Application Process for Medical Certification - Examination Techniques
Items 42-43. Upper and Lower Extremities, Spine and other Musculoskeletal

Standard examination procedures should be used to make a gross evaluation of the integrity of the applicant's musculoskeletal system. The Examiner should note:

• Pain - neuralgia, myalgia, paresthesia, and related circulatory and neurological findings
• Weakness - local or generalized; degree and amount of functional loss
• Paralysis - atrophy, contractures, and related dysfunctions
• Motion coordination, tremors, loss or restriction of joint motions, and performance degradation
• Deformity - extent and cause
• Amputation - level, stump healing, and phantom pain
• Prostheses - comfort and ability to use effectively