Quality of Life Assistant
Muscle Measurement Assessment Chart
PPND home page || QLA home page
Please use this chart to measure your muscles. It may be a good idea to do this on a monthly basis.
| Body Section | Date | Date | Date | Date | Date | Date | Date | Date | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Weight | ||||||||||||||||
| Neck | ||||||||||||||||
| Chest (under breast) |
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| Chest (nipple line) |
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| Abdomen | ||||||||||||||||
| Hips | ||||||||||||||||
| L | R | L | R | L | R | L | R | L | R | L | R | L | R | L | R | |
| Triceps | ||||||||||||||||
| Biceps | ||||||||||||||||
| Mid-Thigh | ||||||||||||||||
| Mid-Calve | ||||||||||||||||
| Wrist | ||||||||||||||||
| Ankle | ||||||||||||||||
The space below allows for special notations to your activities of daily life (ADL)