Physical Function Assessment

The physical function assessment reveals that Mrs Browning has moderate joint changes indicative of osteoarthritis particularly affecting her hands and knees. She has reduced grip strength in both hands and hip and knee extensor strength (unable to rise from a standard chair without using her arms to push off). She finds kneeling in the garden uncomfortable and it is increasingly difficult to get up from kneeling. Joint range is within normal limits although she has tight hip flexors bilaterally, and is beginning to exhibit an increased thoracic kyphosis and concomitant increased cervical lordosis.