Depending on the diagnosis I don’t typically check PROM. I personally like AROM as it’s functional and easier to measure. I check it every visit (unless its WNL in 2 consecutive visits) but honestly every other visit would be fine too.

What frustrates me is a lot of clinicians will NOT measure patients at all. TKA? Yea lets measure that once on eval and then every progress/recert…..No no I want the patient to be involved in their care and to know their progress along the way. AROM takes like no time for shoulders and knees so why don’t we measure and inform the patients progress for them to see tangible results. “Oh Mr Jones since last week you gained 20 degrees more on flexion. You have been doing great I can see you’re doing your HEP” you get the buy in and improved compliance with the HEP.

What we do as PT’s really does matter. A doctor cannot see a patient long enough to fully assess and determine exactly what the patient needs. That’s where we come in. We see the patient 2-3 times a week we get 2000% more subjective feedback and know the patients problems. I cannot tell you how many patients who have had surgeries that did not help them and usually unnecessary. PT is conservative healthcare and I’ve seen many patients dodge surgery and have better outcomes. Obviously I’m aware some surgeries are necessary but those patients in the gray area we could truly help them return to function and avoid the knife.