify for Special Monthly Compensation. Vike 17 Epeen 272 3 Jan 03, 2014 #7 What's funny.. During the c & p exam. Check out our Shoulder and Upper Arm Condition Ratings page for the exact codes and ratings. 229 0 obj <>stream Favorable angle in full extension or in slight flexion between 0 and 10 degrees. If you reach your hands behind you think about putting something in your back pocket youre practicing extension. Function: Extension of the elbow (long head of triceps is the stabilizer of shoulder joint). Topics include shoulder surgeries and replacements, amputation, range of . A fluid-filled sac called a joint capsule surrounds the joint and provides lubrication to ease movement in the shoulder. #3. There are several separate parameters requested for describing function of a joint. )cz+}+7TRExDwGneyI\y9iv~ 6> In more serious cases, however, your knee may require surgery. Range of motion refers to the directions and limits of movement in each joint of the body. Its held there with muscles, tendons, and ligaments. So I got my ratings back relatively fast. 2020 MilitaryDisabilityMadeEasy.com - All rights reserved, The Integrated Disability Evaluation System (IDES), Combat Related Special Compensation (CRSC), Concurrent Retirement & Disability Pay (CRDP), Limitation of Motion of the Shoulder and Upper Arm, Injuries to the Clavicle and Scapula Bones. However, when this is not feasible, an as clear as possible description of that loss should be provided. 2D. If yes, what was the Flexion degree endpoint (if different than above)? Frequent aches and pains can add to the severity of a musculoskeletal disability in addition to problems with range of motion. Thanks. The final diagnostic code for this rating will either look like 5051-5002 or 5051-5203, where the first four-digit code defines the condition as a shoulder replacement, and the second code tells how the condition is rated. How to File a Claim on VA.gov (step-by-step)! VA Disability Rating. The VA knee rating chart is broken out into two separate categories based on Pain or Unfavorable Ankylosis.. Pro Tip: Ankylosis is the immobilization of a joint due to disease, injury, or surgical procedure. Veterans who undergo shoulder surgery may be eligible for a temporary total rating based on convalescence. Below are some common examples of shoulder and arm conditions: Generally speaking, VA rates shoulder and arm conditions under both 38 CFR 4.71a Schedule of Ratings Musculoskeletal System and 4.73, Schedule of Ratings Muscle Injuries. 0000002843 00000 n The information these cookies collect will not personally identify you, and they cannot track your browsing activity on other websites. After the one-year period, the condition is then given a permanent rating. The DoD will also rate service-connected conditions as long as they also make the service memberUnfit for Duty. https://my.clevelandclinic.org/health/diseases/14526-musculoskeletal-pain, https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html. What is the Reasonable Doubt Rule for Knee Pain? #3: Unfavorable Ankylosis of the Knee with a rating of 30%, 40%, 50%, or 60%. 5301 Group I. Is there ankylosis of the knee and/or lower leg? A normal range of motion for shoulder extension to the highest point you can lift your arm behind your back starting with your palms next to your body is between 45 and 60 degrees. Describe the history (including onset and course) of the Veterans knee and/or lower leg condition (brief summary). Ratings will be decided by how much movement can occur around a joint or body part at a VA C&P exam for back pain. In the exam, either a VA physician or VA contracted physician will generally ask questions about the shoulder or arm condition and the veterans time in service. If there are occasional periods of weakness, pain, or limited motion then the condition should be rated analogously either under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), whichever most closely describes the veterans symptoms. Muscles do have their own rating system (see the Shoulder and Upper Arm Muscles page), but cannot be rated in addition to another musculoskeletal rating for the Shoulder and Upper Arm since they often result in similar symptoms (limitation of motion, etc.). In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. Okay, lets jump into this Insiders Guide for getting a service connected disability rating for Knee Pain. Flexor muscles of elbow: (1) Biceps; (2) brachialis; (3) brachioradialis. Limitation of motion under DC 5201 may be . An unfavorable opinion will not. These cookies allow the website to remember choices you make to give you better functionality and personal features. End-range hip flexion is associated with a posterior rotation of the ilium bone. The rotator cuff is a network of four tendons that connect the humerus to the scapula. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. In this guide, well explore how to get a VA Rating for Knee Pain even if youve already filed, been denied, or gave up. Do You Have Long-Term Disability Insurance Coverage? 0000000844 00000 n The shoulder joints are surrounded by muscles that keep the bones fitted tightly together. For any muscle atrophy due to a diagnosis listed in Section I, indicate specific location of atrophy, providing measurements in centimeters of normal side and corresponding atrophied side, measured at maximum muscle bulk. At Veterans Disability Info, we can address any questions you may have about the claims or appeals procedure linked to your service-connected shoulder rating claims. VA Rating for Unfavorable Ankylosis of the Knee: What Are Some Common VA Secondary Conditions to Knee Pain? The less you can move or bend your knee, the higher your VA rating will likely be. This involves moving your arms from palms against the side of your body to the highest point you can raise your arms over your head. The VA wants to . c. VASRD DC 5201. The Soldier may be rated with reference to shoulder abduction or shoulder forward elevation (flexion) - whichever provides the higher rating. figures below, showing the maximum possible range of motion or by notating the chart in degrees. Thanks. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. While theres no cure, treatments can help improve quality of life. They may be used by those companies to build a profile of your interests and show you relevant advertisements on other websites. Active motions are those that can be . Can I get VA Disability for shoulder pain? Estimate your 2023 VA Rating & Compensation for FREE! Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. On rest/non-movement causes functional loss (if checked describe in the comments box below), More movement than normal (indicate if there is nonunion of fracture), Interference with sitting Interference with standing, Extremely unfavorable, in flexion at an angle of 45 degrees or more. List the claimed conditions that pertain to this questionnaire. This is medial rotation also referred to as internal rotation and the normal range of motion for a healthy shoulder is 70 to 90 degrees. Okay Brian, let's get right to it: Is age a factor in VA claims? Because of this complexity, the VA simplified the rating system for musculoskeletal conditions to focus on the resulting disability from a condition or group of conditions existing in the same body part. Intrinsic muscles of shoulder girdle: (1) Supraspinatus; (2) infraspinatus and teres minor; (3) subscapularis; (4) coracobrachialis, 5305 Group V. Function: Elbow supination (1) (long head of biceps is the stabilizer of shoulder joint); flexion of the elbow (1, 2, 3). Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. All of this is documented in my NARSUM. Even without significant injuries, the strain of physical work puts pressure on the body, which leads to a risk of repetitive Back pain is a common problem for veterans. If a condition is not directly listed on the Shoulder and Upper Arm Condition Ratings page, it is rated under the code that best describes it or its dominant symptom (hint: the majority will be rated as limitation of motion). There are several range-of-motion tests that a doctor would do to assess your shoulder: To file for disability through the VA, veterans need to establish a link between military service and the current disability. Whenever a Veteran applies to receive disability benefits from the VA, they are asked to visit their regional VA office for a Compensation & Pension examination. Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. Ideally, a claimant would be seen immediately after repetitive use over time or during a flare-up; however, this is not always feasible. What are the Initial ROM measurements for right knee and/or left knee? 0000006279 00000 n The first is medical evidence of a current disability. If yes, the examiner must complete the Muscle Injuries questionnaire. The shoulder moves with every arm motion. Protective tissues called the labrum line the joint socket. Thats good, my VA doctor said he was rating my shoulder at 70 degrees on my C&P exam and he ended up writing 140 degrees. In instances where range of motion of the neck needs to be measured, the examiner will typically use a goniometer to obtain a precise measurement. We have updated our Privacy Policy. Copyright 2023 VA Claims Insider, LLC. It is often referred to as wear and tear arthritis. We invite you to contact us and welcome your calls, letters and electronic mail. Select factors that cause this functional loss: (check all that apply). There are six different ratings, from 0% to 50%, listed as follows: As the chart above shows, extending the knee straight out with extension less than 5 degrees of being completely straight, a Veteran will be given a 0% rating. Our channel provides. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. By using our website, you agree to the use of certain cookies. Shoulder (Flexion - Extension) Left Left Abduction 150O Adduction 30O Extension 50O Flexion 150O Degrees . It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. If your chest or biceps are particularly muscular, it may be difficult to move your arms inward. 5C. The Department of Veterans Affairs says of this condition that, when established via X-rays, the VA disability rating will be made "on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved. Shoulder (Flexion - Extension) Left Left Abduction 150O . These symptoms can be extremely painful, and they can most definitely contribute to the VAs rating of your disability. figures below, showing the maximum possible range of motion or by notating the chart in degrees. Hip range of motion is variable. Shoulder injuries in the military are a common source of VA disability compensation. Vairo GL, et al. A favorable opinion will endorse the view that the shoulder or arm condition was caused by service. During the appeals process, you can present medical records, testimonials from fellow soldiers, and any other evidence that may play a role in changing the outcome of your claim. After the exam, the examiner will use the findings to issue an opinion, which will either be favorable or unfavorable. We use cookies to optimize our website and our service. 1B. An issue with just one of these parts can affect your range of motion. JavaScript is disabled. Copyright 2023 Chisholm Chisholm & Kilpatrick LTD. All Rights Reserved. To prove service connection, a veteran must satisfy three basic criteria. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. What if you went to your C&P examination on a great day with minimal symptoms? Your VA benefits will be tax-free, and they can help you support yourself and your loved ones if your disability has made it difficult for you to work and live normally. They may also be used to keep track of what [products, video, links, etc.] All rights reserved. Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. Omaha 402-933-5405. . Contacting us does not create an attorney-client relationship. Range of Motion on VA C & P ExamWe are retired #VA raters and we educate veterans on the VA claims process.You have VA claim questions? Feel pain across your back? Since a musculoskeletal disability can significantly inhibit your movement, aspects of life that used to come easily may now be nearly impossible for you. This information is not a substitute for legal advice. For a free consultation, call us at 1-877-526-3457. Extension endpoint (0 degrees): _____ degrees. We avoid using tertiary references. Finally, if the amputation is below the deltoid but above the elbow, it is rated 80 percent for the dominant arm and 70 percent for the non-dominant arm (Diagnostic Code 5122). 0000001300 00000 n 0000003068 00000 n Injuries in combat, such as a blow from an accident, a forceful impact, or a fall, could also result in shoulder or arm injury. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. If you are rated 20% or less from the DoD, then you will receive a single separation payment. startxref What is the VA Knee Rating Chart? Additionally, after the exam, veterans should be sure to request that a copy of the examiners report be sent to them. VA Disability for Knee Painranges from 10 percent to 30 percent with an interim break at 20 percent. Range-of-motion exercises stretch stiff joints.

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va range of motion chart for shoulder

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