The average DASH change score for surgical patients with musculotendinous injury patients treated during the observation period will be reported. Additionally, a risk-adjusted DASH change difference score will be calculated by subtracting the predicted DASH change score from the average DASH change score for each patient, then average the adjusted scores for each physical therapist or physical therapy group. The risk adjustment will be calculated using generalized linear modelling adjusting for: baseline DASH score, baseline pain score, age, sex, smoking, comorbidities, payer, and symptom duration (time from surgery or injury to baseline physical therapy visit). These measures will serve as a physical and occupational therapy performance measure at the eligible physical or occupational therapist or physical or occupational therapy group level. Rate 1: Average DASH Change Score, Rate 2: Risk-adjusted Average DASH Change Score.