SF527

Medical Record - Group Muscle Strength, Joint R.O.M. Girth and Length Measurements

Agency
GSA
Revision
Rev. 9/1994
Fillable fields
718
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill SF527 online
Page 1 of form SF527

Standard Form 527 (SF 527): Group Muscle Strength, Joint R.O.M., Girth and Length

Standard Form 527 (SF 527), Group Muscle Strength, Joint R.O.M. Girth and Length Measurements, is a two-sided medical record printed as STANDARD FORM 527 (REV. 9-94). Its footer says Prescribed by GSA/ICMR, FIRMR (41 CFR) 201-9.202-1, and the top is marked Authorized for Local Reproduction. GSA hosts a copy in its forms library.

The front holds the problem and brief clinical history, a key to manual muscle evaluation, and rows for the trunk, hip, knee, ankle and toes, with ranges such as 0-120 printed beside many motions, then girth and length measurements of the leg. The back covers the neck, scapula, shoulder, elbow and forearm, wrist, thumb and each finger, plus upper extremity girth, grip strength and pinch strength.

The PDF prints no instructions. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Standard Form 527 (SF 527): Group Muscle Strength, Joint R.O.M., Girth and Length, as printed by GSA

What's on SF 527

History and muscle key

A PROBLEM AND BRIEF CLINICAL HISTORY block and a KEY TO MANUAL MUSCLE EVALUATION from 100% 5 N Normal to 0% 0 O Zero, each grade with its own description.

Trunk, hip and knee

Trunk extension, flexion, lateral flexion, quadratus lumborum and rotation; hip motions with ranges such as Flex: Knee Flexed 0-120; and knee extension and flexion.

Ankle and toes

Plantar flexion, dorsiflexion, inversion and eversion of the ankle, then flexion and extension of the great toe and of the 2nd to 5th toes.

Leg girth and length

Circumference rows for the thigh, knee and calf, and length rows for A.S.I.S. to Med. Malleolus and Umbilicus to Med. Malleolus.

Back: neck to wrist

Rows for the neck, scapula, shoulder, elbow and forearm, and wrist, with ranges such as Flexion 0-180 for the shoulder.

Back: hand, grip and pinch

Thumb, index, middle, ring and little finger rows, upper extremity girth, finger tip to palm crease and thumb tip to 5th digit distances, grip strength, pinch strength and comments.

How to fill out SF 527

  1. 1

    Write the history

    Fill in the problem and brief clinical history at the top of the front.

  2. 2

    Date the column and side

    Enter the date and the side tested at the head of a column, on the front and on the back.

  3. 3

    Record each motion

    Enter results in the rows for each joint. The key on the form gives the grades 5 N, 4 G, 3 F, 2 P, 1 T and 0 O.

  4. 4

    Add the measurements

    Fill in the leg girth and length rows on the front, and the upper extremity girth, distances, grip and pinch strength on the back.

  5. 5

    Comment and sign

    Use the COMMENTS column, then sign and date in the SIGNATURE and DATE rows.

  6. 6

    Identify the patient

    Complete the patient's identification with the register and ward numbers at the foot of the front.

These steps follow the order of the blocks on the two pages.

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Where it goes and what the form says

Where it goes

The PDF prints no filing address. It is labeled Medical Record, and the identification block names the hospital or medical facility.

Prescribing note

The footer says Prescribed by GSA/ICMR, FIRMR (41 CFR) 201-9.202-1.

Copies

The top of the front says AUTHORIZED FOR LOCAL REPRODUCTION.

Instructions and privacy

The PDF prints no instructions, Privacy Act statement or burden estimate.

Related forms

Who fills out SF 527?

  • The person who signs

    The front has SIGNATURE and DATE rows below the COMMENTS column. The form does not name a role for the signer.

  • Dated test columns

    A DATE row and an INDICATE SIDE TESTED row, each marked with an arrow, head the columns of boxes beside the rows of motions.

  • The patient, as identified

    The patient does not sign. The identification block takes name (last, first, middle), ID no. (SSN or other), and hospital or medical facility.

  • The medical facility

    The form is labeled Medical Record and carries REGISTER NO. and WARD NO. boxes beside the patient's identification.

The form prints no instructions. Its blocks show who signs and whose record it is.

Official sources and the blank

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Questions about Form SF527

Who issues SF 527?

The footer says Prescribed by GSA/ICMR, FIRMR (41 CFR) 201-9.202-1. GSA hosts a copy in its forms library, printed as STANDARD FORM 527 (REV. 9-94).

What grades does the muscle key on SF 527 use?

The key runs from 100% 5 N Normal, complete range of motion against gravity with full resistance, down to 0% 0 O Zero, no evidence of contractility, with Good, Fair, Poor and Trace in between.

What measurements does SF 527 record?

Thigh, knee and calf circumference, two leg length rows, upper extremity girth, the distance from finger tip to palm crease and from thumb tip to 5th digit, grip strength and pinch strength.

Who signs SF 527?

The front has SIGNATURE and DATE rows. The form does not name a role for the signer.

Does SF 527 come with instructions?

No. The PDF prints only the form's labeled blocks and the muscle key.

Can SF 527 be copied locally?

The top of the front is marked Authorized for Local Reproduction.