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Attorney & Insurer Information

At Middletown Spine and Injury, we strive to support Attorneys and Insurers in their efforts to protect our patient's interests.

New patients at Middletown Spine and Injury - Sheely Chiropractic are assessed for current condition status through the use of orthopedic and neurological testing, postural and physical examinations, Range of motion, strength testing and any appripraite imaging diagnostic studies. Understanding the meaning of the tests is helpful for patients, insurance companies, paralegals, attorneys, and other doctors not familiar with neuro-musculo-skeletal examinations. Click below for a detailed description of Orthopedic and Neurological Tests and Explanations that are used in Personal Injury Reports for attorneys and insurance companies.

Orthopedic and Neurological Tests and Explanations

In evaluating a patient's condition at Middletown Spine and Injury, an evaluation for Temporary Total Disability, Permanent Impairment, or Permanent Disability is often requested and/or appropriate. Click below for an explanation of the basis on which requests for opinions are calculated in this health care facility.

Temporary Total Disability - Permanent Impairment - Permanent Disability
...how does the Sheely Chiropractic Clinic put them together?

In our practice, we use validated patient questionnaires as a principal method of measuring outcomes for patients with back pain (Revised Oswestry and/or Roland-Morris) and neck pain (Neck Pain Disability Index). Click below for a brief discussion of the scientific acceptance and now widespread use of this type of outcome measure. It is given because traditionally practitioner measurements (e.g. range of motion measured by straight leg raise, x-ray, etc. and strength measures) have been thought more objective and valid than patient-centered survey instruments (questionnaires).

The use of Functional Outcome Assessments (Questionnaires)
in Measuring Results and evaluating Functional Disabilities

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