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Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

CPT4 code

Name of the Procedure:

Physical Performance Test or Measurement (eg, Musculoskeletal, Functional Capacity)

Summary

Physical performance tests evaluate a person’s physical capabilities, focusing on musculoskeletal and functional capacity. These assessments help understand a patient's ability to perform everyday tasks and identify any limitations. A written report summarizes the findings after each 15-minute session.

Purpose

The primary purpose of physical performance tests is to:

  • Identify musculoskeletal issues and functional limitations
  • Guide rehabilitation and treatment plans
  • Monitor progress and outcomes of therapy
  • Assess fitness for specific activities or tasks

Indications

Physical performance tests are indicated for:

  • Patients with musculoskeletal injuries or disorders
  • Individuals undergoing rehabilitation
  • Elderly patients to assess fall risk and mobility
  • Athletes to evaluate performance and detect impairments

Preparation

  • Wear comfortable clothing and appropriate footwear for physical activities.
  • Inform the healthcare provider of any medical conditions or medications.
  • There are typically no specific pre-procedure fasting or diagnostic tests required unless specified by the healthcare provider.

Procedure Description

  1. Initial Consultation: Review the patient’s medical history and discuss the purpose of the assessment.
  2. Warm-Up: Gentle exercises to prepare the muscles and joints.
  3. Performance Tests: Conducting a series of standardized tests which may include:
    • Range of motion testing
    • Strength measurement
    • Balance and coordination exercises
    • Walking or mobility tests
    • Specific functional tasks (e.g., lifting, climbing stairs)
  4. Data Collection: Measure and record the outcomes of each test.
  5. Cooldown: Simple stretches or low-intensity exercises.
  6. Report Generation: Compile a written report detailing the findings and recommendations.

Duration

Each session typically lasts 15 minutes.

Setting

Physical performance tests are performed in outpatient clinics, rehabilitation centers, or physical therapy offices.

Personnel

Primarily conducted by physical therapists or rehabilitation specialists. Other professionals may include athletic trainers and physicians specializing in sports medicine or rehab.

Risks and Complications

  • Common Risks: Muscle soreness, fatigue, minor strains.
  • Rare Risks: Falls, injuries due to overexertion or imbalance.

Benefits

  • Identification of physical limitations and strengths.
  • Development of a tailored rehabilitation or exercise program.
  • Improved physical function and reduced risk of future injuries.
  • Enhanced understanding of patient’s capabilities.

Recovery

  • Post-assessment care typically includes rest and hydration.
  • Patients may resume normal activities unless advised otherwise.
  • Follow-up sessions or additional assessments might be scheduled based on results.

Alternatives

  • Imaging Studies: MRI, X-rays for structural insights.
  • Lab Tests: Blood tests for nutritional or metabolic issues.
  • Questionnaires: Self-reported functional status scales.
  • These alternatives are less hands-on but provide additional diagnostic information.

Patient Experience

During the procedure, patients might feel some exertion or minor discomfort similar to engaging in moderate physical exercise. Post-procedure, mild soreness might occur, managed with rest, hydration, and possibly over-the-counter pain relief if necessary.

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