Readers of narrative chiropractic and medical reports are often lay people. Yet the purpose of the report is to communicate technical information. Range of motion—which has now been shown is several recent studies to be a key predictor of outcome in whiplash as well as a measure of disability/impairment (AMA Guides)—is often reported by physicians in confusing tables, usually without explanation as to the data’s clinical significance. This defeats the communicative purpose of such reports. Even worse, these tables are very often based on erroneous assumptions about normative data. For example, most believe that, in normal persons, lateral flexion of the cervical spine should be about 45 degrees. But is this true across all age groups and for both sexes? Researchers such as Youdas et al. (Youdas JW, Garrett TR, Suman VJ, et al.: Normal range of motion of the cervical spine: an initial goniometric study. Phys Ther 72(11):770-780, 1992) have found otherwise. Not unexpectedly, females have generally greater cervical ranges than males, and younger persons have generally greater ranges of motion than older persons. Youdas et al. developed regression equations for age and sex for each range so that an expected normal could be calculated which would account for age and sex variation.

Using scientifically derived regression equations, which Dr. Croft has programmed into Harvard Chart XL, you can now report not only your patient’s cervical spine ROM, but also the expected normal ROM for their age and sex, as well as their percentage deviation from that normal range—all with the same input you normally make in a word processor. Suddenly, your reports are more understandable, and your conclusions are more valid as well.

The graph illustrated is just one of hundreds this program is capable of making. And you can change them in infinite ways. For enhanced reader comprehension you can also plot serial ROM readings, SCL-90-R data, Oswestry or NDI results, or virtually any data you normally place in tables. Harvard Chart XL helps you get your point across quickly.

Graph shows your patient’s actual range of motion, expected range of motion, and percentage loss. (Although not illustrated, you can print tables as well.)

$215.00

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