The Case of Mr. SpoonerSome readers of this blog have posited that you should never, ever use the OPTIMAL scale because it is “crap” and not a useful tool for clinical decision-making.The shortcomimgs of the OPTIMAL have been previously discussed here and are well-known.OPTIMAL is a ’setting-specific’ tool for activity limitations affecting the upper body, lower body and trunk.That is, OPTIMAL is

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When should you use the OPTIMAL Scale?