Wisconsin Legislature: DHS 107.16(1)(b)24.

Alert! This chapter may be affected by an emergency rule:

EmR2421

(b) Evaluations. Covered evaluations, the results of which shall be set out in a written report to accompany the test chart or form in the recipient’s medical record, are the following:

1. Stress test;

2. Orthotic check-out;

3. Prosthetic check-out;

4. Functional evaluation;

5. Manual muscle test;

6. Isokinetic evaluation;

7. Range-of-motion measure;

8. Length measurement;

9. Electrical testing:

a. Nerve conduction velocity;

b. Strength duration curve — chronaxie;

c. Reaction of degeneration;

d. Jolly test (twitch tetanus); and

e. “H” test;

10. Respiratory assessment;

11. Sensory evaluation;

12. Cortical integration evaluation;

13. Reflex testing;

14. Coordination evaluation;

15. Posture analysis;

16. Gait analysis;

17. Crutch fitting;

18. Cane fitting;

19. Walker fitting;

20. Splint fitting;

21. Corrective shoe fitting or orthopedic shoe fitting;

22. Brace fitting assessment;

23. Chronic-obstructive pulmonary disease evaluation;

24. Hand evaluation;

25. Skin temperature measurement;

26. Oscillometric test;

27. Doppler peripheral-vascular evaluation;

28. Developmental evaluation:

a. Millani-Comparetti evaluation;

b. Denver developmental;

c. Ayres;

d. Gessell;

e. Kephart and Roach;

f. Bazelton scale;

g. Bailey scale; and

h. Lincoln Osteretsky motion development scale;

29. Neuro-muscular evaluation;

30. Wheelchair fitting — evaluation, prescription, modification, adaptation;

31. Jobst measurement;

32. Jobst fitting;

33. Perceptual evaluation;

34. Pulse volume recording;

35. Physical capacities testing;

36. Home evaluation;

37. Garment fitting;

38. Pain; and

39. Arthrokinematic.

1. Hydrotherapy:

a. Hubbard tank, unsupervised; and

b. Whirlpool;

2. Electrotherapy:

a. Biofeedback; and

b. Electrical stimulation — transcutaneous nerve stimulation, medcolator;

3. Exercise therapy:

a. Finger ladder;

b. Overhead pulley;

c. Restorator;

d. Shoulder wheel;

e. Stationary bicycle;

f. Wall weights;

g. Wand exercises;

h. Static stretch;

i. Elgin table;

j. N-k table;

k. Resisted exercise;

L. Progressive resistive exercise;

m. Weighted exercise;

n. Orthotron;

o. Kinetron;

p. Cybex;

q. Skate or powder board;

r. Sling suspension modalities; and

s. Standing table;

4. Mechanical apparatus:

a. Cervical and lumbar traction; and

b. Vasoneumatic pressure treatment;

5. Thermal therapy:

a. Baker;

b. Cryotherapy — ice immersion or cold packs;

c. Diathermy;

d. Hot pack — hydrocollator pack;

e. Infra-red;