JVA Flow Chart

Patient Name Deviation _____ Deflection _______ Date MO_____ R-Lat _____L-Lat _____Pro _____ Velocity ____Pattern ___ Opening [ ] Closing [ ] Left Joint [ ] Right Joint [ ] DX: ____________________

Start with Total Integral and work your way down the flow chart to see how the #’s best fit the patient's condition.
Total Integral Small 0-20 Vibrations Medium 20-80 Vibrations

Max Opening
>300 HZ

0 - 30
0-3

30 - 40
3-6 0-3

40 - 70
3 - 6+

0 - 39
0-3 3+ 0-3

40 - 70
3+

Ratio Conditions Acute DD 4b Chronic DD Adapted 4b Normal 1

Facial Asymmetry
still adapting

0 - .3 mild DJD 3b Chronic DD 4b

.3 - .5

.5 - 1 Chronic DD AdvDJD 4b-5a

0 - .3 Lig. Laxity or PDDR 3a

.3 - .5

.5 - 1

End Stage 5b

Chronic DD mild DJD 4b

Lig. Laxity ADV DJD PDDR w/EDJD Perforation 3a 5a

Waveform

Total Integral Max opening Ratio 0 - .30 0 - 39 .3 - .5

Large

80 - 300

Vibrations 40 - 70

Very Large

300 + 40 - 70

Vibrations

.5 - 1

0 - .3

.30 - .50

.50 - 1

0 - .30

.30 - .50

.50 - 1

Condition

Chronic DD Adapting 4b

Chronic DD w/ mild DJD Mal-adapted 4b

Late Opening DD w/ chronic chronic DDR AdvDJD adapted DDR w/mild DJD Mal-adapted 4a eminence 4a 4b click 1

DD w/ perforation 5a

acute nonadapted DDR 4a

chronic DDR w/ mild DJD 4a

DD w/ perforation 5a

Waveform

DD = Disk Displacement without reduction - DDR = Disk Displacement with reduction - PDDR = Partial Disk Displacement with reduction DJD = Degenerative Joint Disease - EDJD = Early (mild) Degenerative Joint Disease - AdvDJD = Advanced Degenerative Joint Disease